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Tummy Tuck

After Massive Weight Loss

Frequently Asked Questons

According to the Centers for Disease Control, almost 1 in 3 Americans suffers from Obesity.  Obesity is not only an emotionally debilitating condition, it is commonly correlated with many health problems such as diabetes, high blood pressure and heart disease.

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With bariatric surgeries on the rise, patients may be faced with the repercussions of extreme and sudden weight loss.  The skin that has been severely stretched often lacks elasticity and cannot conform to the reduced body size.  The result is excessive, loose and unsupported skin, affecting many areas of the body.  One of the most troubling areas of unwanted skin is the abdominal area.  Skin may hang and extend around the sides and into the lower back area, resulting in an apron-like overlap.  All of your efforts and hard work are diminished by the excessive draping skin that can barely be tucked into your clothing.  You have traded one self-esteem reducing problem for another.

tummy tuck consultation

Body contouring with an Abdominoplasty, or Tummy Tuck, after massive weight loss will improve the shape and tone of your abdomen by eliminating the excess sagging skin and fat.  The result is a more normal appearance to the body with smoother contours leaving you to look and feel your best.  With stabilized weight loss, the effects are virtually permanent.

 

A Tummy Tuck after massive weight loss is performed under General Anesthesia.

Frequently Asked Questions

  • Is a Tummy Tuck after massive weight loss right for me?

    If you have undergone major weight loss, are at a stabilized weight and are bothered by excess abdominal skin and fat, then a Tummy Tuck may be right for you.  If you are planning to continue with substantial weight loss or if you are a woman considering future pregnancies, you may be advised to postpone a tummy tuck.  As with all cosmetic surgeries, this is a very personal decision and you should only do it for yourself, not to fulfill someone else’s desires or to try to fit any sort of ideal image.

     

    Good candidates are:

    • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
    • Individuals who are physically healthy and at a stable weight
    • Non-smokers
    • Individuals with a positive outlook and specific yet realistic goals in mind for a Tummy Tuck after massive weight loss

     

    Special note: If you rapidly regain the weight, you will traumatically stress your already weakened and thinned skin, causing further stress to the skin, visible stretch marks and wide scars.

  • Where are the incisions made during a Tummy Tuck?

    A full tummy tuck after massive weight loss requires a horizontally-oriented incision in the area between the pubic hairline and navel.  The incision length and pattern depend on the amount and location of excess skin to be removed.  The incision may extend around the hips and above the buttocks.  Dr. Vartany takes extra care in positioning the incision, when possible, just below the bikini line to make the healed incision less visible while wearing most types of clothing.  Through this incision, Dr. Vartany will repair weakened abdominal muscles and remove excess fat tissue and skin.  A second incision around the navel is necessary to maximize removal of the excess skin in the upper abdomen.

  • What may I expect during my personalized consultation

  • How will I prepare for my body contouring procedure?

  • Are there additional instructions pertaining to my Tummy Tuck?

    You will need to discontinue the use of Birth Control pills for two weeks prior to surgery.  You may resume taking your Birth Control one week after surgery.

  • What may I expect during my recovery?

  • Are there additional instructions for my body contouring recovery?

    Your surgical drains will need to be emptied twice daily.  A form will be provided for you to log the amount of fluid being drained from each side, both morning and night.  Your drains will be removed, in the office, once the fluid output goes down.  This is generally 6-10 days after surgery.

     

    You may not shower while your drains are in place.

     

    You will be provided with an abdominal girdle.  Your girdle should be worn for six weeks after surgery, 24 hours a day.  Once your drains have been removed, you may remove your girdle just long enough to shower and wash your garment.

     

    You may not sleep on your stomach, or attempt to for 4-6 weeks after surgery.

     

    You may not drive a car until you are given permission to do so.  This is generally after all meds have been discontinued and your drains have been removed.  Dr. Vartany will assess you at each post-operative appointment and instruct you on your current restrictions.

     

    Avoid getting overheated, sunbathing, exercise and/or any strenuous activity that could potentially elevate your heart rate or blood pressure for 4 weeks after surgery.

     

    Dr. Vartany uses dissolvable sutures.  A running steri-strip will cover the incision and will typically come off on its own.  Do not attempt to remove or peel off the steri-strip.

     

    Complete resolution of your swelling may take up to 6 months.

  • Additional Procedures for Further Enhancement

  • Important Facts about the Safety and Risks of a Tummy Tuck after weight loss

    Dr. Vartany will explain, in detail, the risks associated with a Tummy Tuck after massive weight loss.  You will be asked to sign a consent form to ensure that you fully understand potential risks and complications.

    • Unfavorable scarring
    • Bleeding (hematoma)
    • Infection
    • Fluid accumulation
    • Poor wound healing
    • Skin loss
    • Blood clots
    • Numbness or other changes in skin sensation
    • Anesthesia risks
    • Skin discoloration and/or prolonged swelling
    • Fatty tissue found deep in the skin might die (fat necrosis)
    • Major wound separation
    • Asymmetry
    • Recurrent looseness of skin
    • Pain, which may persist
    • Deep vein thrombosis, cardiac and pulmonary complications
    • Persistent swelling in the legs
    • Possibility of revision surgery
    • Suboptimal aesthetic result
American Society of Plastic Surgery American Board of Plastic Surgery