Tummy Tuck

Tummy Tuck (Abdominoplasty)

Tummy tuck or abdominoplasty, creates a sleek, flatter stomach by eliminating excessive loose skin and tightening the muscles of the abdominal wall. A tummy tuck can improve areas where exercise and diet fail. Many people do dozens of crunches and abdominal exercises every day, but simply cannot get the attractive stomach they desire. A tummy tuck is suitable for:

  • Men and women who are in good health.
  • Women who have had several pregnancies may find the procedure useful for tightening their abdominal muscles and reducing skin.
  • Men or women who were once obese and still have excess fat deposits or loose skin around the belly.

If you’re a woman who plans to get pregnant, then you may want to postpone a tummy tuck until you’re done having children. During surgery, your vertical muscles are tightened, and future pregnancies can separate those muscles. If you planning to lose a lot of weight then a tummy tuck also is not for you. A tummy tuck should be a last resort after you’ve tried everything else. It should not be used as an alternative to weight loss. You should also consider the chance of scarring after a tummy tuck. You can talk about that possibility with Dr. Varasteh Kia before surgery.

There are two types of abdominoplasty which are as following:

  • Complete abdominoplasty: The surgeon will cut your abdomen from hipbone to hipbone and then contour the skin, tissue, and muscle as needed. The surgery will involve moving your belly button.
  • Mini-abdominoplasties are often done on people whose fat deposits are located below the navel. During this procedure, the surgeon most likely will not move your belly button.

Now, surgical wounds have been less with using lipolysis during abdominoplasty. It will have many benefits for the patient. Note that you can consult Dr. Varasteh Kia before abdominoplasty if you want to use your abdominal fat for cosmetic surgery of face, buttocks, arms, and other parts of your body.
Tightening of abdominal muscle (rectus abdominis) depends on linea alba. If it is not wide or protruded we can omit plication. You can be informed by Dr. Varasteh Kia before surgery.

Be aware that tummy tuck operation does not prevent pregnancy. But it is better to be done when all pregnancy is finished.

