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Tummy Tuck

Surgical Name:

Abdominoplasty

Hospital Admission:

3 nights

Duration of Operation:

3-4 hours

Anesthetic:

General Anesthesia

Recommended stay in Bangkok:

10 - 14 days

Introduction

Tummy Tuck, also known as abdominoplasty. A cosmetic surgery procedure used to make the abdomen thinner and more firm.

The surgery involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia of the abdominal wall.

It is commonly performed under general anesthesia. It is regularly done with an incision usually made very low on the abdomen, just above the pubic area. Depending on the extent of the work to be done, a liposuction may also be recommended alongside a tummy tuck. The most common causes of this include:

  • Women who have muscles and skin stretched by multiple pregnancies may find the procedure useful to tighten those muscles and reduce that skin.
  • You have excess fat around the midsection that does not respond to diet and exercise.
  • Massive weight loss or whenever a flabby abdomen with weak muscles that impairs body contour.
  • If you’ve got flab, stretch marks or excess skin in your abdomen that does not improve with diet or exercise.
  • If your self-confidence is marred by your stomach contour.

Preparation for your operation

You will usually have your abdominoplasty under a general anaesthetic. This means you will be asleep during the procedure. No food is allowed at least 8 hours prior to any surgery, this includes any sweet like chewing gum. If there is no fasting instructions given, you must not consume any food or drink from midnight before your scheduled surgery. Clients who do not comply with this requirement risk having their surgery delayed or risk being denied surgery.

DO NOT take any Aspirin and NSAIDS drugs for at least 2 weeks prior to surgery. (Aspirin may be re commenced after 48hrs post op.) If you take Aspirin or any other form of blood thinning medication for a medical condition, please discuss this with Dr. Thanakom.

Smoking must be stopped at least 3-4 weeks. If you cannot quit, cut back as much as possible. Smoking constrict the blood vessels, which can delay wound healing. While drinking alcohol must be stopped at least a day or two prior to surgery.

Make sure you eat well-balanced, complete meals and do not try to diet excessively before the surgery. Proper nutrition plays a key role in healing properly.

The procedure usually takes 3-4 hours and you are required to stay in hospital overnight.

Do not wear contact lenses, makeup, nail polish, jewelry, including any body piercings, hair accessories containing metal (such as barrettes or clips with metal springs, etc.) on the day of your surgery.

The procedure

Step 1 – Anesthesia
Medications are administered. The choices include intravenous sedation or general anesthesia.
Step 2 – Incision
There are two options for a tummy tuck. You and your surgeon will discuss your desired results, and he or she will determine the appropriate procedure during your consultation.

Complete abdominoplasty

This option is for those patients who require the most correction. The incision will be made low on the abdomen, at about the same level as your pubic hair, and usually extends from hip bone to hip bone and may be in a V-cut or U-cut shape, so that the scar can be hidden in a bikini. Your surgeon will then manipulate and contour the skin and muscle as needed. You may also have an incision around the navel.

Partial or mini-abdominoplasty

Mini-abdominoplasty is often performed on patients 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.

Step 3 – Placing the drainage
Drainage tubes may be placed under your skin; these will be removed in a few days as your surgeon sees fit.
Step 4 – Closing the incisions
Whether you’re having a partial or complete tummy tuck, your incision site will be stitched and bandaged. Your surgeon may have you wear an elastic bandage or compression garment after surgery.

Recovery

When you wake up after the anesthesia wears off, you can expect your abdomen to feel very sore. You may also feel dizzy, disoriented, and nauseated. These symptoms should pass within a few hours, pain relieving medications will decrease the amount of pain you feel. Your surgeon will prescribe an antibiotic as a preventative for infections.

Most tummy tuck patients require several days of bed rest. Normally 24-72 hours of bed rest is required after surgery.

You will be encouraged to do a bit of walking every day in the first week and more as the weeks pass. Walking around helps prevent blood clot formation and eases swelling.

Dr Thanakom will advise you to wear a support garment around your abdomen. 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.

