
Abdominoplasty
(Tummy Tucks)
The skin and muscles of the anterior wall are stretched
during pregnancy, but in some people this leaves permanent disfigurement,
and commonly results from excessive weight gain, water retention, or
abnormally fragile inelastic skin. Exercises and diet obviously help
to reverse these changes, but in some cases will need surgery to tighten
the muscles and remove excessive skin.
The operation is done through a skin incision which is placed very low
within the bikini area. The skin and fatty layer of the abdomen is freed
up and down so that usually a new umbilicus has to be made. The aimed
result is for the abdominal wall to adopt a more toned appearance.
A one-night stay in hospital is sufficient, provided you can then convalesce
in bed at home for another week. You will be given post-operative instructions
regarding positioning and also suitable garment support, these measures
should keep you comfortable, additionally mild painkillers will assist
you in the initial post-operative days.
The skin stitches are under the skin surface, so stitch marks are avoided,
and the finest possible scars produced. Keep Micropore tape on the scar
for the next six weeks following the procedure to give further protection.
Detailed instructions about this will be given to you after the operation.
Complications: These
are rare and include the following.
1. Infection. This
is very rare nowadays as with any clean elective operation.
2. Seroma. This is a collection of fluid
which can lead to swelling in part of the abdomen and very rarely
require correction with a short procedure in theatre.
3. Swelling and numbness of the skin.
Of the lower abdomen may be noted to a minor extent for up to six
months, but is not usually noted in slim people. In the centre of
the lower part of the abdomen some numbness might persist to a variable
degree.
4. The scar line. Is usually very fine
and in a well concealed position, but as with any scar on the abdomen
the colour takes about 2 years to fade to its final state, which is
slower than on the face. A moderate amount of sun will help the scar
to mature and gain a more natural skin colour, and this can be started
cautiously after six weeks.
After the operation you will be visited whilst in
hospital by myself normally or otherwise a member of my team in order
to ensure a personal and confidential programme of after care. I can
be contacted through my secretary or -out of hours- the Hospital switchboard
should the need arise.
Revision surgery may be required in a very small minority
of cases in the short term. In these circumstances you will not incur
any surgical fees (payment to the surgeon), but you will be responsible
for the cost of the hospital and anaesthetic fees.
I hope that this information, and the attention
that you will receive postoperatively will keep you fully informed at
all times. A more in detail discussion about the operation and possible
complications adjusted to your specific needs takes place during consultation.