Subcutaneous injection after tummy tuck?

Question

Is the bioavailabilty of a subcutaneous injection in the belly different after a tummy tuck? Is the belly still considered the best injection site for absorbtion after TT?

J. Timothy Katzen, MD, FACS · Answer

Hello mandyo1997. Thank you for your question regarding the bioavailability of subcutaneous injections in the belly after a tummy tuck.
After a tummy tuck, the anatomy of your abdominal area can change significantly due to the removal of excess skin, fat, and the tightening of underlying muscles. However, this typically does not drastically alter the absorption of subcutaneous injections, such as insulin or other medications, in the abdominal area. The abdomen remains one of the preferred sites for subcutaneous injections because it has a good layer of fat and is easily accessible.
The bioavailability of a medication refers to how well and how quickly it is absorbed into the bloodstream. The subcutaneous fat layer, which lies between the skin and the muscles, is where these injections are typically administered. After a tummy tuck, this layer may be slightly thinner, but it usually still provides an adequate environment for the absorption of most subcutaneous medications.
However, it's essential to consider a few factors:
Scar Tissue: The formation of scar tissue after surgery could potentially affect absorption. It’s generally advisable to avoid injecting directly into scar tissue because it may be less vascular and could alter the absorption rate.
Skin Sensitivity: Post-tummy tuck, the skin in the abdominal area might be more sensitive or prone to irritation, especially in the early months of recovery. You may need to monitor the injection sites for any signs of irritation or inflammation.
Consultation with Your Doctor: It’s always a good idea to discuss with your healthcare provider where the best injection sites are for you post-surgery.  They might suggest alternative sites, such as the thigh or the back of the arm, depending on your specific situation.
In general, the belly can still be used as an injection site after a tummy tuck, but you should consult with your doctor to ensure it’s the best option for your needs.
Sincerely,
J. Timothy Katzen, MD, FASMBS, FICS

Elizabeth Kiwanuka, MD, PhD · Answer

After a tummy tuck, the structure and properties of the abdominal tissue can change, which may potentially affect the bioavailability of drugs administered via subcutaneous injection in the belly. Tummy tuck surgery often involves the removal of excess fat and skin and may include tightening of the abdominal muscles. These changes can alter the thickness of the fat layer and the overall vascularity of the area, which are factors that could influence how a drug is absorbed.
The abdomen is typically chosen as a site for subcutaneous injections because it generally has a consistent fat layer and good blood flow, which aid in steady absorption of medication. However, post-surgery changes might necessitate reassessment of the best injection site for optimal bioavailability. Here are a few considerations:
Changes in Tissue Composition: Surgery can alter the fat distribution and scar tissue may form, potentially affecting how medications are absorbed.
Blood Flow Alterations: Surgical tightening and removal of tissues may change local blood flow, possibly impacting drug delivery and absorption.
Pain and Sensitivity: Post-surgical sensitivity or discomfort might make injections in the belly less feasible for some patients.
Consultation with Healthcare Providers: It's crucial to discuss with healthcare providers, including the surgeon and a primary care physician or specialist, to determine the most appropriate injection site post-surgery.

Daniel Barrett, MD · Answer

Dear mandyo1997,
tummy tuck will not affect bioavailabilty of a subcutaneous injection. If you have concerns, you can consult your plastic surgeon. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Roni Prucz, MD · Answer

Thank you for this interesting question! Immediately after surgery I would avoid using the tummy for subcutaneous injections. Swelling and potentially altered blood flow can effect absorption. But 6-8 weeks after surgery, assuming their is no soft tissue swelling or necrosis, then the stomach should be a good place for injections. You should discuss your care with a Board Certified Plastic Surgeon who will be able to provide more information. Thank you for your question!

Connie Hiers, MD, FACS · Answer

Yes, your abdomen will be just fine for subcutaneous injections after a tummy tuck. For comfort, I would suggest waiting at least 6 weeks and then begin injections.

Camille Cash, MD · Answer

Yes you will still be able to use your abdomen for subcutaneous injections once you have healed from your tummy tuck.  If you have specific questions about the medication or administration speak to your provider.

Serkan Kaya Ekinci, MD · Answer

Of course, I don't fully understand your question, but I hope it will be useful for you after Tummy Tuck.
1. I keep my patients under observation and keep them informed on the first day after surgery. Post-operative pain, swelling and bruising are extremely normal. For pain control, the patient's condition is checked frequently during the day and painkillers are administered. It is usually decided to discharge the patient the next day.
2. Stitches and Bandages and Most importantly rest after surgery is a critical part of the healing process. Bed rest may be recommended for the first few days. You should actively avoid exercise or strenuous physical activities.
3. Diet: Light, easy-to-digest foods are generally recommended. Alcohol and cigarettes should be avoided.
4 . Healing Process: Corset continues to be used for 4 weeks after the surgery. Swellings and bruises will decrease over time. Skin sagging improves and the results become more and more obvious. Brisk walking and physical activities may be recommended after a month, but after recommending avoiding heavy exercises and lifting weights for a while, I recommend the patient not to return to his normal life. Getting an injection will not cause a problem after the surgical procedure.

Subcutaneous injection after tummy tuck?

Answers (7)

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