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Thank you for your question. It is rare that all plastic surgeons agree on any topic. Most commonly the procedure uses internal sutures to hold the tissues and eliminate the space where fluid could develop. It is common to use a topical glue to seal off the skin incisions after it has been sewn together to help protect the wounds. Always seek a board certified plastic surgeon who specializes in tummy tuck. Good luck.
Hello. I have not adopted the use of tissue glue. I have been performing no drain tummy tucks for over 10 years using progressive tension sutures. In my opinion this is still the best way to minimize the open space between skin and muscle so fluid can't collect there, while also giving the best possibility for a thin scar (by taking tension off of the incision) as well as for giving the most natural-looking belly button by tacking the skin to the muscle yielding a funneling effect.
Dear Luckyshiva77,Thank you for posting your question. For a drainless tummy tuck, glue and internal sutures are used by some while internal sutures alone are used by others. In my practice, I use progressive tension sutures - intenal sutures strategically placed to advance the upper tummy skin to where I wish it to be and to close off the space created by the surgery. I do not use glue and have not needed to to date. However, there is no right or wrong answer here, simply surgeon preference. Either technique is very acceptable and achieves good results in the vast majority of patients.Hope this was helpful.Best wishes
Thank you for your good question!Drainless abdominoplasty can or cannot use glue. Personally I use progressive tension sutures only to eliminate the dead space where the liquid can accumulate. The use of the glue is optional, however draineless abdominoplasty need many many tension sutures and not just a few.Please consult with a Board Certified Plastic Surgeon!Best WishesDr Genevieve FCaron, Board Certified Plastic SurgeonMontreal. Canada
Most drainless tummy tucks use internal sutures to close off the space that normally would need a drain, making the drain unnecessary. The addition of tissue glue is done by some surgeons although many surgeons, myself included, have found this is not really needed. If your surgeon is getting good results with minimal complications I would go with whatever technique (glue or no glue) that is working best for them.
The drainless Timmy tuck is currently s standard technique for tummy tucks. The choice of technique will depend on your anatomy and the surgeons decision as to which technique will get you the best possible result . Drainless technique is most often done with just internal sutures.p, but tissue glue can be added if your surgeons feel it is necessary.
The type of surgery does not dictate the wound closure. There will be deep sutures with any tummy tuck. The skin can be closed with glue, sutures or steri strips.
Although there is nothing wrong with the tissue glue, most plastic surgeons doing drainless tummy tuck use sutures for the progressive tension suture technique. It is a fast technique, especially using my published modification of it.Sincerely,Thomas C. Wiener, MDHoustonThis information is not a substitute for a consultation with a board certified plastic surgeon
Go back to your PS and ask for a timeline with deadlines. Most bleeding stops, but an partially drained hematoma can ooze for a while. If the trend is continued slowing, it may be best to wait it out. If it is not improving, you may need re-exploration to stop a slow bleeder and /or eva...
Most patients are candidates for a drainless tummy tuck. Our meta-analysis (link below) revealed that a "drainless tummy tuck (abdominoplasty) with progressive tension sutures" was more effective than the traditional "tummy tuck with drains" in reducing seroma (fluid buildup) and reoperation...
This lower abdominal swelling is common after this procedure. It can take several weeks for the swelling to settle down. It is important that your surgeon evaluate you for serroma, though the incidence is relatively low compared to traditional tummy tuck. I would continue wearing their...
In a traditional tummy tuck, fluid can accumulate in the "open space" that the procedure creates between the abdominal flap (the skin and fat) and the abdominal wall. Some surgeons insert drains to avoid this. In my practice, 99.9% of all my tummy tuck patients are candidates for a drainless ...
Our meta-analysis research (link below) showed that "drainless tummy tuck (abdominoplasty) with progressive tension sutures" were more effective than "tummy tuck with drains" in reducing seroma (fluid buildup) and reoperation rates, with no difference for hematomas or infections. Many plastic...
Congratulations on your drainless tummy tuck. Drainless makes the recovery so much easier. Swelling occurs with tummy tucks of all kinds. There is flap swelling which is largely due to the lymphatic drainage, which is compromised in the first few months. It is often worse at the end of the da...
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