The tummy tuck is particularly popular with new mums and men or women who have lost a significant amount of weight. They may have excess, loose skin, stretch marks or their tummy muscles may have separated, meaning they feel they need to ‘hold it in’ all the time. Surgery is carried out under general anaesthetic and removes excess skin and fat, reshape the area and, by rejoining separated tummy muscles, create a slimmer, smoother and tighter abdominal area. A tummy tuck can also be combined with liposuction and other surgical procedures.
Having a firm, flat stomach can make a huge difference to the way you feel. When it’s not possible to achieve this through diet and exercise alone, Tummy Tuck surgery can be the right option. If you may be better served by diet and exercise, liposuction, a mini tummy tuck or a ‘fleur-de-lys’ (or inverted-T) tummy tuck, Mr Urso-Baiarda will let you know after your first consultation. For various reasons some people are better deferring their surgery, and you would also be advised if that applies to you.
Initially, a horizontal incision is made across the base of your stomach. Damaged and stretched abdominal muscles are repaired, repositioned and tightened, before excess skin is removed and you are put back together again.
For tummy tuck surgery the devil is in the detail - a midline indentation, visible stomach definition and well-hidden scars, particularly around the belly button which might otherwise reveal you have had surgery. Mr Urso-Baiarda will explain how when he meets you.
If you have lost a large amount of weight I may recommend a fleur-de-lys abdominoplasty, in which there is also a vertical (midline) incision. In such cases it is more difficult to hide the belly button scar, but it will be offered if in your case it will leave you with a significantly better abdominal contour.
This technique may also involve liposuction of the flanks, hips and abdominal wall to the best possible results.
Before embarking on cosmetic surgery always do your research and find a reliable surgeon with a local reputation. Developing a rapport with you surgeon is essential. You need to be able to trust your surgeon and be able to ask as many questions as you need to without feeling pressured. I would urge those considering cosmetic surgery to insist on a pre-operative consultation with the surgeon (not a nurse or company representative) some weeks before considering surgery to discuss all your options and concerns. At least half an hour is usually necessary to get through all the important topics, including the risks involved. Also ensure that your surgeon will be available to look after you following the procedure.
General Anaesthetic and Abdominal block
Hospital stay: 2-3 Nights stay
Surgery time: 2-4 hours
Time off work: 4 weeks
Reasonably mobile: 2 days
Washing: 72 hours
Full recovery: 4-6 weeks
Corset: 4 Weeks
Driving: 2 weeks
Exercise: 6-8 weeks
Analgesia (pain relief) - Ibuprofen and paracetamol can be taken
Complete rest will be necessary for 48 hours
Surgical skin tapes should be left in place for around 2 months
The hospital or surgeon should be contacted if you develop a temperature
The hospital or surgeon should also be contacted immediately in rare cases of bleeding or rapid swelling
Patients should take care not to over exert themselves in the first few weeks and to keep pressure off the wounds
Wounds will be checked and sutures removed normally at 1 week
I will see you routinely at 1 week, 1 month and 3 months after surgery, and more frequently if necessary
Dressing care nurses may see you more often
Swelling reduces after a few weeks
Any procedure carries risks. In the case of tummy tuck, this includes permanent scarring which can become thick or lumpy, infection, bleeding or a collection of blood called a haematoma, the need to return to theatre for corrective surgery, the development of a collection of tissue fluid called a seroma and the possible need to drain it, asymmetry of the scar, and general risks of surgery such as an infection of the chest or clot formation in the legs or lungs. If liposuction is added there are further small stab scars, more extensive bruising and swelling, a greater risk of wound healing problems and the possibility of contour irregularity, or ridging where fat is removed. If you would like to discuss any of these risks further then please do get in touch with us.
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