Stay hydrated. Drink a minimum of 1 ounce water for every 2 pounds body weight. Stay away from high sodium foods such as luncheon meats, anchovies, salted chips and nuts, and regular table salt. A high salt diet makes your body retain water.

Recovery from a tummy tuck procedure occurs over a period of six months or more. In the first couple of days, managing pain and avoiding complications is your top priority. The first week will be the worst, and you will still feel like you are recovering for about two to three weeks. After a few weeks, regaining mobility and fitness becomes important. After several months, you can start evaluating the aesthetic outcome of your surgery. It is important to remember that the time it takes to recover varies greatly among individuals.

Call Dr Thanakom’s office if you notice an increase in swelling, pain, redness, drainage, or bleeding in the surgical area, or if you develop fever, dizziness, nausea, or vomiting. Other red flags include shortness of breath, chest pains, and an unusual heartbeat.

FAQs

What are the risks associated with tummy tuck?
All surgical procedures have some degree of risk. Some of the potential complications of all surgeries are:

  • Adverse reaction to anesthesia
  • Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
  • Infection and bleeding
  • Changes in skin sensation
  • Scarring
  • Allergic reactions
  • Damage to underlying structures
  • Unsatisfactory results that may necessitate additional procedures
Is there a lot of swelling involved with abdominoplasty?
Yes, swelling is to be expected after tummy tuck. Abdominoplasty is serious surgery and, depending upon the case, a lot of tissue is removed, so some swelling is inevitable. Swelling should subside within in a few weeks.
When will I be able to see the results?
Most of the time, you will be able to see the result right after surgery. However you’ll appreciate the results more once the swelling subsides.
How long do the results of a tummy tuck last?
The results can last for many years. As long as your weight remains stable over time, abdominoplasties are typically a ‘once and done’ procedure, never needing to be repeated. There will be some relaxation of the tissues with age, but not to the extent prior to surgery.
Will a tummy tuck help my stretch marks?
That depends on where the stretch marks are located, but the answer is usually “yes”. A full tummy tuck removes most of the skin in the lower abdomen, and any stretch marks in this zone will be removed along with the loose skin. Stretch marks outside of that zone are not really going to be helped.
Does a tummy tuck leave scars?
All incisions leave scars and this is not different with tummy tucks, but you can expect the scars to fade and become less noticeable with time.
When will I be able to return to work?
This will depend on how strenuous your job is. Most of Dr Thanakom’s patients are able to return to work after a two-week tummy tuck recovery period. If your work requires a lot of physical activity, it may be more than four weeks before you can expect to return.
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Tummy Tuck Prices

Prices include all hospital, operating room, anaesthetists' and doctors' fees, a single private room, standard meals, medications and medical supplies. Generally patients will only pay an additional amount for telephone calls and additional meals extra to the standard hospital supplied meals.

Procedure Price  
Abdominoplasty (Tummy Tuck) Less 80 KG (GA)
Op. Time: 3 hours, Hospital: 3 nights, Stay: 14 days
THB120,000 Free Quote
Abdominoplasty (Tummy Tuck) 80 – 90 KG (GA)
Op. Time: 4 hours, Hospital: 3 nights, Stay: 14 days
THB140,000 Free Quote
Abdominoplasty (Tummy Tuck) 90 – 100 KG (GA)
Op. Time: 5 hours, Hospital: 3 nights, Stay: 14 days
THB155,000 Free Quote
Extended Tummy Tuck (GA)
Op. Time: 6 hours, Hospital: 4 nights, Stay: 14 – 21 days
THB200,000 Free Quote
Belt Abdominoplasty (Belt Tummy Tuck) Less 80 KG (GA)
Op. Time: 4 hours, Hospital: 5 nights, Stay: 14 – 21 days
THB260,000 Free Quote
Belt Abdominoplasty (Belt Tummy Tuck 81- 90 KG) (GA)
Op. Time: 5 hours, Hospital: 5 nights, Stay: 14 – 21 days
THB310,000 Free Quote
Belt Abdominoplasty (Belt Tummy Tuck 91 – 100 KG) (GA)
Op. Time: 5 hours, Hospital: 5 nights, Stay: 14 – 21 days
THB330,000 Free Quote

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