So far I have seen 2 PS re:tummy tuck & breast lift w/ augmentation. One PS says all patients get lipo on abdomen, hips, & mons pubis. Another one says I do not need lipo at all, just TT. The 3rd one I have not seen yet advertises a 'painless' abdominoplasty & that his patients only take Tylenol after a couple of days. Is this realistic to not have pain? I can't find any information on a 'painless' abdominoplasty, so I don't know if I should even see this PS. Please give opinions on this.
Painless Abdominoplasty ~Is There Such a Thing?
Doctor Answers 13
Less pain is possible...No pain is not.
I am a big believer in pain pump placement during tummy tuck surgery and it does greatly reduce post-op pain, but anyone doing a tight muscular repair will cause at least some post-op pain. A tight muscular repair is one of the greatest benefits of a tummy tuck for most patients.
I am also not a believer in BS and I smell BS in the "painless tummy tuck" doctors approach.
John Di Saia MD
Bearw of ANY "surgeon" hawking "painless" Tummy Tucks
Advertising a Painless Abdominoplasty
First I must compliment you upon trying to obtain 3 consultations. Sounds like you may need an additional 3. Second, there is NO such thing as a "painless" Tummy Tuck, makes no sense. Beware of Greeks baring Gifts!
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I would be concerned about the ethics of any surgeon advertising a "Painless" Tummy Tuck
While many things can be done to minimize pain with plastic surgery (including tummy tuck), the fact is that most responsible plastic surgeons would tell you it is (of the procedures we do) the procedure associated with the greatest discomfort and disability after surgery.
The vast majority of our patients do feel it to be a worthwhile endeavor (se the before and after gallery to understand why), but most would tell you their transformation was not without pain.
I would also be very careful about letting someone making such claims in their advertising operate on you... I think these kinds of claims are irresponsible and may represent a violation of our society's code of ethics.
Either way, I'm not sure I would want someone advertising this way being responsible for my safety and happiness.
Painless Tummy Tuck
I do not see how this is possible. There is always some sort of pain or discomfort with any type of surgery. A pain pump can be used to help decrease the pain and discomfort, but it is never pain free. I would seek out a board certified plastic surgeon who can discuss with you all the risks, benefits and alternatives to the procedure.
Painless abdominoplasty???? Be afraid, very afraid.
No abdominoplasty could possibly be painless, even with a pain pump. And, really, would you want it to be painless???? If you felt fine, you would be up doing all the things you shouldn't do and would increase your risk for popping stitches, stirring up bleeding, getting a fluid collection (seroma) etc, etc. I rarely use pain pumps any more because my patients were being way too active too soon after sugery. Abdominoplasty is a big operation with real down time. Just because we call it a tummy tuck doesn't mean it's just little tuck.
I tack down the undersurface of the abdomen to the deeper layer to close off the space between the two surfaces and also to prevent patients from twisting or bending too much after surgery. If a patient is loading the dryer or raking up leaves on post op day 5, they will feel those stitches pulling (ouch!) and will stop.
When I was using pain pumps and not placing these tacking stitches, my rate of postoperative seroma (fluid collection) was really, really high. Now it is almost zero. My patients keep their torso "quiet" while it heals because if they don't they hurt. I provide plenty of pain meds and muscle relaxants but if they are overactive, they will have discomfort.
Caveat emptor (Let the buyer beware)
In the principles of patient-physician partnership, we, PS are obliged to be candid about risks, benefits, complications and the recovery process. While much of the pain can be controlled with pain pumps, which remain next to the operative site for approximately 5-7 days, prescription drugs and positioning, the truth is that all surgery produces some discomfort. Body contouring patients are for the most part, extremely motivated and should be commended for their tolerance. On the other hand, they shouldn't be duped into thinking that their convalescence will be trivial.
"Painless Abdominoplasty Isn't"
I think the myth of the painless abdominiplasty ahs been "busted" by the noted experts who ahve already responded here !
As for the lipo. I find it odd that a PS would say they do lipo on "all" patients in the areas you mention. It's common sense to only do lipo where you have excess areas of fat.
Maybe you need another consultation.
Painless tummy tuck
Your best option is to find these patients on your own and get your own recommendation or referral. I doubt that a truly effective tummy tuck can be painless, especially if muscle plication is performed.
Tummy tuck surgeons
Very interesting what you are describing. I would certainly NOT go to the "painless" guy because that just isn't honest and I would not go to the guy who does lipo on every tummy tuck because that clearly is not necessary. So, that leaves you with one left.