Tummy Tuck Surgery in Hyderabad

What’s behind the belly fat?

With age, pregnancy in the case of women, work stress and lack of active lifestyles, the abdomen is universally the first body area to go out of shape. This usually happens due to the accumulation of fat under the skin, excess loose skin and/ or loss of abdominal muscle tone.
Abdominoplasty surgery (or a tummy tuck surgery) involves removal of excess fat and hanging skin as well as the tightening of loose muscles to result in a flat abdomen. Tummy Tuck treatment in Hyderabad is best advised at Ambrosia, where over two decades of expertise in the field is on your side.

Abdominoplasty is definitely a major surgery and you need to make informed decisions about undergoing the procedure.

You are easily an ideal candidate for tummy tuck surgery if you:

  • Are in good health
  • Are a woman who’s had multiple pregnancies are considering this procedure to help tighten the abdominal muscles and reducing the loose skin in the area
  • Have lost enormous amounts of excess fat and have large patches of loose skin or remnant fat deposits that need to be dealt with

You cannot be considered for abdominoplasty surgery if you:

  • Are a woman considering pregnancy in the near or foreseeable future
  • Are planning to lose weight, since this is not a substitute for weight loss
  • Are extremely conscious of the scars that will remain post procedure

How is Abdominoplasty Surgery done at Ambrosia in Hyderabad

We follow the strict norms of

Consultation

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries and medications you are taking. It is important for you to provide complete and accurate information. You should tell the doctor if you plan to lose a significant amount of weight or planning future pregnancies. It is recommended that you stabilize your weight before having Abdominoplasty or Tummy Tuck Surgery in Hyderabad at Ambrosia. You may consider combining this surgery with liposuction of the thighs for a very favorable result. Routine diagnostic tests will be ordered.

To help arrive at realistic expectations, you can see the typical clinical pictures of patients to satisfy yourself about the procedure and ask any questions regarding the results, and possible risks of the surgery.

Evaluation

Once you have decided to undergo surgery, you will be evaluated for your fitness for anaesthesia and Abdominoplasty surgery. Your diagnostic test reports will be studied. Dr Priti will examine your abdomen, taking measurements and clinical photographs for your medical record. The quality of your skin, amount of fat, the tone of muscles and presence of any hernia or scar will be noted. If a hernia is suspected a ultrasonographic scan or CT scan may be ordered. You will be given consent forms to sign and detailed preoperative instructions in writing.

Surgery

Before being taken into the operating theatre, your abdomen will be marked with a marking pen while you are in a standing position to shape it to the desired size. The location of the scar will be marked. The operation is under general anaesthesia and is pain-free.

After Surgery

You will wake up soon after surgery with a compression garment on your abdomen. You can drink water after 5 hours and have some snacks afterwards. You can walk and have dinner on the same evening. Drains (tubes) are usually removed the next morning, and you will be ready to go home with the bandages. If the drainage from the tube is excessive, you can be sent home with the drains and can come back in 2-3 days for drain removal when drainage has lessened or stopped completely.

Recovery

The bandage needs to be worn for ten days, and the binder for six weeks. You will need some assistance initially. Many women and men start light work within 2 weeks. Usually, by the end of one and a half months, you will be feeling quite normal and ready to resume all normal activities. As the surgical swelling goes down, results are visible in a month’s time.

The Procedure:

Anaesthesia: General Duration of Surgery: 3-4 hour

Stitches: Self-absorbable/ Staples – removable in 1 week

Hospital Stay: 1-2 days

Recovery: Walking and light meal same day

About the Abdominoplasty or Tummy tuck surgery at Ambrosia Clinic at Hyderabad

Full Abdominoplasty / Tummy Tuck Surgery

For the full tummy tuck, a horizontal incision is made in the area between the public hairline and bellow button. The size of the incision depends on the amount of excess skin in the area to be treated. Once this excess skin is lifted, the weakened muscles below are repaired. A second incision may be necessary around the navel to remove the excess skin in the upper abdomen area, where the skin is pulled down, trimmed and the remaining skin is stitched together. A new opening belly button may also have to be created in this instance where the belly button is popped out through the incision and sutured in place.

The surgical area is dressed in bandages and an elastic bandage or compression garment is wrapped around the treated area to minimize swelling and support the abdomen during its healing process.

Mini abdominoplasty or tummy tuck surgery

Mini abdominoplasty is usually advised when the area to be treated is minimal, mostly in the area of the lower abdomen, between the belly button and pubic area.This is mostly applicable for those who are otherwise within their recommended weight range but have gained marginal weight and the area just does not seem to get back to shape as earlier.

Less invasive than a full abdominoplasty, during this procedure the muscles in the lower abdomen are sutured together and the excess skin is trimmed and set out flat. These stitches are internal and not visible to the outside. This procedure at times may get rid of certain stretch marks too depending on their placement and how much excess skin you may have.

Recovery Timeline

8

Next Day

Self Care: Getting dressed, combing hair, eating
Activity: Preparing tea, heating food
January 01, 2021
12:00 AM
9

1-2 Weeks

Work: Cooking, dusting, light household work
Activities: Morning walk
January 01, 2021
12:00 AM
8

2 Weeks

Work: Driving and desk job
January 01, 2021
12:00 AM
9

1 Month

Activities: Treadmill, Yoga, Swimming
January 01, 2021
12:00 AM
8

2 Months

Activities: Weight lifting or other heavy activities
January 01, 2021
12:00 AM

FAQ

What are the risks involved in abdominoplasty or tummy tuck surgery?

