Tummy Tuck

Tummy Tuck – Abdominoplasty

“For a flat stomach, sometimes sit-ups won’t do the trick.”
Men and women alike often struggle to achieve a flatter abdomen through regular exercise and a healthy diet due to stretched-out abdominal muscles and loose, excess skin. At Brevard Plastic Surgery & Skin Treatment Center, owner and founder Roxanne J. Guy, M.D., F.A.C.S. is a highly qualified Melbourne, Florida tummy tuck surgeon who provides patients with a sensitive and caring experience. Dr. Guy can help you attain your desired body contour.
The tummy tuck procedure (“abdominoplasty”) is designed to diminish the appearance of a protruding abdomen that may have been caused by multiple pregnancies, massive weight loss, and aging. It is typically performed through an incision spanning across the lower abdomen, just above the pubic bone and from hipbone to hipbone. Dr. Guy will then separate the skin from the underlying muscles in order to tighten them and achieve a flatter stomach. Individuals who have excess skin predominantly in the region below the belly button may be better suited for a partial, or mini tummy tuck. Your options will be discussed during a visit with Dr. Guy.

Candidates For A Tummy Tuck Procedure

In planning your surgery, Melbourne tummy tuck specialist, Dr. Guy, will evaluate your health, determine the extent of fat deposits in your abdominal region, and carefully assess your skin tone. Be sure to tell Dr. Guy if you smoke, and if you’re taking any medications, vitamins, or other drugs.
This procedure is designed for men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won’t respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved.  Often this skin has stretch mark scars that can be removed with the skin that is taken out for the tuck.
If, for example, your fat deposits are limited to the area below the navel, you may require a less complex procedure called a partial abdominoplasty, or a mini-tummy tuck, which can often be performed on an outpatient basis. On the other hand, Dr.Guy may recommend a complete abdominoplasty done in conjunction with liposuction.
Dr. Guy will also give you specific instructions on how to prepare for tummy tuck surgery in Melbourne, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins,and medications.
If you smoke, plan to quit several weeks before your surgery and not to resume (hopefully never!) for at least a month after your surgery. Avoid overexposure to the sun before surgery, especially to your abdomen, and do not go on a stringent diet, as both can inhibit your ability to heal. If you develop a cold or infection of any kind, your surgery will probably be postponed.

The Plastic Surgery

Complete abdominoplasty usually takes two to six hours, depending on the extent of work required and whether or not liposuction is also performed to slim down the torso.  Dr. Guy may liposuction the upper abdomen, sides and mons pubis area with the tummy tuck or may recommend liposuction of the complete circumference of the torso, for the best total recontouring of the body.  Partial abdominoplasty may take an hour or two.
Typically, Dr. Guy will make a long incision from hipbone to hipbone, just above the pubic area. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved, although it may be pulled into a different shape as the skin is tightened and stitched.
Next, Dr. Guy separates the skin from the abdominal wall all the way up to your ribs and lifts a large skin flap to reveal the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline.
The skin flap is then stretched down and the extra skin is removed. A new hole is cut for your navel, which is then stitched in place. Finally, the incisions will be stitched, dressings will be applied, and a temporary tube may be inserted to drain excess fluid from the surgical site.
In partial abdominoplasty, the skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess is removed, and the flap is stitched back into place.

Recovery & Results

For the first few days, your abdomen will probably be swollen and you’re likely to feel some pain and discomfort that can be controlled by medication.  Dr. Guy performs this procedure as an outpatient, so you will be going home the same day of your surgery.  You must arrange for a responsible adult to drive you home after your surgery, and to help you out for a day or two after you leave the surgery center. Dr. Guy usually sees you back in her office the day after surgery to check on all the wounds and provide you with further instructions.  You will need to have a ride to this office visit.

Dr. Guy will give you instructions for showering and changing your dressings. And though you may not be able to stand straight at first, you should start  slow, short distance walking as soon as possible.  Dr. Guy also will suggest seeing a lymphatic massage therapist after the first few days of recovery.  This aids in the reduction of swelling and in the reduction of discomfort.
Surface stitches will be removed in seven to ten days. Most of the other sutures will be dissolvable. The dressing on your incision may be replaced by a support garment.
Depending on your health and physical condition, it may take you weeks to feel like your old self again. After good wound healing, exercise will help you feel better. Even people who have never exercised before should begin an exercise program to reduce swelling, lower the chance of blood clots, and tone muscles. Vigorous exercise, however, should be avoided until you can do it comfortably, usually at least two to six weeks after the surgery.
Your scars may actually appear to worsen during the first three to six months as they heal, but this is normal. Expect it to take nine months to a year before your scars flatten out and lighten in color. While they’ll never disappear completely, abdominal scars will not show under most clothing, even under bathing suits.

Abdominoplasty Basics

Procedure:
Flatten abdomen by removing excess fat and skin and tightening muscles
of abdominal wall.  Liposuction may also be performed on areas of the trunk.

Length:
2 to 5 hours

Anesthesia:
General Anesthesia

In/Outpatient:
Almost always outpatient.  Only in rare cases would this surgery be performed as an inpatient.

Side Effects:
Temporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks .

Risks:
Blood clots. Infection. Bleeding under the skin flap. Poor healing resulting in conspicuous scarring or skin loss. Need for a second operation. Fluid collection under flap

Recovery:

Back to work:
2 to 4 weeks.

More strenuous activity:
4 to 6 weeks or more.

Fading and flattening of scars:
3 months to 2 years.

Contact Us For A Consultation

In addition, Melbourne, Viera, and Vero tummy tuck patients who would like to undergo further body contouring may do so at Dr. Guy’s Florida Space Coast practice. The most commonly combined procedures include liposuction (“lipoplasty”).
If you would like to see examples of Dr. Guy’s patient results, be sure to view tummy tuck before and after photos. Additionally, patient testimonials are available to read.
“For beauty that goes more than skin-deep, Brevard’s premiere plastic surgeon is Roxanne Guy, MD, F.A.C.S.”
As a member and the 2007 President of the American Society of Plastic Surgeons (ASPS), Dr. Guy is highly qualified to perform your body contouring surgery. She is board certified by the American Board of Plastic Surgery (ABPS), as well as a member of the American Society for Aesthetic Plastic Surgery (ASAPS) and the ASPS. Dr. Guy’s expertise has led to several media appearances, including Oprah, Leeza, Jenny Jones, and the Today Show.
Prospective Vero, Melbourne and Viera tummy tuck patients may schedule an appointment by calling (321) 727-1600 or sending an e-mail. Patient registration forms are available to print and fill out prior to your visit.