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Abdominoplasty, or tummy tuck, is designed to firm and smooth the stomach area. The procedure removes excess skin and fat from the abdomen and may tighten the muscles of the abdominal wall. Generally, a horizontal incision is placed just within or above the pubic area. The incision extends outward toward the hipbones but is kept within the swimsuit lines when possible. The scar should hide nicely under panties and a bathing suit. There are times when the standard tummy tuck is not strong enough to completely flatten the stomach and narrow the waist. This is especially true after multiple pregnancies have stretched the muscles and the fascial layers to a point that they are too weak to hold sutures. A technique that reinforces the sutures with an additional layer of material can give the results that you’re looking for. The material needs to be strong and able to withstand the muscle forces, which try to stretch it out. Material also needs to be natural so that it will be replaced by your healing tissues and eventually it will be totally absorbed and gone from the body. At the present time, the best material for this purpose is a surgical scaffold or mesh made of woven silk proteins. This material is placed with in the abdomen muscles so that it provides the most strength and incorporates into the body at the fast as possible rate.This is a very specialized procedure and it is certainly not for everyone. The Core Abdominoplasty is a 4-hour outpatient procedure with a 21-28 day recovery period away from heavy activity. The estimated cost of the tummy tuck is $12,000. This includes the surgical fee, facility fee, anesthesia, overnight stay in a specialized unit, and follow-up care. This procedure is generally performed as an outpatient surgery (you go home the same day) either at Northside Hospital or Dekalb Medical. If you decided to stay the night in the extended care suites overnight, the additional charge is $395.00-$815.00 per night.
We do this a few times a year, usually only on patients with the most extreme thinned out diastasis type conditions or the occasional hernia patient. Most people have enough strength of the abdominal wall tissues where they don’t need it. The type of mesh we would use for this is usually a light weight polyester (Prolene) type. You’d need to be seen to determine if it would really be needed
When performing a tummy tuck the separated rectus muscles should be plicated together with the use of permanent (not resorbable) sutures. There is typically no need to utilize a mesh unless there is also a ventral hernia present. This ventral hernia could be repaired by your plastic surgeon if he/she has also had extensive general surgery training or be repaired by an actual general surgeon during the tummy tuck procedure.
Hi. As a Plastic Surgeon we are trained to repair a hernia with a mesh while performing a Tummy Tuck. Is not difficult to find one.Member of the American Society of Plastic Surgeons (ASPS)Member of the International Society of Aesthetic Plastic Surgery (ISAPS)Certified Plastic Surgeon
Most abdominoplasties do not need mesh. If there is a large hernia that needs repair, then mesh might be a consideration. I would recomeended consulting with a Board Certified Plastic Surgeon who performs body contouring procedures frequently to answer your questions.Good Luck!
Hi thank you for your question. If you have a raised temperature I recommend you visit your GP or the local walk-in centre / emergency department as soon as possible. Best wishes.
Hello,I'm sorry to say that what you are describing cannot wait 3 months. If you have a seroma and your incision is open, you are exposed to infection and could seriously compromise your results. I recommend that you ask your surgeon to see you and treat you ASAP or see another qualified, board...
Your question indicates you are most worried about requiring further surgery if the involved area is necrosis and not scabbing. While the photos seem to indicate that necrosis is the more likely diagnosis, I am encouraged at the progress you are making. The size of the affected area is...