Tummy Tuck Richmond VA
An abdominoplasty (tummy tuck) may be right for you if:
- You have excess or sagging skin of the abdomen
- You have abdominal muscle weakness after childbearing, weight loss or aging
- Have some residual fat on your waist
- You are healthy and have realistic expectations
- You are close to your ideal body weight (BMI 25)
Before your procedure, Dr. Ferland will discuss with you:
- The need to stop smoking and avoid all tobacco products including
- Nicotine patches, gum and nicotine-containing e-cigarettes
- The need to avoid aspirin, nonsteroidal anti-inflammatory medications (NSAIDS: Advil, Motrin, Aleve, diclofenac etc.) and vitamins or homeopathic regimens at least 2 weeks or longer before surgery as they can increase bleeding.
- Dr. Ferland will see you in the office 2 weeks before surgery for your pre-operative visit at which time she will make sure you are fit for surgery, order the appropriate labs or EKG, write your prescriptions, review the plan for surgery and review each item on the informed consent so that you are well informed of the possible risks and complications. You will also be instructed on how to prepare yourself for surgery.
Where is surgery performed?
Abdominoplasty procedure is usually performed on an outpatient basis at Henrico Doctor’s Hospital’s Ambulatory Surgery Center (ASC) where you go home the same day. You must arrange for a responsible adult to drive you home and stay with you for the next 1 to 2 days. At your office pre-operative visit you will learn how to prepare your home for your arrival.
- Abdominoplasty procedure is usually performed under general anesthesia at the ASC
- Dr. Ferland will draw on your abdomen in the holding area before the surgery. You will be in the standing position and she will draw the incision on the lower abdomen and the final length of that incision will depend on the amount of skin removed from the abdomen. If liposuction of the waist/flank areas are planned, Dr. Ferland will also draw out these areas too.
- During the procedure an incision is usually made around the navel, and the abdominal muscles are tightened from the upper abdomen to the pubic region. Sometimes liposuction of the waist and flank are done. The excess skin is removed and the navel is brought through a new opening on the abdomen and then the lower abdominal incision is closed. Expect to have a drain. A dressing and an abdominal binder is applied and you return to the recovery room.
Recovery/Safety and Risks
After the procedure you will be asked to wear a supportive garment. You will be in the flexed positioned at the waist and knees for your comfort. Expect to walk a little bent over and to recovery in the flexed position for the first 1 to 2 weeks. Typically the greatest amount of discomfort is during the first 72 hours and is well controlled with pain pills. There will be a drain.
Upon returning home you are encouraged to get up and walk to the kitchen for something to eat and drink and to the bathroom to void. You will use the incentive spirometry to keep your lungs clear. You will have white surgical hose on called TED hoses to help prevent blood clots in your legs. Walking in the house is very important and will help prevent against DVT (deep vein thrombosis) and PE (pulmonary embolus).
All surgeries have risk and potential complications. Be sure you understand these before proceeding with any procedure, because no surgeon can offer risk-free surgery or guarantee a perfect result.
Abdominoplasty surgery will make your abdomen firmer and flatter and will enhance your body contour. Following this procedure many patients experience an enhanced self-image. You may find that you feel more confident about your appearance and that you feel more comfortable in your clothing.