Our Summary

This research paper discusses a particular type of tummy tuck surgery known as abdominoplasty. This is a common procedure performed globally within the field of Plastic Surgery. One of the common complications that can occur after this surgery is the formation of seromas - pockets of clear bodily fluids that can develop under the surface of the skin.

In this study, the researchers present a case where they performed this surgery using a specific technique that preserves a layer of tissue known as the Scarpa Fascia. The patient in this case was a 55-year-old woman who had previously undergone weight loss surgery, losing 55kg. After her tummy tuck, it was observed that preserving the Scarpa Fascia appeared to reduce the formation of seromas, along with the amount of fluid that needed to be drained post-surgery.

This technique, according to the researchers, also seemed to reduce the time spent in hospital. Overall, the paper concludes that this method of performing a tummy tuck - preserving the Scarpa Fascia - is safe and yields good aesthetic results. It also seems to offer benefits such as less fluid drainage and shorter hospital stays.

FAQs

  1. What is the Scarpa Fascia preservation technique in tummy tuck surgery?
  2. How does the preservation of the Scarpa Fascia help reduce the formation of seromas after tummy tuck surgery?
  3. Does preserving the Scarpa Fascia during tummy tuck surgery shorten the post-surgery hospital stay?

Doctor’s Tip

As a doctor, I would advise patients considering a tummy tuck to discuss with their surgeon the option of preserving the Scarpa Fascia during the procedure. This technique may help reduce the risk of developing seromas and potentially lead to a faster recovery. It is important to follow post-operative care instructions carefully and attend all follow-up appointments to ensure the best possible outcome.

Suitable For

Patients who are typically recommended for a tummy tuck surgery include:

  1. Individuals who have excess skin and fat in the abdominal area that has not responded to diet and exercise.
  2. Patients who have undergone significant weight loss and are left with loose, sagging skin around the abdomen.
  3. Women who have had multiple pregnancies and are left with stretched abdominal muscles and excess skin.
  4. Individuals who have abdominal muscles that have been weakened due to age or genetics.
  5. Patients who have realistic expectations about the outcome of the surgery and are in good overall health.

It is important for patients considering a tummy tuck to consult with a board-certified plastic surgeon to determine if they are a suitable candidate for the procedure. The surgeon will assess the patient’s medical history, current health status, and aesthetic goals to determine if a tummy tuck is the right choice for them.

Timeline

Before the tummy tuck surgery, a patient will typically have a consultation with the plastic surgeon to discuss their goals and expectations. They will undergo a physical examination and may be required to have certain pre-operative tests done. The patient will also be given instructions on how to prepare for the surgery, such as avoiding certain medications and food.

During the tummy tuck surgery, the plastic surgeon will make incisions on the abdomen to remove excess skin and fat. The abdominal muscles may also be tightened during the procedure. The surgery can take several hours to complete and the patient will be under general anesthesia.

After the tummy tuck surgery, the patient will be monitored in a recovery room before being discharged home. The patient will be given instructions on how to care for their incisions, manage any discomfort, and when to follow up with the surgeon. It is common for patients to experience swelling, bruising, and discomfort in the days and weeks following the surgery.

In the weeks and months after the tummy tuck surgery, the patient will gradually see the results of the procedure as the swelling subsides and the incisions heal. It is important for the patient to follow their surgeon’s instructions for post-operative care and to attend follow-up appointments to monitor their progress.

Overall, the patient can expect to see a flatter and more toned abdomen after undergoing a tummy tuck, with improved self-confidence and body image.

What to Ask Your Doctor

Some questions a patient should ask their doctor about tummy tuck surgery include:

  1. What are the potential risks and complications associated with tummy tuck surgery, including the formation of seromas?
  2. Can preserving the Scarpa Fascia during the surgery reduce the risk of developing seromas and other complications?
  3. How experienced are you in performing tummy tuck surgeries, particularly using techniques to reduce the formation of seromas?
  4. What is the expected recovery time and post-operative care required after a tummy tuck surgery?
  5. Are there any specific steps I can take before and after the surgery to minimize the risk of developing seromas?
  6. How will the appearance of my abdomen change after the surgery, and what realistic expectations should I have regarding the results?
  7. Can you provide me with before and after photos of previous tummy tuck surgeries you have performed to see the potential results?
  8. What type of anesthesia will be used during the surgery, and what are the potential side effects or risks associated with it?
  9. How long will I need to stay in the hospital after the surgery, and what post-operative follow-up appointments will be necessary?
  10. Are there any alternative treatment options to consider for achieving my desired aesthetic goals without undergoing tummy tuck surgery?

Reference

Authors: Iannelli A, Ciancio F, Annoscia P, Vestita M, Perrotta RE, Giudice G, De Robertis M. Journal: Int J Surg Case Rep. 2018;47:100-103. doi: 10.1016/j.ijscr.2018.04.038. Epub 2018 May 9. PMID: 29754033