Abdominoplasty (Tummy Tuck)
Are you looking for a doctor who can perform a tummy tuck in Paramus, NJ? Look no further than Dr. Moskovitz of The Plastic Surgery Group of New Jersey.
The abdominoplasty, or "tummy tuck", is designed to remove excess abdominal skin and fat, as well as tighten loose abdominal muscles. The perfect candidate for an abdominoplasty is a woman with prior pregnancies that have stretched her abdominal muscles past the point of repair by standard exercise. Poor candidates are those who are obese and/or simply have too much abdominal fat. Liposuction can be an alternative in these patients. The proper choice of surgery between abdominoplasty and liposuction can only be made with a visit to the surgeon and a detailed discussion of your desires and expectations. Dr. Moskovitz, board-certified plastic surgeon, and director of Image Plastic Surgery in Paramus, NJ, will discuss your options in detail with you at your consultation.
Abdominoplasty Pre-Operative Care
Before having a tummy tuck, patients usually need routine blood tests to be sure they are not anemic or pregnant. Photographs are taken at the New Jersey office to assess progress before the tummy tuck.
Patients should not smoke within three weeks of the operation. (Of course, smoking is never a good idea and patients should quit smoking early and permanently.)
No aspirin, ibuprofen, or similar drugs should be taken within two weeks of surgery. These medications can cause excess bleeding during and after the operation. If you have any questions about drugs you are taking, including over-the-counter preparations and natural herbs, please call the office.
The day before surgery, a liquid diet is recommended in order to provide for a more comfortable post-operative period. Please shower the night before surgery and do not eat or drink anything after midnight of the night before your surgery. This includes coffee and juice in the morning. Oral medications can be taken with a sip of water.
The Operation for Abdominoplasty
Prior to having your tummy tuck in Paramus, NJ, you should be at the hospital at least 90 minutes prior to your scheduled surgical start time. Full instructions to the proper hospital area will be given. Bring all paperwork from the office with you, as this will save time on the day of surgery. Please wear a favorite pair of underwear or bikini bottom so the scar can be properly assessed and hidden.
Before having your tummy tuck, you will be brought to a private area and asked to stand with your gown off. Marks will be placed on the areas to be cut as guides to properly "tailor" the surgery. You will then be brought to the operating room and given anesthesia for the surgery. In most cases an incision is made at the upper aspect of the pubic hairline and carried toward each side. The incisions will later be hidden by the underwear or bikini you wear. The skin is lifted off the abdominal muscles all the way up to the ribs. The underlying muscles, which have loosened after pregnancy or weight changes, are tightened with permanent stitches. The skin is pulled down like a window shade and the excess is removed. In a standard abdominoplasty, a new hole is made for your umbilicus (belly-button), while in a mini-abdominoplasty the umbilicus is left intact since it is not pulled as far downward.
The operating table is then usually bent into a "lawn-chair" position with your back and legs raised in an effort to keep tension off your lower abdomen. The incisions are closed and at the end of the surgery you are moved to your hospital bed in the "lawn-chair" position.
Abdominoplasty Post-Operative Care
After you have your tummy tuck in Paramus, NJ, you will have one to two drains in the wound to help the healing process. These will be removed with minimal discomfort between the third and seventh days. Most patients stay in the hospital for 1-3 nights. This means you will usually go home with a drain. They are easy to take care of and the nurses will teach you all you need to know. While in bed at the hospital you will have special stockings to help prevent blood clots and when you go home you should get up and move frequently, though not strenuously.
You must keep tension off your lower abdomen. Straighten up as far as comfortable, but no farther. Over a few days you will quickly gain stretch and will be able to stand straight. Use deep breathing exercises and cough as needed. You will be on a liquid diet at first and then quickly advance to regular food.
It is important to be honest about the recovery period after this operation. Initially, this may very well be the most uncomfortable operation in standard cosmetic plastic surgery, but the pain quickly resolves and the results are outstanding. Many patients state that the pain is similar to a c-section, if that helps give a frame of reference. While in the hospital you will have a pain pump and at home you will have oral pain medication.
After having the tummy tuck, it is important to rest for one month after surgery. While it is nearly impossible to tear the skin stitches, it is possible to loosen the underlying permanent abdominal muscle stitches and thereby lessen the operation's effectiveness. It is important to avoid all heavy lifting or exercise during the first 6 weeks after surgery while your abdomen is healing and forming new, strong, collagen fibers.
Your scars will start to fade about 4 months after surgery and by one year they should be a fine line hidden by your underwear and bikini. Some patients do not scar as well and may be required to apply a silicone sheet bandage to help compress and lessen the scar.
If you need any more information regarding the tummy tuck process, please feel free to call or email us. We hope to be your practice of choice when looking for a tummy tuck in Paramus, NJ!
Frequently Asked Questions
Please confirm your pre-operative appointment with our office. At this visit, you will undergo a history and physical examination and Dr. Moskovitz will be available to answer any questions you may have regarding your surgical procedure. The surgical fee will also be collected at this visit. Once you have received specific instructions from our office, you will be sent to the hospital for a pre-operative interview with an anesthesiologist. The anesthesiologist will review your medical history with you and determine what type of anesthesia is most appropriate. Laboratory (blood work) or diagnostic examinations may also be performed during this hospital visit and hospital and anesthesiology fees will also be collected. While we do work closely with the hospital to provide the best fees possible, remember that hospital fees are completely separate from surgeon's fees and any hospital matters must be discussed with the hospital directly.You may not take aspirin within 2 weeks of your surgery and you should can not smoke for two weeks before and after the operation.