Columbia Tummy Tuck doctors

The terms tummy tuck, abdominoplasty, and plication can be misleading. In general the changes to the female abdominal wall from significant weight loss (obtained by diet and exercise) can be similar to those changes subsequent to child bearing +/- significant weight loss. A rectus diastasis ( separation of  the rectus abdominis muscles, usually because of thinned or stretched fascia) is not the only indication for a plication. At times it is helpful to contour and strengthen the abdominal wall after massive weight loss (MWL) in the absence of a significant rectus diastasis, but where stretched or weakened fascia is encountered that envelopes the muscles. Be sure to review with your surgeon what his preoperative plan is and how that might change given what he finds at surgery. 

Incisional placement in abdominoplasty is individualized per patient given the specifics of their anatomy and any previous incisions.  An attempt is always made to provide the most natural unoperated appearance. There are many anatomic relationships that can contribute to an unnatural appearance postoperatively.  In my practice, I find it is most important to make certain that the umbilicus or belly button is natural in shape and position, and that a waist is created in an appropriate relationship to the hip bones. In addition, between the umbilicus and the mons there should be a gentle curve rather than an overly tight segment of skin. Make sure that you review your concerns with your board certified plastic surgeon.

You can have an infection after any type of surgery that requires an incision.  Using your friend's experience in this case, may not be helpful as she had an operation that entered a body cavity.  This, in general, creates a higher risk of complications including infection.  Abdominoplasty or tummy tuck does carry a 1% or less infection rate overall.  If you have concerns about your upcoming surgery, you may want to contact your surgeon directly.  He may want to recommend a preoperative cleansing process for the skin that could be helpful in patients that have been exposed to MRSA.  Hope this is helpful.