Regarding: "How Long Should You Wear Your Binder/garment for After a Tummytuck?"
Not so fast.
First we need to establish is it REALLY absolutely necessary that you wear a compression garment in the first place. I KNOW I am kicking a hornets' nest by saying that - BUT - I and a growing number of my colleagues do not think so and have given up this treatment for several reasons.
Every treatment should be based on scientific evidence and benefit the patient much more than the doctor and be associated with less complications than potential benefits.
While a compression garment MAY (no proof) reduce swelling and MAY (no proof) reduce drainage it is associated with
- discomfort and tightness
- decreased ability to fill the lungs (IE take full breaths) associated with a high incidence of fevers and pneumonias after surgery
- varying degrees of compression on the tummy skin resulting in decrease of blood flow especially in the distant portions which may result in flap death and or wound disruption
- a definite slowing of blood flow in the leg and pelvis veins which translate into a higher likelihood of blood clot formation (DVT) with possible clots to the lungs (PE).
Furthermore, if the value, timing and duration of compression after tummy tuck were SO clear, WHY do you have so many good Plastic surgeons each coming with his / her own regimen of when to put it and for how long? Does that make sense?
For my part, I stopped using compression garments on my patients years ago. Although grateful to be spared the torture of compression on an already sore post-surgical tummy, they are puzzled and ask me WHY, unlike their friends and what they read on the Internet, they are spared the garment. For my part, I have NOT noticed longer drainage without compression but have seen much happier patients with less complications. So what's there NOT to like?
In answer to your question: "How Long Should You Wear Your Binder/garment for After a Tummy tuck?" - In my opinion - NOT A SINGLE DAY.
Dr. Peter Aldea