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Tummy Tuck

  What is Tummy Tuck?

There are many causes to make an abdomen become protrudes or and sagging. The causes include pregnancy, aging, significant fluctuations in weight, heredity, or prior surgery. A tummy tuck or an abdominoplasty is a cosmetic surgical procedure that removes excess fat and skin from the middle and lower abdomen for the purpose of tightening the wall muscles ultimately enhancing the appearance of the abdominal section of the body.

 

However, Tummy tucks are not a substitute for weight loss or an appropriate exercise program. Also, tummy tuck operations cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised, generally the treated areas below the belly button.

 

Moreover, patients who intend to lose a lot of weight should postpone the surgery. Also, women who plan future pregnancies should wait, as vertical muscles in the abdomen that are tightened during surgery can separate again during pregnancy. If you have scarring from previous abdominal surgery, your doctor may recommend against a tummy tuck or abdominoplasty or may caution you that scars could be unusually prominent.

 

  Price & Packages 

 

  PROCEDURE   PRICE (THB)   Type
  Body Weight, less than 70 kgs   120,000 THB   with 3 nights stay
  Body Weight, more than 70 kgs , Waistline more than 36"   130,000 THB   with 4 nights stay
  Body Weight >70 kgs   plus 17,000 THB per 10 kgs  with 1 nights stay /per 10kgs

 

  Preparation for a Tummy Tuck

Prior to the surgery, the surgeon will discuss about your expectations and desired outcome. Be honest about what you think regarding the areas you feel would benefit from a tummy tuck procedure. The discussion also includes the risks of tummy tuck surgery, anesthesia options, the incision type and placement etc. and you will be given an informed consent form. During the discussion, the surgeon will evaluate your general health and may take photographs for your medical record before offering you his opinions regarding the best options for your surgery.

 

The surgeon will provide a list of instructions on what to do before your tummy tuck surgery. These will cover such areas as smoking, medications, what to bring with you to the hospital and when to have your last meal before surgery. You will also receive special instructions about What to do on the day of surgery, The use of anesthesia during your tummy tuck, and Post-operative care and follow-up It is of utmost importance that you follow these instructions, and the ones you will be given after your surgery. Your speedy recovery and health should be your number one priority.

 

  • If you are a smoker, you will be advised toquit immediately. In fact, you may be told that you will have to post-pone your surgery until the nicotine has been out of your system long enough so that it does not affect you while under anesthesia, and also while healing. This includes nicotine patches and vapor cigarettes as well. Smoking also increases the chances of airway irritation, which may trigger constriction and coughing while under anesthesia. Smoking also hinders healing and can cause your scars to heal poorly.
  • Stop drinking alcoholic beverages a week before your surgery.
  • The day before your surgery, do not drink alcohol and make sure you do not eat or drink anything at least six hours before your operation.
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding

 

  Procedure

 

  • 1. The surgeon makes a linear incision extending from hipbone to hipbone along the bikini line.
  • 2. Surgeon separates skin and fat from the rest of the abdominal wall and removes excess fat and skin.
  • 3. Muscles are tightened by pulling them close together and stitching them into their new position.
  • 4. The incision is closed with stitches, dressings are applied, and a temporary tube may be inserted to drain excess fluid from the surgical site.
  • 5. Surgery time is about 2-3 hours and performed under general anesthesia.
  • 6. Your tummy tuck procedure will result in a flatter, firmer abdominal contour that is more proportionate with your body type and weight.
  • 7. The final results may be initially obscured by swelling and your inability to stand fully upright until internal healing is complete.
  • 8. Within a week or two, you should be standing tall and confident about your new slimmer profile.

 

  Tummy Tuck Risks

It is necessary to know the risks and potential of tummy tuck complications before deciding to undergo the surgery. Your plastic surgeon and/or staff will explain in detail potential tummy tuck complications. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications, which include:

  • Unfavorable scarring
  • Bleeding (hematoma)
  • Infection
  • Fluid accumulation
  • Poor wound healing
  • Skin loss
  • Blood clots
  • Numbness or other changes in skin sensation
  • Anesthesia risks
  • Skin discoloration and/or prolonged swelling
  • Fatty tissue found deep in the skin might die (fat necrosis)
  • Major wound separation
  • Asymmetry
  • Recurrent looseness of skin
  • Pain, which may persist
  • Deep vein thrombosis, cardiac and pulmonary complications
  • Persistent swelling in the legs
  • Nerve damage
  • Possibility of revisional surgery
  • Suboptimal aesthetic result

 

  After Tummy Tuck Surgery

Following your surgery, dressings or bandages may be applied to your incisions, and you may be wrapped in an elastic bandage or a compression garment to minimize swelling and to support your abdomen as it heals. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect to minimize swelling after tummy tuck surgery.

 

Post-Operative Care for Tummy Tuck

  • When in bed, position pillows under the knees & back for support and keep waist bent.
  • You may lie on your side or back; move feet to increase circulation to the legs.
  • Wear elastic compression garment snugly for 4-6 weeks.
  • Only sponge bath is allowed few days after surgery. Patient may shower 7-10 days post-surgery after stitches are removed.
  • Resume normal activities after 2 weeks.
  • No strenuous activities 4-6 weeks post-op
  • Keep waist bent when walking 2-3 days after surgery
  • Follow-up check with the surgeon and stitch removal will be 7-10 days post-surgery.

 

  Before and After Photos

Here are Before & After pictures that clearly show the amazing results of the breast enlargement procedure. These images are used with permission from Yanhee Hospital clients, and have not been retouched or modified in any way.

 

  FAQs

 

Q1: Will I get rid of the stretch marks that I got after I had a baby?

A1: If there is enough excess skin, stretch marks below the navel may be removed. Those above the navel usually remain but may be relocated to the lower abdomen.

 

Q2: Can I expect my tummy to be perfectly flat?

A2: Tummy tuck trims down skin and its underlying fat but it will not remove the fat inside the abdominal cavity. Thus, you can expect to have a slimmer, but not completely flat, abdomen after this surgery.

 

Q3: How long do I have to stay in Bangkok?

A3: You will stay an average of 3 days in the hospital. 7-10 days after surgery, you need to come back for a follow-up check and removal of stitches.

 

Q4: Is the result permanent?

A4: A good weight control diet and exercise regimen will help you keep your post-tummy tuck form. Pregnancy and significant fluctuations in weight will negate the results of surgery.

 

Q5: Tell me about the scars.

A5: If skin is very loose, the surgical scar will extend from hipbone to hipbone on the lowest part of the abdomen, thus will be hidden by your bikini or trunks. An important consideration for those who only have minor abdominal sagging is that the skin may not be loose enough to pull down below the bikini-garter level. There is a possibility that the scar will be visible above the garter line when wearing a two-piece swimwear.

 

Q6: How long is the recovery period?

A6: There will be swelling and bruising, most of which will resolve in about 2 weeks. Limitation of physical activity must be observed for about 4-6 weeks. Full wound maturation and final results will gradually occur over 6-12 months.

 

Q7: What could go wrong?

A7: Some risks of surgery include bleeding, adverse response to anesthesia, infection, delayed healing, fat necrosis, wound dehiscence, nerve injury, contractures or keloid at incision site and need for revision surgery.

 

Q8: How do I prepare for surgery?

A8: To avoid complications and reduce risk factors you need to stop smoking, drinking alcoholic beverages, taking hormonal pills, herbal supplements, and medicines (other than those that your doctor allows you continue), at least two weeks before your schedule. People with diseases need surgical clearance from their medical specialist. Muscle-toning exercises and a proper weight loss diet months before the surgery will contribute to better results of tummy tuck.

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