Question 1

What is a tummy tuck and who is a good candidate?

Accepted Answer

A tummy tuck, or abdominoplasty, is a surgical procedure that removes excess skin and fat from the abdomen while tightening the abdominal muscles. Good candidates are individuals with loose skin, stretch marks, or weakened abdominal muscles due to pregnancy, weight loss, or aging.

Question 2

What will the scar be like?

Accepted Answer

The scar is a low transverse scar that runs from hip to hip, examples of which can be seen in our abdominoplasty gallery. Depending on individual preference (style of underwear worn regularly) the scar can be sited higher or lower in the groin region. There is also a circumferential scar around the umbilicus (belly-button) as in most abdominoplasties this has to be re-sited.

Question 3

Do I have a drain after a tummy-tuck?

Accepted Answer

Use of a drain is dependent on the treating surgeon, and based on the nature of your specific abdominoplasty. In some occasions, a &ldquo;No Drain Abdominoplasty: is possible, while in other settings, one or two drains may be used that stay in for 3-5 days post-operatively, again depending on the individual case.

Question 4

How much pain will I have after a tummy tuck?

Accepted Answer

Pain relief:rnPain is controlled and limited by providing analgesia pre-operatively, intraoperatively and post-operatively. In close conjunction with our anesthesiologist, our surgeons will use a combination of local anesthetics, intravenous and oral analgesics to make you as comfortable as possible.rnrnIn spite of this some patients will experience discomfort after a tummy tuck, more so in the first few days after surgery, settling rapidly thereafter. The severity of pain experienced varies between individuals as well as the specifics of the surgical technique. For example, muscle tightening during the tummy tuck procedure (if required) is associated with greater post-operative discomfort.rnrnPre-operatively our surgeons will provide prescriptions for pain relief medication and will check-in with you post-operatively to tailor your analgesia requirements and minimize discomfort.rnrnSome patients who are concerned about their post surgical pain control, a Pain Pump can be used to minimize discomfort. Discuss this with your treating surgeon.rnrnNausea and sickness:rnSome people find that the anesthetic medication used during surgery can cause them to feel nauseous. You can try taking ginger drinks or Gravol tablets from the pharmacy, but if it persists a prescription for stronger anti-sickness medication can be provided. Even if you are feeling sick it is important to keep taking fluids to prevent dehydration and constipation.

Question 5

How long is the recovery period for a tummy tuck?

Accepted Answer

Initial recovery usually takes 2 to 4 weeks. Patients should avoid strenuous activities for at least 6 weeks and wear compression garments to aid healing. Full recovery, including the fading of scars and complete healing of the muscles, can take several months.rnrnShowering and bathing:rnStrip-washing can begin the day after surgery as your dressings are water-resistant. Showering and bathing are discouraged until the first post-operative visit (Typically 5-10 days post-op). After this visit the majority of patients can begin showering if our surgeon is happy with your healing.rnrnMovement and exercise:rnThe first week you will need to rest frequently. Additionally, you should also mobilize (keeping the hips flexed, see below) frequently, every 1-2 hours during waking hours to minimize the risk of developing deep vein thrombosis.rnrnEvery 2-3 hours take deep breaths to expand your lungs. Hold your incision while coughing.rnrnAvoid picking anything up greater than 5 lbs. for the first week.rnrnYou will not be able to stand up straight for the first week. It will be normal to walk at a 30-degree angle bent at the hips. Your back may become sore in this position. You can try to stand up straight after the first week as tolerated.rnrnVery light regular daily activities are allowed by day 2 after surgery, but these may be sore initially. Depending on the recovery and the first post-operative visit, you can increase your activity level after the first 2 weeks. You should not do any activity that increases your heart rate above 120 beats per minute for the first 4 weeks. It is important to &lsquo;listen&rsquo; to your body: if an activity hurts or causes much discomfort then wait longer. Do not participate in any strenuous activity until 6 weeks after your surgery. This includes: heavy lifting/weight lifting, extreme stretching exercises such as yoga, strenuous sporting activitiesrnrnDriving:rnYou must not drive for 48 hours after a general anesthetic. Driving can typically begin again 7-10 days post-surgery, depending on comfort levels.rnrnSleeping:rnFor the first week post-surgery sleep on your back with your head elevated and knees bent with a pillow underneath them. This will keep the tension off your abdomen. Do not sleep on your side.rnrnWork:rnReturn to work depends very much on the individual and the type of work activity you perform. Most individuals can return to work in some capacity 2-4 weeks post surgery, but varies depending on individual progress and recovery and type of work.rnrnFollow-up:rnFollow-up is tailored to the individual case but typically occurs, 1-2 weeks post-surgery, 4-6 weeks, and 3-6 months post surgery.

