Tummy tuck surgery   Tummy Tuck (Abdominoplasty)

Overview
An abdominoplasty is a cosmetic procedure and may:
1. Be reconstructive in that it attempts     to correct abdominal abnormalities     caused by pregnancy, obesity or     weight loss.
2. Correct weaknesses in the
    underlying abdominal muscles and     therefore improve their function.
3. Create a more normal appearance
    of the abdomen.
4. Repair any abdominal hernia that
    may be present.
5. Remove any large apron of fat (also     called a pannus) that may cause     dermatitis, skin infection, back pain,     difficulty in walking and difficulty
    with hygiene.

The operation involves a long incision to excise the lower half of the abdominal skin and fat. There is an incision around the naval (tummy button, umbilicus) as it needs to be moved to a normal position after the lower abdominal skin and fat has been removed. The underlying stretched abdominal muscles are surgically tightened with stitches. The skin is stitched together with dissolving sutures under the skin. Drains will be placed and these remain for usually one to two days. Please note that it should NOT be considered a weight loss procedure.

Frequently Asked Questions
What type of anaesthetic is used?
What are the risks?
What happens after the surgery?
What are the costs involved?

Please contact Mr Banwell’s office where his staff can answer any questions you may have. A quote as well as information regarding the procedure may be sent to you on request.

What type of anaesthetic is used?
Mr Banwell recommends the surgery be performed under a general anaesthetic
undertaken by a specialist anaesthetist.

 

Abdominoplasty Tummy Tuck

What are the risks?
There are both general and specific risks and Mr Banwell will talk to you in detail regarding these. General risks include bruising and swelling, bleeding, wound infection, deep infection, delayed healing, problems with general anaesthetics, abnormal scarring and keloid scarring. Specific risks include asymmetry of scars and umbilicus (belly button) uneven skin contours, fat necrosis (dead fat), skin loss/necrosis at the umbilicus (belly button/naval), wound breakdown, severe infection (necrotizing fasciitis), intra-abdominal organ injury, fluid accumulation (seroma) under skin flaps, permanent numbness of lower abdominal skin and/ or lateral thighs and ‘dog-ears’. Please note that smoking and obesity (and BMI >30) significantly increase the risks of post-operative complications.

Subsequent alterations in body contour may occur as the result of ageing, weight loss, weight gain, pregnancy, or other circumstances not related to abdominoplasty. Chronic pain may also rarely occur from nerves becoming trapped in scar tissue.

What happens after the surgery?

It will be necessary for you to stay at least one night in hospital. You will have two drains. The drains are usually removed the when drainage is minimal and you will have dressings over your abdomen for at least one week. You will need to wear a support garment (abdominal binder) around your abdomen for six weeks. Further postoperative visits will be scheduled. Mr Banwell recommends post-operative massage to aid outcome.

What costs are involved?
+ Surgical fees
+ Abdominal binders
+ Hospital fees
+ Specialist anaesthetist fee
+ Post-operative massage therapy

 
         
 
   
Mr Paul E Banwell BSc(Hons) MB BS FRCS(Eng) FRCS(Plast)
T : 0845 2600 261 + F: 0845 2600 271 + E: help@paulebanwell.com
McIndoe Surgical Centre
+ Holtye Road + East Grinstead + West Sussex RH19 3DZ

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