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Tummy Tuck (abdominoplasty) is a surgical procedure performed to improve abdominal contour in one or more of the following ways:
To reduce lower abdominal stretch marks and skin laxity.
To reduce skin irritation and rashes due to overhanging skin.
To reduce excessive abdominal wall fat.
To tighten abdominal wall laxity resulting from pregnancy and weight changes.
The abdominal wall consists of four distinct layers: skin, fat, fascia, and muscle. (The fascia is the fibrous tissue surrounding the abdominal wall muscles.) Four distinct abdominal contouring procedures are available, depending upon your specific anatomy and concerns:
Dr. Friedman performs all of these procedures under general anesthesia on an outpatient basis. The procedures are performed in his AAAASF-accredited surgical facility, the West Plano Plastic Surgery Center, which is located on the campus of Texas Health Presbyterian Hospital of Plano. He strictly uses physicians—not nurses or technicians—to administer your anesthesia.
Pain medication is necessary for about 10 days following surgery. Because of the large amount of skin removal, you will initially walk in a bent-over “little old lady” position. It may take 5 to 7 days for you to stand completely upright. Two plastic drainage tubes that exit the pubic area are removed about 2 weeks after surgery. A compression garment must be worn over the surgical sites continuously for one month and intermittently for a second month to maximize the surgical result.
Although mini tummy tuck is frequently discussed, Dr. Friedman has found that most patients are better candidates for either liposuction alone or full tummy tuck. However, there is definitely a subset of women who will benefit from standard or extended mini tummy tuck. The most appropriate type of procedure is based upon your desires and your anatomy. The decision is yours. Dr. Friedman will be happy to discuss the specific advantages and disadvantages of the available options.
With an extensive experience as a wood and marble sculptor, Dr. Friedman performs a large number of tummy tucks, frequently in conjunction with other breast and body contouring procedures. Tummy tuck (abdominoplasty) is frequently combined with liposuction, breast augmentation, breast lift, or breast reduction. When a tummy tuck is performed in conjunction with breast procedures to combat the effects of childbirth, this combination is called a mommy makeover. When a tummy tuck is performed for lax tissues after a major weight loss, this is considered contouring after major weight loss.
When you visit our office, Dr. Friedman will discuss your specific concerns. He will outline the available procedures and will help you decide which one may be most appropriate for you. We will also show you a variety of "before and after" photos of abdominal contouring procedures performed by Dr. Friedman. If you wish to speak to other patients who have undergone these procedures, we will be happy to provide phone numbers.
Your abdomen will be much flatter after tummy tuck, but no one can guarantee that it will be perfectly flat. In overweight patients, the excessive fat inside the abdominal cavity makes it impossible to completely flatten the abdomen. In patients who are height-weight proportionate, the abdominal wall can be maximally tightened.
Tummy tuck is frequently combined with breast surgery (augmentation, lift, reduction) and/or liposuction of the hips, “love handles,” and thighs. The results of combined procedures are often quite dramatic. These procedures may require an overnight stay in our surgery center. There is a safe limit to how much surgery can be performed in one day, and above all, Dr. Friedman wants you to have a safe experience.
Tightening the abdominal wall can be quite uncomfortable. Therefore, in addition to pain medication, Dr. Friedman uses “pain pumps” in all of his full tummy tuck patients. The pain pump, which is very similar to an epidural, consists of two tiny catheters that continuously drip local anesthetic along the surgical site for the first few days after surgery. Although it will not eliminate pain altogether, the pain pump really helps.
Tummy tuck should be delayed until you are done having children. The primary purpose of a tummy tuck is to tighten the abdominal wall laxity caused by pregnancy and weight loss. Although you can safely have children after a tummy tuck, childbirth will certainly compromise your surgical results.
No, you will keep your original belly button in its original position. With a fully tummy tuck, all of the skin around the belly button will be shifted and tightened. If your belly button is currently oriented horizontally and has excessive skin hanging over it, Dr. Friedman will re-orient it vertically and will remove the excess skin.
1. Activity level
1 week after surgery: you may resume casual walking but must not engage in vigorous exercise that increases your blood pressure or heart rate. You may resume driving once you are off of your pain medication. Avoid freeways until you are comfortable with city driving.
4 weeks after surgery: you may gradually resume light exercise activity (if permitted by Dr. Friedman). You should wear your compression garment during any exercise. You may not perform abdominal exercises for 8 weeks.
2. Sleeping position
Please sleep on your back (with your head elevated and a pillow under your knees) or part way over (pillow under your shoulder and hip). Do not sleep on your side until about 4 weeks after surgery. Unless otherwise instructed by Dr. Friedman, do not sleep on your stomach until about 8 weeks after surgery.
3. Incision care
You have a layer of tissue glue to seal your incision. After this peels off (about 2 weeks after surgery), begin scar massage with Mederma twice daily. Mederma is available at our front desk or over-the-counter at your pharmacy. If you prefer, you may use Vitamin E or Aloe Vera. Continue scar massage for about 3 months.
You should begin massage to the suctioned areas one week after surgery. This will help smooth any irregularities and areas of firmness. You may apply lotion to your hand to massage and/or you may use a vibrating massager. If you would like, we will provide you the phone number of a licensed massage therapist.
