Tummy Tuck Surgery – Abdominoplasty
Body Contouring Procedure, Tummy Tuck or Abdominoplasty
As one of the leading San Diego tummy tuck surgeons, Dr. Jason Hess has refined his tummy tuck skills for almost 20 years. Some women elect to get a tummy tuck because a toned abdomen is a youthful symbol of health, fitness, and beauty. A finely contoured abdominal physique is often difficult to achieve with exercise alone. Factors in our lives such as heredity, child bearing, and physical deconditioning may contribute to a protuberant abdomen. Also, workplace stresses and the “American Diet” are also partly to blame for unsightly belly bulges. A tummy tuck can tighten the belly and restore the tummy muscles.
Is a tummy tuck the right procedure for you? Abdominal aesthetics are defined by a number of factors. The skin of a fit abdomen is tight, muscles are toned, and there is minimal excess fat. Child bearing and weight fluctuations are common challenges to the ideal abdominal physique leading to stretch marks, excess fat, and muscle laxity. The solution to these symptoms depends on their severity.
Will diet and exercise help you with skin laxity? A modest amount of excess fat should respond favorably to a healthy diet and vigorous exercise. Areas of excess fat that fail to respond to these measures may be effectively treated with liposuction. Liposuction will not rid the belly of loose skin. When excess skin or stretch marks are apparent, exercise alone may prove ineffective. A tummy tuck, also known as an abdominoplasty, when well executed, is capable to producing dramatic improvement in the contour and aesthetics of the abdomen when applied to the appropriate candidate. Tummy tucks (abdominoplasty) is the only permanent solution to repair muscle laxity. Dr. Jason Hess has the lowest scar line in San Diego.
Am I a Candidate for an Abdominoplasty?
The ideal candidates for abdominoplasty are men or women who are otherwise in good health and have skin laxity of the abdomen, women who have finished child bearing, or men or women who have undergone dramatic fluctuations in their weight, but are weight stable at the time of surgery. After bariatric surgery, many men and women have plateaued in their weight loss and choose to undergo an abdominoplasty to address the unfavorable excess skin.
Refining Natural Beauty
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Dr. Jason Hess is committed to the highest standards of excellence in patient care and specialize in the tummy tuck procedure.
View Tummy Tuck GalleryWho Should Not Consider a Tummy Tuck?
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Smoking is a relative contraindication to abdominoplasty. This means that an abdominoplasty can still be performed in an otherwise healthy individual, but resection of excess skin and fat must be more conservative due to the high risk of wound healing complications in smokers. Women who are considering future children should generally wait until they have finished child bearing.
Abdominoplasty tightens the rectus fascia, a layer enveloping the abdominal muscles. This muscle is stretched by massive weight gain or future pregnancy. Abdominoplasty is not a weight loss procedure. Most patients lose between four and ten pounds with abdomnioplasty depending on preoperative body habitus. Clothing size may decrease, but abdominoplasty is not a cure for obesity. Bariatric surgery is often preceded by abdominoplasty.
Patients should consider abdominoplasty only when they are weight stable. This means that if an individual is losing weight from diet, exercise, or bariatric surgery, this weight loss should reach its plateau prior to surgery.
Diabetes, peripheral vascular disease, nutritional deficiencies, and prior abdominal surgeries may adversely affect wound healing. These issues must be carefully evaluated at the time of surgical consultation.
How is a Tummy Tuck Surgery Performed?
Abdominoplasty, also known as tummy tuck surgery, is a procedure designed to remove excess skin and fat from the abdomen and flanks. Abdominoplasty has one of highest satisfaction of plastic surgical procedures. This surgery is often confused with liposuction, but there are dramatic differences between tummy tuck surgery and liposuction alone.
Difference Between Liposuction and a Tummy Tuck
Liposuction simply removes excess fat. Abominoplasty removes excess skin, excess abdomimal fat, and tightens abdominal muscles.
Schedule A ConsultationAbdominoplasty Surgery
Depending on the patient, abdominoplasty may require two to five hours of surgery. General anesthesia is almost always necessary. A low transverse incision is created below the bikini line. This incision should be hidden by most undergarments following surgery. The skin and fat of the abdomen are elevated. The navel is retained in its anatomically correct position.
The fascia (a layer covering the abdominal muscles) is tightened with sutures in the midline. Liposuction is performed on many patients as needed. The abdomen is then flexed and excess skin and fat are excised. The navel is then reset into the abdominal skin.
Complete Abdominoplasty
The lower transverse abdominal incision is generally created from hip to hip. The length of the incision is tailored to the amount of correction required. Abdominoplasty is a cosmetic procedure, so incision length and quality of scarring are of utmost importance to your surgeon. Surgery is performed with meticulous attention to detail. The skin, subcutaneous fat, and muscle are surgically repaired as needed.
The navel will be reset into the tightened abdominal skin. Drainage tubes may be placed beneath your skin and these will be removed in a few days. Partial or mini abdominoplasty. Mini-abdominoplasties are often performed on patients whose fat deposits and stretch marks are isolated to the region below the navel.
The advantage of this procedure is a narrower incision, however, the abdominal muscles are not tightened above the navel. There are many variations to abominoplasty procedures, and the optimum results are achieved by tailoring the procedure to each individual.
What to Expect Postoperative
Depending on the procedure, 5-14 days away from work may be required. While abdominoplasty is one of the highest satisfaction of plastic surgical procedures, it is not a minor surgery.
