Birmingham Tummy Tuck doctors

There are some patients who are genetically predisposed to clotting because they lack certain serum factors or have more viscous blood.  A hematology consult and work-up for a patient with your history would be important for any elective surgery, let alone abdominoplasty which has a higher rate of extremity clots and PE related to tightening the abdominal mucles with sutures (a regular part of the tummy tuck procedure) and the resultant raising or the intraabdominal pressure.  If that work up found no genetic predisposition then I would perform the procedure with heparin injected beneath the skin for slow absorbtion and thigh high sequential compression devices on the legs during the operation.  You would be sent home overnight with the compression devices and be redosed with heparin in the morning.  I would not put a compression binder around the abdomen initially, and would also initiate baby aspirin therapy on the second day after surgery for the next 4 weeks.

For a more predictable result and possibly avoiding a second procedure I would suggest the abdominoplasty first most often. During that procedure, significant debulking of the fatty thickness can often be performed such that staged liposuction is not required.

For less bulky patients, "lipo-abdominoplasty" may in fact be preferable which combines agressive liposuction and conservative disection for the tummy tuck.

A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals.

Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

• Pregnancy
• Aging
• Significant fluctuations in weight
• Heredity
• Prior surgery

Also known as abdominoplasty, a tummy tuck removes excess fat and skin, and in most cases restores weakened or separated muscles, creating an abdominal profile that is smoother and firmer.