Tummy Tuck

Our Clinical Practice in Tummy Tuck

In our practice, we require a routine pre-operative health check-up a day before the surgery to exclude serious underlying medical illness that may cause some complications during or after the operation. To achieve the best result, good patient - doctor communication is the key. Your plastic surgeon will perform a physical examination and assessed your skin tone, degree of loose skin in the abdominal region and evaluate the amount of excess fat in your abdomen and the condition of your abdominal muscles.

Tummy tuck or abdominoplasty is considered in good candidates who have loose and flabby abdominal muscle and skin that cannot regain its normal tone. Your doctor will discuss about your limitations and expectations and you can freely ask any concerns you have. You will then decide together with your plastic surgeon whether you are a good candidate for tummy tuck procedure.

Tummy Tuck is a major plastic surgery operation done under general anesthetics in our affiliated hospitals in Phuket, not at the clinic. It is not used as a substitute for weight reduction. You will be expected to stay in the hospital’s private room for at least 5 days. Full payments of the tummy tuck package must be paid before the operation.

Get Educated in Abdominoplasty

The Procedure: Abdominoplasty also known as the "tummy tuck" is an operation performed to treat extremely loose and flabby abdominal skin and muscle, usually following massive weight gain and weight loss. Abdominoplasty can be helpful when diet and exercise failed to correct severe muscle weakness which may occur after multiple pregnancies.

There are several types of abdominoplasty ranging from a minor removal of hanging skin to a major abdominal repair where the entire abdomen is tightened. It is designed to remove only as much excess skin and fatty tissue as is practical and safe. Abdominoplasty will enhance your body contour by making your abdomen firmer and flatter. Stretch marks when confined in the area of resection can be removed along with the excess skin.

The Incision Site: In tummy tuck operation, a horizontal incision is placed just within or above the pubic area. The length of the incision, which extends laterally toward the pelvic bones, depends largely on the amount of skin to be removed. Your plastic surgeon will try to keep the incision within your bathing suit lines; however, this may not always be possible. When there is loose skin above the navel, the surgeon may make a second incision around the navel to pull the skin downward then remove the excess skin. To tighten the abdominal wall, the surgeon brings loose underlying tissue and muscle together with sutures.

Get Ready For The Big Day (Before, During & After)

Before Operation

  • 2 Weeks Before: Stop smoking well in advance of surgery. Stop taking Aspirin, herbal or diet supplements and certain anti-inflammatory drugs as taking these substances can cause increase bleeding.
  • On Consultation Day : Prepare for medical check up, physical exam and discuss expectations, your medical history such as any drug or food allergies, underlying medical conditions and on-going medical treatments to the plastic surgeon. The surgeon may take photographs before and after surgery and keep the photos in your medical record.
  • 24 hours and 12 hours Before: Use antibacterial soap and allow the soap lather to cover the skin of the surgical area for 10 minutes on the night before and in the morning of your surgery. Scrub chest, tummy, armpits and inguinal area with anti-bacterial soap.
  • 8 hours Before Operation: No food or drink, take off jewelries, nail colors on hand and feet.

During Operation:

The tummy tuck surgery usually takes 4- 6 hours however you will be observed in the recovery room for an hour or two until stable before being moved back to your private room.

After the operation, an abdominal binder will be worn on the patient with drains on both sides of the operative site. You will have to lie
on the back with both legs and hips bent to relieve the tension on the abdominal wound closure. The patient should remain in this position overnight. There might be an indwelling Foley catheter used to monitor the urine outflow and left in placed over night.

Moreover, you will be given a potent intravenous painkiller continuously. Some patients are sensitive to the painkiller and might develop nausea so please inform our nursing staff once you wake up feeling sick in the room.

After Operation

24 hours after Operation: Frequent calf exercise is recommended to prevent blood clots in the legs. Early ambulation is usually associated with increased fluid drainage. The day after surgery you will be encouraged to get out of bed for short walks to promote blood circulation.

On 5th Day / Discharge: You will be given a written instruction on when to take your antibiotics, anti-inflammatory and analgesic pills and you’ll be advised on the date of your follow-up visit. The wound will be dressed again on discharge day and drains are removed. However, when there is large amount of fluid still coming out from the drains, it might be left until the follow-up visit. Antibiotic ointment is applied on the sutured area after your shower. You will be ask to avoid swimming, only light exercise and should keep on using the abdominal binder for at least 3 weeks to maintain and achieve the desired body shape. The pain on the first 1-2 weeks varies; however, it can be controlled by the prescribed medications.

7 days After: Your follow-up visit. All sutures will be removed 7-10 days post-operatively. You are expected to stay in Phuket for at least 10 – 14 days.

2 weeks After: Sexual activity should be avoided for a minimum of two weeks or more. Straining, bending and Lifting must be avoided since these activities might cause increased swelling or even bleeding. You will be encouraged to sleep on your back with a pillow under your knees.

4 weeks After: Swelling and bruising will disappear over a period of weeks. However, it may be months before all swelling subsides and you see the final result of your abdominoplasty. You may also notice some numbness over portions of the abdominal area and this may persist for several months incisions will initially be red or pink in color. They will remain this way for many months following surgery then finally begin to fade.

The Tummy Tuck Surgery Package

Full payment of the operating expenses must be paid in full before the operation. This package is applicable for elective, uncomplicated patients only.

Package Includes:
Doctor’s fee, anesthetics, operating theater charges, medical supplies and special equipments, hospital private room accommodation for 5 nights and routine in-patient medications related to the procedure, regular food menu, nursing and room services, basic ¬pre-operative check-up (routine blood test, EKG, Chest X ray), home medications and doctor’s fee on follow-up visit.

Package Excludes:
Charges for in-patient stays in excess of 5 nights, charges for intensive care, when necessary, outpatient expenses incurred before admission, telephone charges and guest meals, any other charges for laboratory profiles and medications not related to the procedure, other specialist consultation and charges related to underlying condition such as Diabetes, Asthma, Hypertension, Thyroid, Drug Allergy, Heart Disease, etc.

The Long Term Outcome of Tummy Tuck

It is highly recommended for patients to stay in Phuket or nearby places for at least 10-14 days because tummy tuck surgery is an aesthetic reconstructive procedure rather than purely aesthetics. Since this is a complex operation requiring highly technical skills which have variable presentations in each patient with high chances of developing early post-operative complications, it would be beneficial when our surgeon could closely follow-up and monitor your recovery while you’re still in Phuket. There are no promises for the results as the outcome varies in each individual patient and it will take many months to see the result. In the event that the patient requires additional operations, there will be no doctor’s fee; however, the patient must pay for the operating room charges, anesthesia and hospital fee.

Like any surgical procedure, tummy tuck is also associated with certain number of risks and complications despite maximum care. Possible complications include bleeding, infection, wound separation and delayed healing. Our Team takes every precaution possible to prevent and minimize the risks of surgery. However, much of the responsibility for risk avoidance rests with you as well.

Click here for Tummy Tuck (before & after) Photo Gallery
Jungceylon Plastic Surgery Clinic has compiled before and after treatment pictures in this cosmetic surgery photo gallery for educational purposes only. It is used for a brief communication between the surgeon and the patient before the actual consultation with demonstrating different surgical techniques and results, in different individual patients.

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