Abdominoplasty (Tummy Tuck)
Tummy Tuck in Baton Rouge | Abdominoplasty in Baton Rouge
A Tummy Tuck is not for weight loss. If you are significantly overweight with a very protuberant and bulging abdomen that has not responded to diet or exercise it may be advisable to seek consultation for possible Bariatric( Weight Loss) Surgery. Bariatric surgery will result in significant weight loss and decreased intra-abdominal fullness and distension. After your weight loss has remained stable, a Tummy Tuck may then be considered.
Stretch marks of the upper abdomen will not be removed with a Tummy Tuck. Stretch marks if present in the lower abdomen particularly between the belly button and pubic area will however be removed with the skin excision.
Are you considering a tummy tuck, but are worrier about drain discomfort and burdening your caregiver?
At the Plastic Surgery Center of Baton Rouge, we know that drains have been around a long time, often associated with anxiety and pain for patients during recovery. Dr. Williams is proud to offer an innovative product that can eliminate the need for drains in tummy tuck procedures. TissuGlu Surgical Adhesive is an FDA approved internal adhesive that can provide you with a drain-free recovery, thus allowing you to get back to normal activity and start enjoying your results more quickly. TissuGlu patients have been shown to resume activities, such as showering, driving, and returning to work sooner than patients with drains.
Mini Tummy Tuck – Abdominoplasty
If you have excess skin and laxity or a “pooch” that is limited to below the belly button down to the pubic area without any excess skin or muscle laxity above the belly button, then this may be an option. Unfortunately most patients are not candidates for this more limited procedure since they have excess skin, laxity and or muscle weakness above the belly button as well.
In this procedure only a limited amount of excess skin and or fat is removed from the lower abdomen above the pubis. If there is separation and weakness of the abdominal muscles below the belly button these are also repaired and sutured. The muscles above the belly button are not repaired. The belly button is left intact.This procedure provides for a smaller incision, less extensive operation, and a faster recovery time than a Full Tummy Tuck.
Full Tummy Tuck (Abdominoplasty)
A Full Tummy Tuck is performed if there is excess skin and or muscle laxity above as well as below the belly button. The abdominal skin flap is elevated from the pubic area up to the lower chest. The belly button is initially detached from the skin flap and then repositioned in the skin flap that is re-draped inferiorly. The separated abdominal muscles are repaired from the mid portion of the lower chest superiorly to the pubis inferiorly.
New Ideas in Tummy Tucks
There are specific aspects of the Tummy Tuck surgery and the recovery process that Dr. Williams performs that differ from other Plastic Surgeons in the area. These innovations are provided to give patients a less painful and faster recovery. These include placement of a pain pump in surgery and Hivamat therapy in the recovery period, and TissuGlu to provide you with a drain-free recovery. Each of these aspects will be discussed below.
How is a Tummy Tuck (Abdominoplasty) Performed
The tummy Tuck is almost always performed with general anesthesia. The reason for this is that repair and suture of the abdominal muscles requires full muscle relaxation.
A bikini type incision is made above the pubic area. The patient is asked to bring a bikini bottom or other type of apparel so that placement of this incision can be hilien within this clothing. If a Mini Tummy Tuck is performed this will be the only incision. For a full Tummy Tuck an incision will also be around the umbilicus\belly button.
For a Mini Tummy Tuck the skin of the abdomen is elevated from the abdominal muscles only up to the belly button, and the separated muscles sutured from below the belly button down to the pubis. For a Full Tummy Tuck the skin is elevated up to the lower chest and the muscles repaired from the lower chest superiorly to the pubis inferiorly.
The belly button is not moved in a Mini Tummy Tuck. In a Full Tummy Tuck the belly button that has been detached from the abdominal skin flap is sutured to the abdominal wall to ensure an “inny” type belly button. This belly button is then repositioned in the skin flap that is re-draped inferiorly.
It is important to minimize pain after surgery so that you will be able to move around sooner and decrease problems created by lack of mobility, sleep and eat better, and feel better sooner. Most often pain is relieved by narcotics like morphine. These drugs act on the central nervous system and affect the entire body. Narcotics cause unwanted side effects of nausea, vomiting, decreased appetite, drowsiness and alteration of mental status. Local anesthetics work by blocking and controlling pain in the area affected without narcotic side effects.
Dr. Williams injects Exparel into the abdominal muscles. Exparel delivers a continuous safe long acting local anesthetic over about a 3 day period. Since most of the pain of a “Tummy Tuck” is due to the suture and repair of the abdominal muscles, Dr. Williams injects Exparel into the abdominal muscles that delivers a safe continuous amount of local long acting anesthetic. Because there is less pain from the abdomen you will need less oral pain medication, be able to move better and sooner, have a more comfortable recovery, and a faster return to normal activity.
After surgery, fluid ca build up between tissue layers, causing a delay in the healing process. Drains are typically placed post-operatively as a means of preventing this fluid accumulation. By using TissuGlu in our tummy tucks, we can eliminate the needs for burdensome drains and the stress they can cause during recovery.
TissuGlu gives our patients the advantage of no post-operative drain care, a better quality of life during recovery, and less burden on caregivers. We know that the pain and discomfort associated with drains is the number one complaint of abdominoplasty patients. Instead of spending time managing messy drains and anticipating the potentially painful drain removal procedure, you can get back to being you and start enjoying your results more quickly with TissuGlu.
For full safety information, please visit www.tissuglu.com/safety
What Will Be My Recovery After the Tummy Tuck
Immediately after surgery you and your caregiver will be given detailed instructions about the care of the incisions, drains and catheters, medications, activity, ambulation and follow up. Most patients can return to work after about two weeks as long as this does not require excessive lifting, pushing or pulling activity.
TissuGlu patients experience a better quality of life during recovery compared to drains. Our patients often feel so good after their tummy tucks that they want to do more than we recommend for post-operative activity, but remember you just had major surgery and you’ll need time to heal. Be sure to carefully follow Dr. William’s recovery instructions.
To accelerate the healing process and decrease swelling postoperatively you will receive Hivamat Treatments. This unique state of the art treatment given at The Plastic Surgery Center is provided to maximize the results of your surgery and speed recovery. Click here for more info
The Plastic Surgery Center of Baton Rouge, Dr. John V William’s Fully Accredited AAAASF Surgical Facility, on Bluebonnet is now offering overnight stay for our patients with care given by one of our highly trained Registered Nurses. Please contact our office at: 225-766-1899 if you are considering a Tummy Tuck, Liposuction, or a Face Lift & we will be more than happy to provide you with detailed pricing for our overnight care.
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Contact Dr. Williams for a consultation today! 225-766-1899.