Question 6

Will the results last?

Accepted Answer

Yes, typically the results from this procedure will last a long time, as long as your weight remains stable. Subsequent pregnancies or large fluctuations in weight are likely to have an adverse effect on your long-term cosmetic outcome.

Question 7

Will a tummy tuck help my stretch marks?

Accepted Answer

Yes, a tummy tuck will enable the majority if not all of the stretch marks over the lower abdomen to be removed. Our surgeons will be able to assess your individual case and advise you on the likely outcome during your consultation.

Question 8

Do I need to have a tummy tuck, or can I just have liposuction?

Accepted Answer

Liposuction helps to remove excess fat from underneath the skin and this can be very effective for some individuals. However, many people (for example those who have experienced significant weight loss or multiple pregnancies) have excess loose skin that can only be removed surgically. Whilst liposuction alone works very well for some individuals, it is not a suitable substitute for a tummy tuck in others. Our surgeon&rsquo;s assessment will help to determine which procedure(s) are indicated in your particular case.

Question 9

Can I get pregnant after a tummy tuck?

Accepted Answer

Yes, pregnancy is still possible after a tummy tuck and there are no additional risks as a result. Pregnancies after a tummy tuck will however, almost certainly have a detrimental effect on the cosmetic appearance. Women who plan on possibly becoming pregnant in future are sometimes good candidates for liposuction alone.

Question 10

Will I need to wear a compression garment after surgery?

Accepted Answer

Yes, you will be provided with a compression garment after your surgery that you must wear for 6 weeks. It is essential that you wear this all the time for 6 weeks for the optimal cosmetic outcome. Failure to wear the garment will result in sub-par aesthetics outcomes.

Question 11

What is the difference between a full tummy tuck and a mini tummy tuck?

Accepted Answer

A full tummy tuck addresses the entire abdomen, from the lower ribcage to the pubic area, and involves tightening of the abdominal muscles. A mini tummy tuck targets only the lower abdomen below the belly button and is suitable for patients with a smaller amount of excess skin or fat.

Question 12

What are the potential risks and complications of a tummy tuck?

Accepted Answer

Risks include infection, bleeding, scarring, fluid accumulation (seroma), and blood clots. Some patients may also experience numbness or tightness in the abdominal area. These risks can be minimized by choosing an experienced surgeon and following post-operative instructions.

Question 13

Will a tummy tuck help with weight loss?

Accepted Answer

A tummy tuck is not a weight loss procedure. It is designed to contour and flatten the abdomen by removing excess skin and fat, but it is not a substitute for weight loss. Maintaining a stable weight before and after the procedure is essential for long-lasting results.

Question 14

How do I know which procedure I need?

Accepted Answer

If you struggle mainly with stubborn fat but have firm skin, liposuction may be ideal. If you have loose, sagging skin or separated abdominal muscles, a tummy tuck is likely the better option.

Question 15

Are tummy tuck results permanent?

Accepted Answer

Yes, the results are long-lasting as long as you maintain a stable weight and avoid significant changes such as pregnancy or major weight fluctuations.

Question 16

Can liposuction and tummy tuck be combined?

Accepted Answer

Absolutely. Many of Dr. Roller&rsquo;s patients benefit from combining both techniques for comprehensive body contouring in one surgical session.

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