Tummy tucks can be combined with liposuction techniques or with breast enhancement as part of a mommy makeover procedure. The abdominal area can be stubborn and not respond to diet and exercise, some patients have had significant weight loss and now have excess skin. This skin will not go away unless it is removed by surgery. Patients may also a rectus diastasis where the rectus muscles are weak and abdomen protrudes outwards gives the appearance of a fat abdomen. In this case plication of the rectus muscles can help.
Types of Tummy Tucks
Traditional Tummy Tuck: The incision is horizontal across the bikini line. The length of the incision is based on how much excess skin there is and contouring. The incision is kept low and hidden by should be hidden by underwear. The mons area is also lifted with this technique and belly button is transposed. The rectus or 6 pack muscles are plicated or tightened like a corset and the excess skin and fat is removed. Liposuction may combine with a tummy tuck and usually performed on the sides or flank areas.
Mini-Tummy Tuck: This variant of a traditional tummy tuck will not give the full contour of the traditional tummy tuck. There is no plication of the muscles and the belly button is generally not transposed. True candidates for this procedure are uncommon and is limited to those with a small amount of skin laxity low down with no excess fat above the belly button.
Fleur Di Lis Tummy tuck Abdominoplasty: This is a traditional tummy tuck horizontal incision combined with a vertical midline incision. The midline incision is a necessity to contour the full torso in those with a large amount of circumferential excess tissue. The horizontal incision simply is not enough to get all the skin out. The incision pattern looks like a large T.
Reverse Tummy Tuck: This essentially is an incision along the breast creases or IMF. This pulls up the upper abdominal skin laxity towards the breast. It is sometimes needed in those that have a large amount of upper abdominal tissue to be removed.
Dr. Parikh is skilled in all forms of tummy tuck procedures and an expert in body contouring. In consultation a tailored, customized plan for you will be developed so that you reach your desired goals in a safe fashion.
Candidates for Tummy Tuck
Candidates are healthy and nonsmokers. Smoking can affect wound healing and skin survival. Smokers should try to quit at least 4 weeks prior to the procedure. Ideal candidates have excess skin and fat, with more skin than fat to be removed. A variety of patients are seen, the mommy that has been done with children, the weight loss patient, the patients that have been working out and just can’t get rid of the extra tissue. Dr. Parikh prioritizes your safety and tailors his approach that best fits your needs and goals.
Tummy Tuck Complications
Local Complications of Tummy Tuck
Wound Dehiscence: The incision line can separate. This can be a superficial or deep separation. If it’s superficial meaning just the skin or under the skin is involved, local wound care will likely solve the issue with time. However, separation can occur at deeper levels in the tissue this may require revision or more aggressive wound care techniques.
Wound Infection: Infection can happen with any surgery. Signs of infection include redness, pain, swelling, drainage or fever. Treatment can vary from oral antibiotics to IV antibiotics to surgical drainage or debridement.
I had lost a considerable amount of weight and had excessive hanging skin on my abdomen. I wanted a tummy tuck. After being evaluated by a leading cosmetic surgeon in Nashville, TN, I was not sure if I wanted to have the procedure. I felt uncomfortable and felt that the surgeon seemed to lack in bedside manner. Upon first meeting Dr. Parikh, I was instantly comfortable. He is very concerned with the comfort of his patients. He answered all of my questions and even gave me his cell phone to call if I had more. I was so comfortable with him that I scheduled my surgery right away. The surgery went great. I had zero complications. My pain was managed very well. I had been worried about the surgical drains but that was easy to manage as well. Dr. Parikh checked on me often after the surgery and when I did have questions he responded immediately. I am two months post op now and am so pleased with the results. I would go to him again in a second!M.A.
Seroma and Abscess: These are sterile fluid collections or pockets that can form under the skin and subcutaneous tissue. This is not an infection or abscess. Signs include a swelling in the area that may be localized or span a larger area, ballotable (fluctuation when you press on the swelling like a fluid wave), and usually no pain. If the seroma becomes infected it is called an abscess (usually have pain associated). Small seromas may be treated with time and can resolve on their own. Larger ones may need drainage. Seromas if recurrent may need serial drainage or sclerosing agents to alleviate.
Nerve Pain: Nerve pain can occur secondary to plication of the abdominal wall, direct injury or entrapment. Most of the time this pain is temporary and resolves on its own. Nerves associated with tummy tuck include the ilioinguinal nerve, the iliohypogastric nerve and the lateral femoral cutaneous nerve (meralgia parasthetica). If nerve pain is severe or chronic diagnosis and treatment include local blocks to surgical intervention.
Venous Thromboembolism: The formation of blood clots in the legs with the possibility of traveling to the lungs (pulmonary embolism). This complication can be diagnosed with CT angiography of the lungs and or duplex venous ultrasound. Some symptoms include, leg swelling, leg pain, chest pain, anxiety, lightheadedness, shortness of breath. Treatment consists of anticoagulation.
With any surgical procedure complications can occur, but are generally low. We encourage that you ask about complications during your visit with Dr. Parikh. Dr. Parikh will ensure that your safety is first and discuss any concern in great detail that is tailored to your specific medical history.