Tummy Tuck

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No Drain Tummy Tuck

Tummy Tuck is a aesthetic procedure used to eliminate excess fat and sagging skin from the abdominal area. It enhances the overall appearance of the abdominal area restoring a patient’s form. The muscles of the abdominal wall may be tightened to achieve a flatter abdominal profile. Abdominoplasty is not a weight loss procedure, it is a body contouring surgery.

Tummy tucks have changed over the past few years, in a positive way for patients. Some of the big changes that have occurred over the past few years are:

No Drains
The majority of patients don’t receive drains. This allows them to be more active and have less pain.

Decreased Pain
Technology has improved with new medications and pain pumps. These advances have made the surgeries much more comfortable for patients.

Home the Same Day
The majority of patients will go home the same day with a nurse to assist them or stay one night in the hospital.

Increased Activity
The combination of decreased pain and no drains has increased the activity of patients, allowing them to return to their normal activity sooner then before.

Good Candidates For Abdominoplasty/Tummy Tuck Surgery

  • You have excess fat and loose skin in the abdominal area with no benefit from diet and exercise.
  • You have lost abdominal muscle control due to pregnancy or aging.
  • You are of average weight with a protruding abdomen.
  • You wish to improve the overall appearance of your abdominal area

Liposuction, a modified or mini-abdominoplasty, or a combination of these procedures are alternate treatments. Upon examination, your plastic surgeon may determine what procedure you will benefit most from.

Your Abdominoplasty/Tummy Tuck Consultation

  • Patients will present for their evaluation where they will meet Dr. Franco and the staff
  • A medical history and physical exam will be done by Dr. Franco and his staff to determine the best treatment for you.
  • The treatment options will be discussed with you that can help you achieve you aesthetic goals
  • The risks and benefits of the surgery will also be discussed during your consultation.
  • Then you will have an opportunity to talk about scheduling and fees with the patient care coordinator that will assist you throughout the process.

About Abdominoplasty/ Tummy Tuck Surgery

  • You will require general anesthesia.
  • Your surgery may take place in a hospital or out patient surgery center.
  • You may be required to spend one night in the hospital or with a home nurse.
  • A horizontal incision is made just above the pubic region, the length of the incision will vary depending on the amount of skin that needs to be removed.
  • Excess skin is excised and removed.
  • A tremendous amount of time is spent on creating a natural appearing belly button.
  • On women with Cesarean Section scars, the new incision can often be made directly on the existing scar or lower.
  • Abdominal muscles may be tightened and pulled together improving the shape of the waist.
  • Some liposuction, in combination with the abdominoplasty, may be required to achieve the desired result.

Are there any Plastic Surgeons who will use Exparel and the no drain technique for a Tummy Tuck?

Tummy tucks have dramatically changed for the better over the past few years. The two reasons that tummy tucks have become easier for patients are one Exparel (a long acting local anesthetic) and the no drain technique called progressive tension sutures. The combination of these to advance have made the recover for patients much easier as they have less pain and it is easier for them to move around after surgery.

The exparel in my patients has created an enhanced experience for several reasons. One I typically do not use any drains with my tummy tuck so with the use of the exparel I don’t have any standard drainage tubes or the tubes connected to the pain pumps for the patients to deal with after surgery. The second reason is that with exparel is injected at the time of surgery, so there is no concern of the pain pump tubing be removed prematurely, kinking or having any type of problems. Thirdly and most importantly the exparel can be injected directly to the areas where you plastic surgeon wants it. It can be injected along the muscles that are tightened, any areas that liposuction was performed and along your incision.

I rarely ever use drains in my tummy tuck patients as the progressive tension suture technique has eliminated the need for drains. With this new technique I place sutures on the inside that help eliminate any space for fluid to collect after your tummy tuck. Without a large space for fluid to collect the body can absorb the fluid, as it would normally do on a daily basis. Thus tummy tuck patients can avoid the need for drains with their procedure.

The combination of the exparel and no drain technique has made a dramatic difference in the recovery of patients after their tummy tuck.

Please discuss your tummy tuck options with your board certified plastic surgeon.

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