Tummy Tuck - Dr. Danielle DeLuca-Pytell M.D. » Dr. Danielle DeLuca-Pytell M.D.

Tummy Tuck

When diet and exercise are not enough, a tummy tuck may be the answer for a flatter belly.

Common name – Tummy Tuck. Technical name/also known as – Abdominoplasty.

Benefits of a Tummy Tuck

This surgery is for women or men with sagging abdominal skin and abdominal wall muscle separation who are at or close to their goal weight. This surgery is not intended for weight loss.

How it is done: How the tummy is “tucked”

This procedure removes excess skin at the abdomen and tightens the rectus abdominis (the six pack) muscle. This is typically performed after a woman has had one or more children or in men or women with history of large weight loss. This operation makes the abdomen flatter and helps to restore the continuity of the abdominal wall muscles often alleviating the “still pregnant” appearance of the abdomen. It can remove stretch marks if the stretch marks are below the belly button. The muscle repair may make core exercises more effective and in some can help back pain.

Upside

For a stretched abdomen with stretch marks and hanging skin, a tummy tuck gives a flatter abdomen which responds better to toning exercises. Patients report feeling better in bathing suits and clothing and increased self confidence.

Downside

The tradeoff for a flatter abdomen is a long scar that spans hip to hip, and sometimes longer, as well as one around the belly button.   Drains must be used and may stay for two weeks or so. Skin sensation may decrease below the belly button. Not all stretch marks can be removed. Sometimes, the excess skin may continue around the back for which a belt lipectomy (a tuck for the back) may help. The end of the scar may stick out after healing is over (called a dog ear) and need revision.

Who pays for this

This is a cosmetic procedure, paid for by the patient. For some patients with severe rashes and significant skin overhang after gastric bypass or other large weight loss, health insurance may cover a portion of the procedure. It almost always requires precertification, meaning there is a list of qualifications that must be met in order to meet criteria the insurance company puts forth to meet medical necessity. This can only be determined by examination. If criteria are not met, cosmetic pricing is offered.

What to expect

Length of operation

2-4 hours, depending on extent of procedure.

Anesthesia used

General anesthesia, you will be asleep and monitored the entire time.

In or out patient

An overnight stay in the hospital is required.

Side effects

Temporary swelling, bruising, and some pain may occur initially. For the first 7-10 days after surgery, expect to walk slightly hunched over and sleep in a flexed or “beach chair” position. Sensation of the skin of the lower abdomen will be different initially. Fluid collections below the skin after drain removal are possible. Dog ears or excess skin at the end of the scar may occur but can be removed in the office at approximately six months post surgery once swelling has resolved.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.  Pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin and abdominal laxity, dissatisfaction with the appearance of the abdomen, asymmetry of the scar and umbilicus, inability to remove all stretch marks, seroma, sensory changes including permanent loss of sensation, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.

If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click here:

Smoking and Plastic Surgery

I love to see patients back in the office showing off their more svelte figure and newfound confidence. The transformation can be remarkable.

– Dr. Danielle DeLuca-Pytell

Your Next Step

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number

Give our office a call Monday to Thursday 9 am to 5pm, Friday 9am to noon.

248-273-7700

Our email address

You can also email us anytime with questions.

info@delucapytell.com

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Testimonials for Dr. Danielle DeLuca-Pytell

 

See what Dr. DeLuca-Pytell’s patients say about their surgical experience.

Follow the link to read some of the many letter received by Dr. Danielle DeLuca-Pytell.

Before and After Gallery

When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

Side effects

Temporary swelling, bruising, and some pain may be present initially. For the first 7-10 days after surgery, expect to walk slightly hunched over and sleep in a flexed or “beach chair” position. Sensation of the skin of the lower abdomen will be different initially. Fluid collections below the skin after drain removal are possible. Dog ears or excess skin at the end of the scar may occur but can be removed in the office at approximately six months post surgery once swelling has resolved.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.  Pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin and abdominal laxity, dissatisfaction with the appearance of the abdomen, asymmetry of the scar and umbilicus, inability to remove all stretch marks, seroma, sensory changes including permanent loss of sensation, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.

If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click here:  Smoking and Plastic Surgery

 

Recovery time

If healing proceeds as expected:

Rest at home (princess treatment) 2 weeks (no housework or exercise) or until drains are removed. Outsource housework and child care while you rest. Walk around the house, but do not work out.

Return to gentle exercise and household chores at two weeks or once drains are removed (whichever is last), but no heavy lifting or strenuous activity for six weeks

Return to full activity 6 weeks after surgery

Returning to Work

This depends on the type of work that you do.   Many women can return to sedentary work at three to four weeks, though not everyone is ready to return to work by then. Surgery affects different people differently. If your work is more strenuous, six weeks off work may be needed.

Length of results

Long lasting, especially when a diet and exercise regimen are maintained.

 

Other information

A binder will be placed after surgery to help support the abdominal repair, similar to the idea of a splint for a sprained wrist. Once the drains are removed, a high waisted girdle or compression garment is to be worn for a total of six weeks. The scar after a tummy tuck usually takes a long time to fade, often a year and a half.

Your appointment with Dr. DeLuca-Pytell

When you visit the office for your appointment, we will talk about the side effects and risks of this procedure. You will have the chance to ask any questions you might have.

Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

Contact us

Give us a call to schedule your appointment.

Our phone number

  • 248-273-7700