Our Summary

This research paper is essentially a guide for medical professionals to understand the differences between two types of tummy-tuck procedures - standard abdominoplasty (tummy tuck) and lipoabdominoplasty (tummy tuck combined with liposuction). It helps doctors to assess their patients’ risks when considering these procedures, either individually or in combination with others. It also introduces new methods for managing pain during and after the operation. The paper discusses a technique for correcting ‘rectus diastasis’ - a condition where the large abdominal muscles separate. It also provides evidence for potentially not needing drains after a tummy-tuck procedure. This research aims to add to previous knowledge about patient evaluation, operation management, surgical techniques, and potential complications of these procedures.

FAQs

  1. What is the difference between standard abdominoplasty and lipoabdominoplasty techniques?
  2. How can I assess the risks associated with abdominoplasty when combined with other procedures?
  3. What are the new modalities for managing pain during the perioperative period of an abdominoplasty?

Doctor’s Tip

One helpful tip a doctor might tell a patient about abdominoplasty is to maintain a healthy lifestyle and exercise regularly both before and after the procedure to optimize results and maintain long-term benefits. This can help improve healing, reduce the risk of complications, and enhance the overall outcome of the surgery.

Suitable For

Abdominoplasty, commonly referred to as a tummy tuck, is typically recommended for patients who have excess skin and fat in the abdominal area that cannot be improved through diet and exercise alone. Candidates for abdominoplasty are often individuals who have undergone significant weight loss, had multiple pregnancies, or have experienced significant changes in weight that have left them with loose, sagging skin and weakened abdominal muscles.

It is important for patients considering abdominoplasty to be in good overall health, have realistic expectations for the outcome of the procedure, and be committed to maintaining a healthy lifestyle after surgery. Patients with certain medical conditions, such as uncontrolled diabetes, heart disease, or a history of blood clotting disorders, may not be good candidates for abdominoplasty.

During a consultation with a board-certified plastic surgeon, the patient’s individual circumstances and goals will be assessed to determine if abdominoplasty is the right option for them. The surgeon will discuss the risks and benefits of the procedure, as well as any alternative treatments that may be more suitable for the patient’s specific needs.

Timeline

Before abdominoplasty:

  1. Consultation: The patient meets with a plastic surgeon to discuss their goals and expectations for the procedure. The surgeon will assess the patient’s medical history, current health status, and suitability for surgery.
  2. Pre-operative preparations: The patient may be required to undergo various pre-operative tests and evaluations to ensure they are healthy enough for surgery. They may also be advised to stop smoking and avoid certain medications to reduce the risk of complications.
  3. Surgical planning: The surgeon will discuss the details of the surgery, including the technique to be used, expected outcomes, and potential risks and complications.

After abdominoplasty:

  1. Recovery: The patient will experience some pain, swelling, and bruising in the days following surgery. They will need to follow post-operative care instructions provided by the surgeon, including wearing a compression garment and avoiding strenuous activities.
  2. Follow-up appointments: The patient will have several follow-up appointments with the surgeon to monitor their progress, remove any sutures or drains, and address any concerns or complications.
  3. Results: Over the following weeks and months, the patient will see the full results of the abdominoplasty as swelling goes down and the abdomen continues to heal. They may also need to make lifestyle changes, such as maintaining a healthy diet and exercise routine, to maintain the results of the surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about abdominoplasty include:

  1. What are the different techniques for abdominoplasty, and which one is recommended for me?
  2. What are the risks associated with abdominoplasty, both on its own and when combined with other procedures?
  3. What pain management options are available for the perioperative period?
  4. How will you address and correct rectus diastasis during the procedure?
  5. Will I need drains after the surgery, and if so, for how long?
  6. What is the expected recovery time and when can I resume normal activities?
  7. What are the potential complications of abdominoplasty and how are they managed?
  8. Can you provide before and after photos of previous patients who have undergone abdominoplasty?
  9. What are the qualifications and experience of the surgical team who will be performing the procedure?
  10. What is the cost of the procedure and will it be covered by insurance?

Reference

Authors: Gutowski KA. Journal: Plast Reconstr Surg. 2018 Feb;141(2):286e-299e. doi: 10.1097/PRS.0000000000004232. PMID: 29373443