Our Summary

This research paper is an update for plastic surgeons who perform tummy tucks (abdominoplasty). The paper reviews all the relevant literature published between January 2014 and February 2017. It discusses various aspects of the tummy tuck procedure - how to assess patients before the operation, recent advancements in surgical and anesthesia techniques, patient safety, and the results of the procedure. This paper is meant to be used alongside other evidence-based reviews and helps surgeons stay up-to-date with the latest knowledge in tummy tuck procedures.

FAQs

  1. What is the purpose of this evidence-based update on abdominoplasty?
  2. What aspects of abdominoplasty does the publication overview?
  3. How can this publication serve as an adjunct to previously published evidence-based reviews of abdominoplasty?

Doctor’s Tip

One helpful tip a doctor might tell a patient considering abdominoplasty is to maintain a healthy lifestyle before and after the procedure. This includes eating a balanced diet, staying hydrated, and incorporating regular exercise into their routine. By taking care of their body, patients can help optimize their results and reduce the risk of complications during recovery.

Suitable For

Patients who are typically recommended for abdominoplasty include those who have excess skin and fat in the abdominal area that cannot be improved with diet and exercise alone. This excess skin and fat can be due to factors such as pregnancy, significant weight loss, or aging. Ideal candidates for abdominoplasty are non-smokers in good overall health, with realistic expectations for the outcome of the surgery. It is important for patients to have stable weight and be at or near their goal weight before undergoing abdominoplasty. Additionally, patients should have good skin elasticity to ensure optimal results from the procedure.

Timeline

Before abdominoplasty:

  • Patient consultation: The patient meets with the plastic surgeon to discuss their goals, expectations, medical history, and any potential risks or complications associated with the procedure.
  • Preoperative assessment: The surgeon evaluates the patient’s overall health, skin elasticity, and abdominal muscles to determine if they are a suitable candidate for abdominoplasty.
  • Preoperative instructions: The patient may be instructed to stop smoking, avoid certain medications, and prepare for the recovery process.
  • Surgical planning: The surgeon develops a customized treatment plan based on the patient’s individual needs and desired results.

After abdominoplasty:

  • Immediate postoperative care: The patient is monitored closely in the recovery room to ensure they are stable and comfortable. Pain medication is provided to manage any discomfort.
  • Hospital stay: Some patients may require an overnight stay in the hospital for observation and postoperative care.
  • Recovery process: The patient is advised to rest and avoid strenuous activities for several weeks following the surgery. They are also instructed on how to care for their incisions and manage any swelling or bruising.
  • Follow-up appointments: The patient will have regular follow-up appointments with the surgeon to monitor their progress, address any concerns, and track their healing process.
  • Long-term results: Over time, the patient will see the full results of their abdominoplasty as swelling subsides and the incisions heal. They may also experience improvements in their body image and self-confidence.

What to Ask Your Doctor

  1. Am I a good candidate for abdominoplasty?
  2. What are the potential risks and complications associated with abdominoplasty?
  3. What type of abdominoplasty procedure do you recommend for me?
  4. What type of anesthesia will be used during the procedure?
  5. How long is the recovery period and what can I expect during the recovery process?
  6. Will I need to follow a specific diet or exercise regimen before or after the surgery?
  7. How long will the results of the abdominoplasty last?
  8. Can you show me before and after photos of previous abdominoplasty patients you have treated?
  9. What is your experience and success rate with abdominoplasty procedures?
  10. Are there any alternative treatments or procedures that may be more suitable for my needs?

Reference

Authors: Shestak KC, Rios L, Pollock TA, Aly A. Journal: Aesthet Surg J. 2019 May 16;39(6):628-642. doi: 10.1093/asj/sjy215. PMID: 30481261