Fortunately, significant complications from a tummy tuck surgery are infrequent. Some of the potential complications include:

  • Bleeding and collection of a blood clot- which may require another surgery to remove the clot.
  • Infection and reactions to anaesthesia can occur.
  • At times there is a collection of watery (serous) fluid called seroma, and the drain may need to be kept for a week or longer for that.
  • Rarely, a patient may require a blood transfusion during or after the operation especially in obese people who are also having liposuction of thighs, etc.
    Depending on the individual’s healing capacity, the incision may take longer than the usual one week to heal.
  • Rarely, loss of part of the skin may occur which may take 2 to 3 months to heal.
  • The scar can be prominent at times, or there can be bulges at the corners of the scar (dog ears) that may require a minor surgery for correction.
  • Umbilicus or the navel may also have a healing problem. In a case of an umbilical hernia, umbilicus may need to be removed, and new umbilicus can be made.

Apart from these, the problem common to all the surgeries are:

  • mild or severe reaction to anaesthesia
  • clotting of blood in leg veins leading to potential life-threatening pulmonary thromboembolism can occur.

Like in any surgical procedure, risks depend on your general health. If you are healthy and nearly average in weight, the risks are minimal. On the other hand, risks are higher in the case of patients who have diabetes, hypertension and obesity. You can help to lessen certain risks by following the advice and instructions of your plastic surgeon, both before and after a tummy tuck surgery.

How will I look and feel after my abdominoplasty procedure?
The day after the Abdominoplasty surgery, you will be encouraged to get out of bed for short periods of time. After several days, you will be able to move about more comfortably. However, straining, bending and lifting must be avoided since these activities might cause increased swelling or even cause bleeding from the incision area.
Any surgical drains will be removed a day or two after the tummy tuck surgery, at which time your dressings may also be changed or removed. You will be instructed to wear a support abdominal binder for a few weeks. Stitches are self-absorbable. If staples are used, they are taken out in a week.
You may notice that you feel less sensation all over the abdomen. This usually is temporary. It may, however, be months or even more than a year before sensation returns to normal. Incisions will initially be red or pink in colour. They will remain this way for many months following surgery. The abdomen will not look very flat initially because of the swelling, but in 6 to 8 weeks the results will appear.
Recovery time is shorter if muscle tightening is not done and it is often possible to return to light work after a week or two, depending on your job. In many instances, you can resume most of your normal activities, including some form of mild exercise, after several weeks. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Severe pain should be reported to your doctor.
When muscle tightening is done, the pain and stiffness may be there for two weeks which will need pain killer tablets. You will be able to join light work in 2 weeks.
Any sexual activity should be avoided for a minimum of one week, and your plastic surgeon may advise you to wait longer. After that, care must be taken to be extremely gentle with your tummy for at least the next six weeks.
What is a drain and why is it used during an abdominoplasty surgery?
Drains are soft, slender plastic tubes where one end of which is placed underneath the skin of the abdomen and another end left out of the skin. Two such tubes are connected to a small plastic container which continuously sucks out any blood or fluid accumulating in the operated part. Usually, the drainage is bloody on the first day and watery afterwards. Drainage reduces day by day. Most times the drain is removed after 24 hours. If drainage is more, then it can be kept longer. In that case, the patient is sent home with drains and drainage is measured every day till it comes down. Drains are painless.
Why is the compression garment a necessity after this procedure?
Compression garment gives firm and elastic support to the treated area, so the skin sticks to muscle and fluid collection may be avoided. This is usually a necessary part of the healing process after a major surgery like abdominoplasty.
Is abdominoplasty surgery permanent?
Unless there is significant weight fluctuation – either gain or loss – the results of this procedure are permanent. The results can be further accentuated with abdominal exercises to tone the muscles further.
How long do I need to continue my doctor visits post the procedure?
After your tummy tuck surgery, you will need to return to Ambrosia clinic in Hyderabad for follow-up care at prescribed intervals, usually two days, two weeks, one month and three months later. During these visits, your progress will be evaluated and any minor problems are taken care of. Please remember that the relationship with your plastic surgeon does not end when you leave the operating room. If you have questions or concerns during your recovery or need additional information at a later time, you should contact Dr Priti Shukla.
Can I have a normal pregnancy after a tummy tuck surgery?
It is always advised not to undergo an abdominoplasty if you are considering pregnancy in the foreseeable future. Instead, only fat and excess skin can be removed and the muscle tightening part of the procedure needs to be avoided to ensure a safe pregnancy.
What can be done to reduce the scarring?
Scars can be improved by creams, gels and taping for 3 to 6 months. Excessively prominent scars can be revised surgically after six months..
What are the possibilities to reduce abdominal fat without scarring?
Liposuction surgery can help remove fat but not the loose skin. Waist size can be reduced to some by liposuction through small holes, but skin and muscle tightening are not possible by this method.
Is tummy tuck an option in case of massive weight loss with bariatric surgery that has left large folds of excess skin and infections in the folds?
If you have undergone bariatric surgery, the loose folds of excess skin are best treated with a tummy tuck. Especially in the case of bariatric surgery, where loose skin will be present on the back too, circumferential abdominoplasty is recommended.

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