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Abdominoplasty (tummy tuck)  Questions & Answers

       

What can I expect the scars to be like?

The incisions, and resulting scars, go in a configuration from hip to hip, around the navel (belly button) and sometimes down the belly button in the center.  Generally, after appropriate healing time, just like any other scar, they fade and aren’t as noticeable. All scars are permanent and every patient’s healing characteristics are individual, from those who barely scar to the few who develop keloids (an over production of scar tissue) but, all in all, the scars from this surgery are generally viewed as acceptable. It is important that you comply with postop scar therapy directions.  The design of the scar is generally such that it is covered with the average swim suit.  


What is the most common complication you’ve seen with abdominoplasty?

Complications are quite rare but, in my opinion, abdominoplasty has the potential for more than most of the other procedures we do.  I’ve seen a woman or two break down a few sutures or develop an area of delayed healing. This is more common in smokers since smoking reduces the blood flow to the skin surface. This generally makes a heavy, dark scab which sort of heals from the inside out. If kept clean and covered, it usually takes care of itself but it can take a long time and certainly be a nuisance. If this didn’t progress as expected, it could mean a secondary procedure for closure. The biggest issue is blood clots in the legs.  That’s why we have you moving right after surgery and we put the compression stockings on you.  The "perfect abdomen" is purely subjective – in the eye of the beholder, so to speak and in some cases it’s just impossible to get to that point.


Should I have more children after abdominoplasty?

No.  Pregnancy and weight gain can undue positive results and make the tummy saggy again.


Will I have to spend the night at the hospital or surgery center?

Most patients go home after surgery. You’ll need a driver and someone to help with the dressings for a few days.  My admitting privileges are at Alton Memorial and St. Anthony’s Hospital in Alton , IL


Am I likely to need a blood transfusion for breast reduction surgery?

No.


When can I go back to work, exercise, etc.?

You’ll be up and about in a day or two but you’ll have to take it easier than usual for a couple of weeks. If your job isn’t very physical, you’ll be back sooner than some someone doing hard, physical labor. Most people are back in 2-4 weeks.  You will do light exercise but nothing strenuous for several weeks after surgery.


 How long will I have stitches?

Part of them are removed in about a week and the rest are come out in about 10-14 days.


When can I shower?

Once the drains are out you can shower.  Until then you have to just wash up.  No tub baths or really hot water.  


 Will I need pre-op testing?

Yes.  Depending on your age and health status, we will tell you what test are necessary. 

 


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