In a tummy tuck, the external flesh is repositioned - I'm curious about closing of the incision and how tension/pulling is avoided. Is it usually closed with sutures or staples? Won't gravity (or any physical positions that either arch the spine or stretch the skin upwards) affect the scar healing? Also (similarly), what is the result if too much flesh were to be removed, causing an upright physical posture to pull too much on the sutures/staples? Hypothetically.
How Do You Avoid Tension on the Incision During Healing?
Doctor Answers (4)
Reducing incision closure tension is important for better scars.
With a plastic surgical closure of a wound, care is usually taken to close the would in layers taking tension off of the skin closure. This will help give you a good scar. I also will usually place steri strips on the incision which helps remove the most superficial tension as well as put pressure on the scar which can help.
Controlling tension on tummy tuck scar for better healing
Tension on a wound is one of the biggest contributors to poor scar formation, so methods like the progressive tension suture method help by placing the tension away from the wound edges. This uses a series of stitches under the flap that distribute the tension on deeper stronger layers that the skin. It also helps minimize the need for drain tubes. We also use tape on the incision for about 6 weeks which also helps reduce tension.
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Tummy tuck wound tension
The tension of a proper tummy tuck closer is placed along the superficial fascial layer - this is closed with a heavy, absorbably barbed suture in my practice. The skin itself is on no tension when the wound is closed. This technique has yielded high quality scars.
Web reference: http://www.scottsattlermd.com
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