Im also looking for a price estimate..Im only 5ft 130 Im looking for a flatter stomach but from my 2 c-sections I cant seem to get rid of that flap from the cut
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Doctor Answers 5
Drains help you to avoid fluid pockets after surgery
Drains are small tubes that are placed under the skin during a tummy tuck so that the skin that is lifted and pulled to make your abdomen tighter, sticks down and heals properly. Drains cause constant suction underneath the skin so that there is a vacuum created so that the tissue sticks down and heals. "No drain" tummy tuck has been popularized by surgeons that use stitches under the skin surface so that a drain is not required. I have seen many patients from other surgeons who have had tummy tucks with no drains that have resulted in fluid pockets under the skin surface called a seroma. This requires drainage of the fluid in the office with a large needle and is a complication that can be avoided by careful use of drains. If these fluid pockets persist, another surgery is required. Drains may be somewhat uncomfortable during the first week of recovery but they are absolutely worth it since they help avoid complications like a fluid pocket.
No drain tummy tuck
I have experienced far fewer postop fluid collections since I began using the no drain technique than when I used drains many years ago.
Because there are no drains, getting up and walking is easier, and showering can be started the day after surgery.
As far as results, the scar has definitely improved since I began using the progressive tension suture technique and I have also noticed an improvement in the contour of the anterior waist/lateral abdomen.
The short term downside to the progressive tension suture technique is that for the first 4-6 weeks there are some dimples and creases over the abdominal skin, however these will eventually go away.
This information is for educational purposes only and is not a substitute for a consultation with a plastic surgeon certified by the American Board of Plastic Surgery.
Drains and Tummy Tucks
More recently, 'drain free' surgery has become more popular. Fat layer is sutured down to the muscle layer starting at the ribs and progressively down to the lower incision. This makes the space for the fluid to collect much smaller, and in many patients can have surgery without drains. However, I have seen multiple patients come from other surgeons because they developed a seroma despite the suturing of the tissue. This is not the surgeon's fault, but some patients just do not heal fast enough or put out too much fluid for the body to absorb.
Pablo Prichard, MD
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No drain tummy tuck
I do not find many surgeons recommending a no drain tummy tuck, as the potential risk can be high for fluid collections. Many of us do use Progressive Tension Sutures (PTS) which aid to quickly remove drains by closing the dead space. I am able to remove mine about 50% faster with these sutures.
I would recommend that you meet with 3 board certified plastic surgeons, both who offer the "no drain" technique, and those who do not, such that you can make the most informed decision.
Finding Plastic Surgeon for Tummy Tuck Surgery?
Generally speaking patients are much better off looking for the best plastic surgeon available to them to perform their procedure, as opposed to selecting a plastic surgeon based on procedural details such as the use of drains. Also, be careful about selecting a plastic surgeon based on “price estimates”; remember that correction of complications may be more costly in many ways.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.