Tummy Tuck Jacksonville FL
Abdominoplasty Surgery in Jacksonville FL by Dr. A H Nezami at Jacksonville Cosmetic Surgery Center
Many people are unable to achieve a flatter, firmer abdomen in spite of a dedicated diet and exercise program. Through childbirth, weight gain, or the natural aging process, abdominal muscles can become separated while skin can become overstretched, rendering this goal unachievable through diet and exercise alone. Tummy tuck is a surgical procedure that tightens the sagging abdominal skin and muscles beneath it. The result of the surgery is a flatter and firmer abdomen.
Before he performs abdominoplasty, Dr. A. H. Nezami at Jacksonville Cosmetic Surgery Center advises patients to establish a stabilized weight, as weight loss causes abdominal skin to loosen. While tummy tuck offers an effective, removal of skin and fatty tissue, the beneficial results still need to be maintained. Patients must continue to follow a healthful diet and exercise regimen to avoid gaining weight and accumulating fat again.
Types of Tummy Tuck — Abdominoplasty Surgeries
Though a tummy tuck is intended to reduce sagging tissue of the abdominal wall by reducing excess skin and fat, the surgery itself may be performed in a variety of ways. The specific method chosen by Dr. Nezami will depend on the patient's body type, abdominal deformity and the desired change, as well as personal preference and medical considerations.
In general, there are four types of tummy tuck, each of which involves its own set of incisions that allow access to the tissue and fat that need to be tightened and reduced. Note that, in general, an abdominoplasty incision is made across the lower abdomen, above the pubic area. Another incision is made around the navel. The skin and fat are lifted from the muscle to the level of the lower ribs in the center. After the muscles are tightened, the skin and the fat are pulled down and the excess skin and fat is removed. A new opening is made for the navel. The incision is closed with absorbable, internal sutures, and a few external sutures. The external sutures will be removed after five days after the tummy tuck surgery.
Mini-Tummy Tuck, Mini-Abdominoplasty
Patients with loose skin confined to the lower abdomen (the area below the navel) may be excellent candidates for mini-abdominoplasty. The incision for this procedure is shorter and less invasive than that of a standard tummy tuck, which typically also includes skin that sits above the navel.
The incision in the case of a mini-tummy tuck allows Dr. Nezami to reduce excess fat in small amounts if necessary, then to pull the lower belly skin tight.
Since the mini-tummy tuck is a more focused procedure with proportionately sized incisions, recovery tends to be quicker and has the potential for fewer complications. Patients who choose this procedure, also known as a partial abdominoplasty, are those who have some excess skin, but no bulging abdominal muscle wall.
Standard Tummy Tuck, Abdominoplasty
Patients with loose skin, excess fat, and some abdominal bulging due to the separation of muscles are excellent candidates for standard tummy tuck. This procedure tightens the entire abdominal wall and skin. Tightening the wall involves pulling together muscles that have separated and stitching them into place.
Due to the work involved in this abdominoplasty procedure, the incision is longer, often stretching from hip to hip, and the surgery also involves an incision around the navel to allow Dr. Nezami to pull the entirety of the abdominal skin tight. Once the belly skin has been flattened to create a toned look, Dr. Nezami will create a new place for the navel and suture the skin into place.
Extended Tummy Tuck
Patients with excess skin and fat encircling the waistline combined with muscle laxity will likely require an extended tummy tuck. This procedure reduces excess fat and skin while tightening the underlying abdominal muscles. The incision is longer on each side, wrapping around the torso to include what's known as the flank. Like the standard tummy tuck, this surgery also involves an incision around the navel.
Patients with excess abdominal skin on the upper abdomen and lower abdomen or who have a vertical scar on the upper abdomen from previous surgery are a good candidate for this type of tummy tuck. This procedure requires a vertical incision in the midline in addition to the standard abdominoplasty incision. The principal of this procedure is the ability to surgically eliminate horizontal and vertical excess skin and fat of the upper and lower abdomen with a maximum improvement of the body shape and reduction of waist circumference. The disadvantage of this procedure is the additional vertical scar; therefore, the best indication of this procedure is for those who have already a vertical scar or a large amount of excess tissue on the upper abdomen in a horizontal direction
Preparation for a Tummy Tuck
Tummy tuck patients must avoid certain medications such as aspirin, Ibuprofen, vitamin E, and any other blood thinning or clotting medication. Patients who are taking prescription blood thinners will require authorization from their prescribing doctor before cessation. No herbal medications should be taken without the approval of Dr. Nezami since the may interfere with anesthesia or bleeding.
Smoking patients must refrain from smoking at least one month before the tummy tuck surgery, and must continue to refrain for one month after their abdominoplasty. Smoking interferes with blood flow to the skin, which prevents rapid healing and causes tissue loss. Smokers and old smokers have a higher risk of complications.
