Tummy tuck offered by Dr. Kim Crofts

Kimball M. Crofts Patient Photos
This procedure involves the excision of excess fat and skin to create a flatter, more youthful abdomen. Those interested in a tummy tuck have a postpartum pot belly deformity or stretched out abdomen that often forms from pregnancy. People sometimes assume that dieting and exercise will correct this problem; however, the lower abdomen will not improve its shape like the rest of the body. Therefore, an abdominoplasty is the only option.
 
Prior to going forward with abdominoplasty, you must understand that this procedure is not a weight reduction treatment. It is actually a body contouring process. For best results, it’s critical that a patient’s weight be stable appropriate before heading into the tummy tuck surgery.
 

Surgery

Once an incision is made along the creases of the lower abdomen, we take it down through the skin to create a flap of tissue. Through the process of wall plication, the patient’s abdomen returns to a nice, flat state. A new site for the belly button is then identified after the patient is placed into a flexed position. Following an overnight stay, you are ready for discharge.
 

Postoperative

The patient will wear a compression garment, record drainage and remain in a jackknifed position during walking. At one week, you can stand in an upright position. By week two, the patient can return to normal work activities. And within three months, you should be back to 100 percent.
 

Complications

Infection - Although uncommon, most infections clear with antibiotic treatment and wound care. Rarer cases could require surgery.
 
Hematoma - This is caused by cauterization of a blood vessel during surgery. A return to the operating room for correction is occasionally required.
 
Seroma - Postoperatively, patients come back regularly to remove excess fluid from underneath the skin flap. If the increased pressure fails to do the job, a bursa can develop. Operation would be needed to remove this complication.

Skin Slough - If blood supply to the skin flap is inadequate, the skin will die. Several options are available to combat slough.
 
Scar Formation - Once in a while, scars can become hypertrophic, leading to tender, elevated, irritated and red scarring. Expect up to two years for scars to completely heal. Vitamin E oil, application of dermabond glue, massage and silicone sheeting are all treatment methods.
 
Bowel Perforation - A rare complication, the bowel may be injured and stuck up against the abdominal wall in an unnatural manner.
 
Pulmonary Embolism - This occurs when blood clots form in the lower extremities, which dislodge and travel to the lungs where they can block oxygenation of blood.  Pulmonary embolism occasionally leads to death. To avoid this, patients are placed in compression boots preoperatively. We also continuously monitor and adjust the patients accordingly to ensure safety.
 
Cutaneous Deformity (Dog Ears) - To fully remove fat at the lateral edges, we usually implement a belt lipectomy.
 
Umbilical Malposition - Occasional repositioning of the belly button will be needed postoperatively.

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