Prescription pain medication is required for pain control for the first week following surgery. The majority of discomfort originates from tightening of the abdominal muscles. Patients may find it necessary to walk in a flex posture to relieve tension from the incision for the first few days following the surgery. The results are immediate and long lasting, but minor swelling may last for several months following surgery.
An abdominal binder is an elastic garment that is necessary following surgery. This garment will be provided at the time of surgery and should be worn for four weeks following surgery.
Surgical incisions will be red and visible for up to six months. Scars gradually fade thereafter. The final results are apparent several months following surgery.
A consultation is the best means of gathering more information regarding abdominoplasty surgery.
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Frequently Asked Questions About Tummy Tuck Surgery
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What should I expect during a tummy tuck recovery?
When you are in the process of a tummy tuck recovery, Dr. Jason Hess and his nurse will put non-stick gauze or pads over the incision areas are located. A stretchy compression garment will be over the pads, which will compress the belly area to minimize swelling. Abdominal compression garments also support the abdomen as your belly heals post-surgery.The abdominal muscles can stretch during major weight gain or loss and also during pregnancy. When performing a tummy tuck, Dr. Jason Hess will plicate the muscles underneath the skin. This closes the gap between the abdominal muscles, also referred to as recti diastasis.
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What is a drain-less tummy tuck?
Every patient is different and every surgery is tailored to patient needs. Some patients that do not have any skin laxity on the top portion of the belly can be a candidate for the mini tummy tuck. During a mini tummy tuck, only the loose skin from the belly button down to the incision line is addressed. There is no plication of the muscles underneath, so no drain is needed. This can also be referred to a drain-less tummy tuck.
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Will I need drains post tummy tuck surgery?
If the upper abdomen has skin laxity, the only way to address this is to surgically tighten the muscles with an internal corset technique. When the abdominal muscles and liposuction of the belly and/or flanks is performed, patients will need either one or two drains after surgery. A tiny opening, located at the end of the tummy tuck incision site, near the hip, is where Dr. Jason Hess inserts a small tube. The tube is sutured so it will stay in place. Over the next 5-7 days, fluid and blood will collect. When the fill amount is less than 20cc in a 24 hour period, the drain(s) can be removed. Our patients at Evolve Aesthetic Surgery are given post-operative instructions on how to care for the drain areas and incisions. A drain log will be given to the patient to write the amount of CC’s before emptying.
Here are some information we will discuss at your pre-operative appointment.
- Care for the surgical sites, including drain site
- Oral Medications to take to reduce risk of infection
- General Health information, including medicines or over-the counter supplements to avoid
- Potential concerns while healing
- When to have a follow-up appointment with Dr. Jason Hess
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Where is the surgery located and where do I go afterwards?
Surgery will be at our QuadA accredited facility, Evolve Aesthetic Surgery Center, Inc., located at 4060 Fourth Ave. #120 San Diego, Ca 92103.
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How long does it take for Dr. Jason Hess to perform a tummy tuck surgery?
We only operate on one person per day to ensure quality. Dr. Hess is very meticulous and pays attention to details. On average the surgery will last about 5-6 hours, sometimes longer if a fleur-de-lis tummy tuck is performed.
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What medication will a patient be prescribed after surgery?
We are able to electronically prescribe all of your medications to a pharmacy of your liking. Our nurse and surgeon check for any allergies and tailor your medications accordingly. Typically after a tummy tuck surgery patients will need an antibiotic and pain medication. Sometimes a muscle relaxer can help as well. We use a pain pump post-surgery, filled with a lidocaine solution that trickles into the belly area and helps numb the area post-surgery. This pain pump will stay in for about 3-5 days post tummy tuck surgery.
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When will and bandages, sutures, or dressings be removed after my tummy tuck surgery?
Gauze or dressings can be changed out as needed as they saturate. This will be discontinued about 1-2 weeks post-surgery. Sutures on the belly area are dissolvable and will not need to be removed.
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How long until I can take a shower, bathe, swim in a pool, sit in a Jacuzzi, or lay in a sauna after a tummy tuck surgery?
Typically a patient can shower 24-48 hours post-surgery. You are not able to swim in a pool or sit in a Jacuzzi until all incision sites are completely closed and no scabbing. This is about 5-6 weeks on average post tummy tuck surgery. We recommend patients to avoid sitting in a sauna until about 5-6 weeks as well. Each patient heals a little differently and Dr. Hess will confirm the correct timing at your follow-up appointments.
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How long will I wear a tummy binder after a tummy tuck surgery?
Typically patients wear the belly binder for about 5-6 weeks post-surgery. After swelling has mostly subsided, a patient can graduate into wearing spanks or a high waist stretchy garment with less support. This is also determined during your post-operative period.
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When can I resume normal activity, exercise, and sex after a tummy tuck?
Typically one can resume normal activity about 6-8 weeks post-surgery. Sex can be resumed about 2-3 months after surgery. Again, these are averages timeframes and you should come to each of your follow-up appointments to be sure about activity restrictions.
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When do I schedule my follow-up appointments after my tummy tuck surgery?
At your pre-operative appointment we will also schedule your 1st follow-up appointment. These appointments can vary depending on your specific needs. On average, if surgery was on a Friday, we will have you follow-up on either Monday or Tuesday. Patients will have Dr. Jason Hess’s cell phone number and can call with questions at any time over the weekend. Our nurse can hlp address questions during regular business hours during the week. Monday through Friday from 9-5pm.