Another aspect of patient preparation involves being mentally prepared and informed. Though Dr. Nezami endeavors to provide helpful resources and information on his website, patients may still have questions about the tummy tuck procedure, or may simply want to know more about how the surgery may specifically impact them. Patients should feel thoroughly educated and satisfied that their concerns have been addressed and their opinions heard prior to beginning their procedure.
Anesthesia and Patient Safety
A tummy tuck can take between three and five hours, and is performed under general anesthesia administered by a board-certified anesthesiologist. Located within the Baptist Medical Center Complex, the Jacksonville Cosmetic Surgery Center surgical suite is accredited by the American Association for Accreditation of Ambulatory Facilities, Inc.
We keep all our tummy tuck patients for 23 hours for post-surgical observation at Baptist Medical Center, Jacksonville. After surgery, patients are transferred, via stretcher, from our Jacksonville Cosmetic Surgery Center to their hospital room. This careful transfer and subsequent observation prevents bleeding and stretching and separation of newly sutured abdominal skin and muscles. The cost of this overnight observation is included in the total cost analysis provided to you after your consultation with Dr. Nezami.
Tummy Tuck Recovery
Recovery from abdominoplastic procedures that tighten separated muscles is more painful than recovery from those that remove excess skin and fat only. The pain is most felt the first few days, and is controlled by oral medication. To minimize the risk of blood clots, we ask patients to walk several times a day following their surgery; however, for the first week, we ask patients to avoid full extension of the abdominal muscles and to walk bent over at an angle of 30 degrees from the waist line.
While tummy tuck recovery periods vary from patient to patient, initial recovery may take two to four weeks, and complete recovery requires several weeks. Throughout the abdominoplasty recovery period, we require patients to wear compression garments.
Dr. Nezami is available by telephone at all times, and our practice maintains a 24-hour service number: 904-399-5061. If a patient experiences any of the following symptoms following an abdominoplasty, she should call Dr. Nezami immediately:
- Uneven swelling and excessive drainage from the drain.
- Temperature that exceeds 100 Degrees
- Pain in calves
- Sudden, severe chest pain.
- Shortness of breath.
Tummy Tuck Candidacy
Tummy tuck candidates must be at least 18 years old, in good health, and neither pregnant nor nursing at the time of their surgery. There is no upper age limit for tummy tuck candidates, but patients should first achieve a stable body mass index of less than 35. Better abdominoplasty results are achieved with lower body mass index.
Tummy Tuck Points to Consider:
- Pregnancy causes stretching of the skin and separation of the abdominal muscles, so patients should postpone abdominoplasty until after their final pregnancy.
- Patients may not shower before five days of recovery have passed, or until their drains have been removed. During this time patients may sponge bathe or use hand-held showers. Patients must neither take baths nor swim for four weeks, or until complete wound healing has been achieved.
- Travel is not recommended until two weeks of recovery have passed. During travel, patients should stand and walk short distances every 30 minutes in order to prevent blood clots, and should also wear anti embolism stockings.
- Dr. Nezami strongly recommends that someone stay with you for the first five days after surgery, or as long as you are taking strong pain medication, in order to prevent an overdose or fall, and to assist you in moving around your home.
- We advise our patients to avoid driving until seven days of recovery have passed, and especially not while taking pain medications.
- A tummy tuck requires general anesthesia.
- Patients may return to work after two weeks of recovery following their tummy tuck in Jacksonville, FL.
- The duration of a tummy tuck surgery varies in length depending on the extent of the surgery, and whether muscles are tightened. Dr. Nezami typically performs these surgeries in three to five hours.
- While male patients' aesthetic abdominoplasty goals are often different from those of women, the surgery is the same.
Options Beyond a Tummy Tuck
While patients with hanging abdominal skin, poor skin elasticity, and loose abdominal muscles may find a tummy tuck to be the appropriate surgical solution for their problem. Patients who have been unable to reach their body image goals despite a rigorous diet and exercise plan, and who have good skin elasticity with neither hanging skin nor separation of the abdominal muscles but who have localized excess fat, may want to choose liposuction as their appropriate surgical solution. Unlike a tummy tuck, liposuction focuses solely on surgical reduction of fat.
While a tummy tuck and liposuction of the abdomen can be done at the same time, for safety reasons, Dr. Nezami does not recommend the simultaneous combination of the two procedures, since there is more risk of diminished circulation to the abdominal skin and tissue necrosis. Neither procedure is considered to be a weight-loss tactic, as weight and body contours are two different factors. Due to the fact that some fat cells are removed with abdominoplasty and liposuction, any new weight gain will result in enlargement of the remaining fat cells in your body.
Financing a Tummy Tuck in Florida
We work with several companies that offer our patients convenient financing at the most competitive rates available. In most cases, patients can obtain approval within 24 hours.