Tummy Tuck Surgery (Abdominoplasty)
  1. You will be visited the day after your surgery and usually discharged from the hospital.
  2. Sometimes nausea occurs after surgery that is normal, do not worry.
  3. Drinking liquids is recommended after consciousness.
  4. Consume foods like soup, pineapple juice, orange juice, celery juice, and vitamin C until 24-48 hours after surgery. After that a normal diet is recommended.
  5. Your diet consists of plenty of liquids, light meals, and foods contain protein and vitamins.
  6. Do not drink milk in the first few days because it can cause bloating.
  7. Inform your doctor if you have digestive problems. He will prescribe necessary drugs.
  8. Avoid taking medications that prevent blood clotting such as aspirin and warfarin. You should only take prescribed medications.
  9. Avoid fatty meals because they are difficult to digest. Consumption of fatty foods increases your nausea.
  10. Try to avoid pressure on the muscles when you are coughing and sneezing.
  11. You will have an abdominal binder after abdominoplasty. You probably should wear compression garment under the abdominal binder if your surgery is combined with suction.
  12. Using a pillow with the height of about 30-45 degrees above the horizon under the head and feet is recommended in the first week after surgery.
  13. You should have less activity at home. When you rest pillows with the height of about 30-45 degrees above the horizon under your feet are recommended.
  14. You should take a shower every day after discharging from the hospital.
  15. Note that bathing should be done with wearing, so it is better to have two of them.
  16. You should open your abdominal binder and compression garment at rest every 4-6 hours and close it after 20-30 minutes.
  17. Serums flow from the suction area is normal. It is better to cover it with the pad.
  18. You should not open your abdominal binder and compression garment when using the toilet.
  19. You should first turn to the side and get help from your hands when you want to get up. You should not pressure on the abdominal muscles during the first 4 weeks after surgery.
  20. Avoid pressure on your chest and abdomen in the first months. Avoid lifting weights more than one kilogram.
  21. Be careful to sleep only on your back and when you waking up, you can move a little to the side.
  22. Avoid long-term side-sleeping in the first two weeks then follow your physician’s instructions.
  23. You do not need to sleep all the time. You can walk in home 24 hours after surgery. It is better to walk in the bending state during the first week.
  24. Contact your doctor if you have bowel problems. You can use bisacodyl suppository.
  25. Call your doctor or nurse in case of severe bleeding (abnormal) due to trauma or unusual movement.
  26. Sometimes hematoma or bruising observed around the surgical site, flank, and back which improve after a few days.
  27. You should get your prescription at the discharge time or get it from the clerk in the office earlier. It usually includes antibiotics pill, painkiller pill, antibiotic ointment (can be used on wounds and stitches), washing serum (to wash the wound), normal saline or sodium chloride, Betadine, baby shampoo, and other drugs. These are prescribed by your doctor and recommended only for you.
  28. It is better to consult your doctor for taking other drugs that were used before surgery.
  29. Correct use of medication and follow-up recommendations are necessary for appropriate care of the wounds.
  30. It is better to follow breathing physiotherapy (deep breathing), cough, and sputum removing in the first 5 days.
  31. Ask someone to help you for bathing in the first days because it should be done with wearing abdominal binder and compression garment.
  32. It is better to drink enough liquids before bathing.
  33. It is better to sit on a chair while taking a bath in the first 5-10 days.
  34. Bathing should not take more than 10-15 minutes. Water temperature should be less than 40-50 centigrade.
  35. You should wash all areas of the wound with Betadine-shampoo solution (mixed equal amounts of them).
  36. It is better to put a bed sheet or towel on your bed and lie on it. Then open your abdominal binder and compression garment and dry all parts of your body.
  37. Clean the surgical wound with Betadine then dry it. Apply the ointment only to the wounds.
  38. Do the procedures mentioned above for the suction stitches, then put a layer of gauze on it and wear the clean abdominal binder and compression garment.
  39. You can wear a thin cotton cloth under the compression garment instead of using gauze in coordination with your doctor.
  40. You no longer need to use Betadine after 5 days. You should just apply the ointment to the wound.
  41. Daily bath is very effective for wounds healing.
  42. Abdominal binder should be used for 2 months and compression garment may be used for 3-6 months depending on the type of patient swelling and need.
  43. You can start light exercises such as walking after a week and increase them gradually under your physician’s supervision.
  44. Swimming and fitness are recommended after three months according to the patient’s general condition.
  45. You should have an appointment with your physician once per week in the first month, then every two weeks, and once per month in the third month. Some small stitches may be removed during these appointments.
  46. Suction area may be bruised. Do not worry, it will disappear gradually.
  47. The surgical site is very swollen. Depending on the patient physiology, it takes certain time for swelling reduced and eliminated gradually.
  48. Using a pillow under your legs helps to reduce swelling.
  49. The surgical site will swell alternatively. It sometimes will continue up to 6 months or more.
  50. You should start healthy diet after consulting the nutrition specialist.
  51. You should start proper exercises that are effective for better muscles forming under your physician’s supervision.
  52. You would not be in appropriate physical and mental condition in the first 2 weeks after surgery so you should not drive, not operate with the machines and not take important decisions at this time.
  53. Do not take any medication without checking with your doctor.
  54. You should consult your doctor in the case of drug addiction to get the desired result.
  55. Do not drink alcohol. Alcohol with anesthetic drugs that are still in your body can cause inappropriate reactions.
  56. Ask someone to stay with you during the first week.
  57. Consult the physician assistants if you feel itching or redness in the surgical site and its surrounding. They can provide you the appropriate solutions.
  58. Ask your questions from the surgeon. It will be helpful for your improvement.
  59. Have patience and do not hurry to reach the final result. All problems will be solved with time.
  60. Each person has a specific anatomy and physiology. You can realize your situation sooner than everyone.
  61. Full recovery takes time.
  62. Do not forget to follow after surgery instructions.
  63. You can contact with your doctor or his assistants to ask your questions.