Having a Tummy Tuck in Dallas Texas - Information, Procedure

The skin over the abdomen area can become stretched out after childbirth or weight loss. This skin does not retract to its original tightness and can be loose and saggy. The abdominal muscles also have stretched out and have not regained their normal position, giving the appearance of a "pot belly" no matter how many sit-ups a person does. An abdominoplasty of "tummy tuck" will correct both of these problems. The excess skin is removed and the muscles are tightened to firm up the abdomen and provide better contour.
What does a tummy tuck accomplish?
The tummy tuck will flatten the abdomen, the excess, loose skin will be gone and the muscles will retain their flattened look.
Am I a good candidate for abdominoplasty?
You may be a good candidate for abdominoplasty if you have one or more of the following conditions:
excess or sagging abdominal skin
an abdomen that protrudes and is out of proportion to the rest of your body
abdominal muscles that have been separated and weakened
excess fatty tissue that is concentrated in your abdomen
If you plan to become pregnant or lose weight in the future, you should discuss this with your plastic surgeon. Scarring from previous abdominal surgery may limit the results of your abdominoplasty. For a contact Dr. William Adams.
What happens during the first consultation?
The first consultation allows you to meet with Dr. Adams and staff to discuss your needs and concerns. You will learn about your surgery, the risks and complications, recovery time and look at before and after pictures. Your discussion with Dr. Adams covers all aspects of the surgery and you discuss with him your expectations of the surgery. He will be able to examine your body and talk about the procedures necessary to meet your expectations.
During the consultation, you will be asked about the results you would like to achieve from abdominoplasty. This will help your surgeon to understand your expectations and determine whether they realistically can be achieved.
Dr. Adams will individualize your treatment plan with you and discuss with you what type of abdominoplasty will give you your best results (ie. mini-abdominoplasty vs. full abdominoplasty vs. extended abdominoplasty).
You will have before pictures taken, which allows the physician to plan your surgery and also allows computer imaging to be done and viewed at a later date. After meeting with Dr. Adams you will have the opportunity to meet with the nurse and review pre operative and postoperative care necessary for the surgery. Dr. Adams assistant will discuss fees and schedule your surgery at a time convenient to both schedules. For a contact Dr. William Adams.
How is the surgery done?
The surgery is done under general anesthesia and usually takes between three and fours hours. Before you are put under anesthesia Dr. Adams will have you stand and your incision line will be marked. The incision is a very long one and goes from hip to hip or longer in some cases. Once you are asleep, your skin is prepped and your are positioned for surgery. The incision is made and the skin is lifted up from the abdominal wall, all the way up to the xyphoid process. The umbilicus is released from its position in the skin and stays attached to the abdominal wall. The muscles are then tightened and the skin re-draped over the abdomen. The umbilicus is marked for a new position and the excess skin is removed. The skin is sutured in place with a combination of absorbable and non-absorbable sutures.
A pain pump and 2 drains are placed under the incision that will remain for a 7-10 days. These drains will remove the normal healing fluid that the body produces when it has had surgery. After the incisions are closed and dressing placed over your incision, a binder or compression garment is applied. This garment will be worn for the next two weeks day and night and then for two weeks during the day. You may wear your compression garment day and night for the last two weeks if you are comfortable. You will be positioned in your bed slightly flexed and bent in the middle. The next morning you will be assisted out of bed and will walk. For the next one to two weeks you will walk slightly stooped over, or lay in bed flexed bent in the middle. You will spend one to two nights in the hospital and be released to very limited activity.
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