5. Water exposure
You may sponge bathe daily after your first postoperative appointment. You should avoid scrubbing your incisions. You may begin daily showers 48 hours after your drains are removed. Avoid the pool, lake, and ocean for 4 weeks.
One week after surgery, you may resume use of any medications or supplements that you discontinued prior to surgery. However, for at least 3 weeks, you should avoid Motrin, aspirin, and any other product that may thin your blood.
Do not smoke for at least one month (and preferably much longer) after surgery. Smoking may increase your risk of infection, lung problems following anesthesia, and wound healing problems.
You may tan whenever you like. However, you should use a high-SPF sunscreen (30 or greater) over your incisions for at least 6 months. Premature tanning of the incisions may cause them to darken permanently.
You may resume intercourse in a non-weight bearing position (i.e. on your side) about 4 weeks after surgery. You may not bear weight on your abdomen for at least 6 weeks.
10. Compression garment
Wear the compression garment all day and all night (except for bathing and massage) during the first month. Wear the garment at least 12 hours per day (or night) for the second month (unless instructed otherwise by Dr. Friedman). You may wish to wear elastic support hose for a few weeks to prevent ankle and foot swelling.
Please feel free to ask Dr. Friedman or his staff about any additional questions or concerns.
If you are considering having plastic surgery, consider Plano plastic surgery specialist, Dr. Ronald Friedman. Dr. Friedman performs plastic surgery at the West Plano Plastic Surgery Center. This AAAASF-accredited office surgery center is equipped to optimize your comfort, privacy, and safety. The West Plano Plastic Surgery Center has only one operating room because Dr. Friedman performs each and every surgery from start to finish and only operates on one patient at a time. Dr. Friedman also has admitting and operating privileges at the Presbyterian Hospital of Plano and Texas Health Center for Diagnostics and Surgery. Browse this website or contact us to learn more about Dr. Friedman's Plano plastic surgery practice, serving the greater Dallas area.
After multiple pregnancies, massive weight loss, and/or aging, the midsection is often left with stretched-out abdominal muscles and loose, excess skin. In order to improve these features, Dr. Friedman performs tummy tuck surgery in Plano at the West Plano Plastic Surgery Center. Patient safety is of highest importance; Dr. Friedman's practice is located on campus at the Presbyterian Hospital in Plano about 15 minutes away from Frisco, which offers the necessary resources to help patients feel at ease. For your convenience, he also has a Flower Mound office.
Designed to remove excess skin and fat from your abdominal region, a tummy tuck can dramatically enhance both your figure and self-image. Medically known as "abdominoplasty," this body contouring procedure is designed to help patients regain a more slender figure. As a wood and marble sculptor, Dr. Friedman brings a creative eye to the surgery in order to provide patients with a tighter abdominal profile.
During tummy tuck surgery (abdominoplasty), excess skin and fat between the belly button and pubic area is removed. The muscles are tightened from the rib cage to the pubic bone, which decreases waist size by 2 to 4 inches. Depending on the amount of excess skin and stretched-out muscles, patients may undergo a mini abdominoplasty, extended tummy tuck, or full tummy tuck.
A tummy tuck, or abdominoplasty, is performed by making an incision from hipbone to hipbone, directly above the pubic area, to reduce any visibility of scarring. Dr. Friedman then tightens your abdomen to give you a flatter and firmer looking stomach. The skin of the stomach area is then stretched, excess skin and fat are removed and the skin is redraped, giving you a more appealing stomach and a smaller waist in the process. Dr. Friedman is board-certified by the American Board of Plastic Surgery. D Magazine has named him among the best plastic surgeons in Dallas and/or Collin County for the past seven years.
Liposuction is usually performed in conjunction with a tummy tuck to remove excess fat from the lower abdomen. A mini tummy tuck is also available. To learn more about your options for a tummy tuck in Dallas, browse this website, then contact our Flower Mound or Plano plastic surgery center and schedule a consultation appointment.
To see examples of Dr. Friedman's results, Irving, Plano, and Frisco tummy tuck patients may view before and after abdominoplasty photos, along with educational videos for further details. The available Q&As and patient testimonials offer further insight to the care provided at the West Plano Plastic Surgery Center.
If you would like to learn more about your options concerning plastic or cosmetic surgery in Plano, Frisco, Flower Mound , or Irving, please take a few minutes to browse through this website. We invite you to contact us to schedule a consultation appointment with plastic surgeon Dr. Friedman. Dr. Friedman and his staff will be more than happy to address all your questions and concerns.
Dr. Friedman has more than 19 years of experience and has earned multiple awards.
Having appeared on the "Dallas Morning News," as well as named "Best Plastic Surgeon" in D Magazine and a "Texas Super Doctor" by Texas Monthly magazine, Dr. Friedman has the expertise and qualifications to help patients achieve a natural-looking outcome. He is board certified by the American Board of Plastic Surgery (ABPS), as well as a member of the American Society of Plastic Surgeons (ASPS), the Texas Society of Plastic Surgeons (TSPS), and the American Society for Aesthetic Plastic Surgery (ASAPS). Additionally, Dr. Friedman is the former Chief of Plastic Surgery at Parkland Memorial Hospital.
Prospective Plano, Frisco, and Irving, TX abdominoplasty patients may schedule a cosmetic consultation at either location, Plano or Flower Mound, by calling (469) 467-0100. A contact form and e-mail are also available for added convenience.