Our Summary

This research paper talks about a technique used in tummy tuck surgeries, known as drain-free abdominoplasty. This method uses something called progressive tension sutures (PTS) and was first mentioned in a study back in 2000. The authors of this paper have been using this technique for over 30 years and have simplified the process over time to make it easier for surgeons to replicate, and also improve the patient’s recovery and overall experience. This paper gives detailed information on how to perform this no-drain abdominoplasty technique. The authors also discuss some of the common challenges surgeons face when implementing this technique, such as the time it takes to put in the sutures, skin dimpling, and its overall effectiveness.

FAQs

  1. What is drain-free abdominoplasty using progressive tension sutures (PTS)?
  2. How has the technique for drain-free abdominoplasty evolved over the past three decades?
  3. What are some of the commonly stated barriers to surgeons using the drain-free abdominoplasty technique?

Doctor’s Tip

One helpful tip a doctor might tell a patient about abdominoplasty is to follow post-operative care instructions closely, including wearing compression garments as directed and avoiding strenuous activities during the initial recovery period. This can help promote proper healing and optimal results from the procedure.

Suitable For

Patients who are typically recommended for abdominoplasty include those who have excess skin and fat in the abdominal area, particularly after significant weight loss or pregnancy. Candidates for the procedure should be in good overall health and have realistic expectations for the outcome of the surgery. It is important for patients to have stable weight and not plan on significant weight loss in the future, as this can affect the results of the procedure. Additionally, patients should be non-smokers or willing to quit smoking before and after the surgery to reduce the risk of complications.

Timeline

Before abdominoplasty:

  1. Patient consults with a plastic surgeon to discuss goals and expectations for the procedure.
  2. Pre-operative assessments are conducted, including medical history, physical examination, and possibly lab tests.
  3. Patient may be instructed to stop smoking and avoid certain medications that can increase the risk of complications.
  4. Surgical plan is developed based on patient’s individual needs and desired outcomes.

After abdominoplasty:

  1. Patient is monitored closely in the immediate post-operative period for any complications.
  2. Pain and discomfort are managed with medications prescribed by the surgeon.
  3. Patient may experience swelling, bruising, and discomfort in the abdominal area.
  4. Follow-up appointments are scheduled to monitor healing progress and remove any sutures or drains.
  5. Patient is advised to follow post-operative care instructions, including avoiding strenuous activities and wearing compression garments.
  6. Over time, swelling and bruising subside, and the final results of the abdominoplasty become more apparent.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with abdominoplasty?
  2. Am I a good candidate for abdominoplasty?
  3. How long is the recovery process and what can I expect during the recovery period?
  4. Will I need to have drains placed after the surgery?
  5. What type of scarring can I expect after the procedure and how can I minimize scarring?
  6. How long will the results of abdominoplasty last?
  7. What are the limitations of abdominoplasty in terms of achieving my desired aesthetic goals?
  8. Are there any alternative treatments or procedures that may be more suitable for me?
  9. How many abdominoplasty procedures have you performed and what is your experience with no-drain abdominoplasty using progressive tension sutures?
  10. What is the cost of abdominoplasty and will it be covered by insurance?

Reference

Authors: Pollock TA, Pollock H. Journal: Clin Plast Surg. 2020 Jul;47(3):351-363. doi: 10.1016/j.cps.2020.03.007. Epub 2020 May 5. PMID: 32448472