Abdominoplasty (Tummy Tuck): Information
What is a Tummy Tuck?
The Tummy Tuck or Abdominoplasty removes excess skin and fat from the abdomen and tightens the abdominal wall.
Am I the right candidate for this surgery?
You are the right candidate if you:
- Have a stable weight
- Are in generally good health
- You are not currently smoking
- You have realistic expectations
What are the goals of this procedure?
The purpose of such the procedure is to remove excess or damaged skin (scarred or stretched) and to tighten the skin that is left.
At the same time, a liposuction can be performed to remove localized excess fat and abdominal wall can be tightened to restore weakened or separated muscles.
Weight loss must be achieved prior to surgery and weight should be stable for at least 3 months in order to ensure the safety of the procedure and the durability of its result.
What type of anesthesia will I need?
You will be put under a General Anesthesia, during which you will be completely asleep.
How long will the surgery take?
In general, the surgery takes between 1.5 to 3 hours.
How long will I be staying at the Hospital?
A stay of 24 to 48h is normally necessary.
What do I need to do before the surgery?
A pre-operative blood test is required.
You will need to see the Anesthesiologist for a consultation at least 48h before the surgery.
Smoking increases the risk of post-operative complications. You will need to stop smoking 6 to 8 weeks before and after the surgery.
No drug containing aspirin should be taken within 10 days prior to the surgery.
It is recommended to take a shower the night before and the morning of the surgery.
It is essential to not eat or drink anything 6 hours before the surgery.
What will happen after the surgery?
Wound Dressings will be changed daily for 15 days after the surgery. You will also be asked to wear a compression garment 24/7 for 4 to 6 weeks.
Some people feel more pain than others, so pain relief treatments will be adapted to each individual patient.
We recommended to not work for 2 to 4 weeks after the surgery.
The scar is often pink during the first 2 to 3 months, then gradually starts fading after the 3rd month for a period of 1 to 3 years. It should not be exposed to sun or U.V. light for 12 months.
You can gradually start doing sports again 6 weeks after the surgery.
What result can I expect from the procedure?
To see final results, you will usually have to wait for a year, which is the time required for the scar to become less visible. Your Surgeon will monitor your healing progress every three months during this first year.
Your surgeon will ensure that the scar is positioned in such a way so as to be easily hidden wearing everyday clothes.
The scar will fade over time but will never entirely disappear. The healing process is unique to each patient: some have scars less visible, some more.
Not only does the surgery improve the aesthetic aspect of the region, produce spectacular results in terms of shape, it can also considerably impact the level of comfort the patient is experiencing.
The surgery will have both a very positive psychological and physical impact that has been shown to help with long-term weight stability.
Can there be Imperfections?
Most often the surgery performed on the right candidate will achieve the expected results.
However, small imperfections are not uncommon whilst not constituting real complications. Imperfections can include:
- Visible or asymmetrical scars. Scars that are adherent to muscle fibers which produce uneven skin surfaces. In some patients scars can become thick, raised, purple or red, or feel hard to the touch. Such scars are called hypertrophic or keloid.
- The umbilicus (belly button) may look unnatural.
- Fat or skin excess may remain on both ends of the scar.
- Some irregularities may persist after liposuction.
To correct these minor imperfections, revisional surgery under local anesthesia is possible 12 months after the surgery.
What are possible Risks and Complications?
We must distinguish between complications related to the anesthesia and to those related to the surgical procedure itself.
Regarding the Anesthesia you will receive all information about possible complications during your pre-op consultation with the Anesthesiologist.
Regarding the surgical procedure, complications are rare but here are the most common complications:
- A hematoma that can necessitate an emergency surgery to stop the bleeding.
- An infection that can require surgical drainage and antibiotic treatment. It can sometimes result in unaesthetic scarring that can later be corrected with revisional surgery under local anesthesia.
- A seroma which is a collection of fluid underneath the skin that can require drainage during post-op consultations.
- Limited or extensive skin necrosis that can leave unaesthetic scarring. Such necrosis is most common among smokers and those who did not strictly follow non-smoking guidelines.
- Deep vein thrombosis and pulmonary embolism are extremely rare but very dangerous complications. Such events are prevented by wearing compression socks as well as receiving anti-coagulant injections for 15 days after the surgery.
- A temporary partial loss of sensitivity of the skin is frequent in the area of the surgery. Normal sensitivity can take up to 12 months to reappear.
- Delayed wound healing can occur in some patients.
Where will the surgery take place?
All Aesthetic and Reconstructive Surgeries are performed by Dr. Taliah Schmitt at a surgical clinic certified by the French Health Authority (Haute Autorité de Santé):
- Clinique Blomet, 136bis rue Blomet 75015 Paris, France.
Does French social security cover the cost of this surgery?
Depending on the case, you will be examined by a social security employed doctor who will decide if you're eligible for coverage.
This website is intended to provide you with general information only. This information is not a substitute for advice from your Specialist Plastic Surgeon.