Tummy Tuck or also known as Abdominoplasty is one of the sought body contouring procedures in Thailand. This aims to make your abdomen thinner and more firm. The surgery involves removal of excess skin and fat from the middle and lower abdomen to tighten the muscle and fascia of the abdominal wall. Clients who are seeking to have this procedure may have one or more of the following feelings or conditions that may indicate a need for tummy tuck:
- Clients who have flabby tummy with stretch marks that does not improve with diet or exercise.
- Clients who wants to have flatter, tighter and more contoured abdomen following weight loss, aging or pregnancy.
- Clients who have excess fat or skin around the midsection or lower abdomen.
- Clients who wants to increase self confidence that comes with enhance and contoured abdominal shape.
Fasting is required in any surgical procedure performed under general anesthesia. The client is advised not to eat or drink anything atleast 8 hours prior to surgery. If there is no fasting instruction given, the client must not take any food or drink from midnight before her scheduled surgery. Clients who do not comply this requirement may result to surgery being delayed or cancelled.
Please remember the following:
- NSAIDS drugs and Aspirin must be avoided for atleast 2 weeks prior to surgery. If you are taking Aspirin or any type of blood thinning medications for a medical condition, please notify your Plastic Surgery Thailand surgeon to give you a proper advice.
- Generally it is best to continue any blood pressure or blood sugar medications. These can be taken with a sip of water in the morning of surgery.
- Women should ensure negative pregnancy test before surgery.
- Smoking should be stopped atleast 3-4 weeks prior to surgery. If you have been smoking for long time, and you have difficulty quitting, cut back as much as possible.
- Drinking alcohol must be ceased a day or two before surgery.
- Do not wear makeup, jewelries and hair accessories containing metal such as hairpins or clips on the day of surgery.
- Nail polish and Acrylic Nails are not allowed and should be removed prior to surgery.
- If you develop an illness right before surgery, please notify your Plastic Surgery Thailand surgeon.
Our team will thorough evaluate your medical history to check for conditions that may delay the surgery or the healing process.
The procedure usually takes 3-4 hours and you are required to stay in hospital overnight.
Stage 1 – Induction of Anesthesia: General anesthesia or intravenous sedation will be administered. If you are allergic to a certain type of anaesthesia, please notify your Anaesthesiologist right away.
Stage 2 – Surgical Incision: There are two types of tummy tuck: Complete and Mini tummy tuck. The type of tummy tuck will be determined by the amount of excess skin.
- Complete Tummy Tuck- The incision is usually made on the lower abdomen, usually at the same level of your pubic hair and extend the cut from hip bone to hip bone. It may be in a V-cut or U-cut shape so that the scar can be hidden in a bikini. Your Plastic Surgery Thailand surgeon will then manipulate and contour the skin and muscle as needed. You may also have an incision around the navel. In some cases, the belly button is reposition to a new location.
- Mini Tummy Tuck-The cut is also made on the lower abdomen but it is not extended from hip bone to hip bone. This is usually performed on clients whose fat deposits are located below the navel and require shorter incisions. Your skin will be separated between the line of incision and your belly button. The abdominal skin that is removed is below the navel, and there are no incisions around the navel.
Stage 3 – Closing the incisions: Regardless of what type of tummy tuck, your incision site will be stitched and bandaged. Temporary drains may be placed by your Plastic Surgery Thailand surgeon prior to closing your incisions to prevent blood and fluid accumulation. These drains will be removed during a follow up visit after your surgery.
Waterproof plasters are placed over the incision sites. Clients are advised to keep them dry and clean at all times. If the plaster get wet or soak with body fluids or blood, please contact your Coordinator and ask for advice.
You will be provided with set of medications which includes antibiotics, pain killers, anti-inflammatory etc. Please follow the instruction on when to take your medications. Do not drink alchohol while you are on antibiotics.
Wear your support or compression garment at all times. This may be in the form of a wide binder that goes around your abdomen or a girdle-like garment that pulls on or zips up the side. Either will compress your abdomen a bit and help in healing and controlling the swelling. If you feel your garment is too tight or if you experience severe itchiness, please contact your Coordinator.
The non-dissolvable stitches will be taken out on the 12th or 14th day post op. While dissolvable stitches takes time to disappear which is usually around 6 weeks.
What to expect following tummy tuck surgery:
- Swelling can be expected in any body contouring procedures and this usually subsides in 6 months. Cutting back salt, proper hydration and light exercises such as walking can help to reduce swelling. If you experience sudden swelling in the days after your surgery, call your Coordinator.
- Bruises after tummy tuck are to be expected and this will improve over time. If you still have some discolorations after several months, notify your Plastic Surgery Thailand surgeon.
- All tummy tuck techniques will leave a permanent scar behind. However the scar can be improved with the use of scar gels or scar creams.
Other post op instructions include:
- Most tummy tuck required bed rest for 24-72 hours after surgery. Walking after 2-3 days is recommended. This will help relieve swelling and prevent DVT (Deep Vein Thrombosis). DVT is a form of a blood clot (thrombus) within a deep vein which is most commonly develop in the legs.
- Strenuous activities, heavy lifting and cardio exercises should be avoided for atleast 6-8 weeks. Recommendation when to resume specific exercises and activities must be asked directly to your Plastic Surgery Thailand surgeon.
You should contact your Coordinator if you experience severe pain not relieve by medications, any unexpected symptoms, such as burning sensation or unusual swelling and high fever.