After anesthesia is given, a horizontal incision is made below or at the pubic hairline towards the hip bone. The incision is strategically placed. Today, fashion has evolved to low-rise pants and dipping swimsuit lines, but a doctor can customize the placement of the incision to accommodate a patient's lifestyle and clothing preferences.
Through this incision, the fibrous component of the abdominal muscle wall (the aponeurosis) can be tightened by lacing it centrally to achieve a flatter abdomen, much like lacing up a shoe will pull in and flatten the tongue of the shoe.
A Tummy Tuck is essentially the application of a surgically installed corset. If Tummy Tuck waist enhancement is desired, a doctor will also tighten the external oblique musculature, as this procedure will pull in the waist and accentuate that contour.
Then, superficially, the skin is pulled downward and after the excess skin excised, the skin is sutured into position. The navel (belly button or umbilicus) maintains its vascularity, but is excised around the perimeter. It is then pulled through the skin to the new location.
The umbilical position is unchanged in relation to the abdomen itself. Skin with stretch marks may be completely or partially excised depending on the location of the stretch mark scarring. Liposuction is used to improve the abdominal and waist contour.
The abdomen is closed with two drains in place. Local anesthetic is injected through the drain tubing into the surgery site and this will facilitate pain relief for three to four hours. The installed On-Q™ pain pump system will deliver local pain medication to the surgery site for four to five days following surgery.
A multiple-layer suture closure is performed. Insorb™ (internal, absorbable) staples are placed. (Note: Insorb™ staples, a recent innovation, distribute tension evenly along the incision line, ultimately resulting in neater healing than was possible prior to this invention.)
Large cotton pads, with Vaseline™ (petroleum jelly) and 2.5% hydrocortisone cream applied to the skin side, are placed over the abdomen and these are secured with an abdominal compression garment with Velcro closure.
This information provided for educational purposes only and does not constitute medical advice. For medical questions, Consult a physician.
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