Is tummy tuck very much painful? How many days major pain will be there after post op? Considering to do it in Pune (Photo)

Question

I have donelot of research and seen reviews. Every patient says you have to have very good pain tollerance for TT. It's verry painful to repair DR in TT. Whereas when I consulted doxtors they say its more of discomfort rager than pain and pain is just for 2 days post opp and we give very good pain management meds in india than west. What is true? Will it be very painful producedure in india or not?

Irena Karanetz, MD · Answer

Hello and thank you for your question.

Based on your photos, you appear to be a great candidate for a tummy tuck with liposuction. This can be done through a low and short incision, all completely below the bikini line.  The belly button can be designed to look natural with minimal scarring on the exterior.   Your muscles can also be plicated resulting in a flatter and firmer abdominal contour and profile.

Pain and discomfort are usually the most pronounced during the first week, and continue to subside as each week passes by.  I typically recommend for patients to take 2 weeks off for recovery.

I would recommend to obtain an in person consultation with a Board-Certified Plastic Surgeon to further discuss your options and expectations.

I hope this helps.
Best, Dr. Karanetz

Dr. Irena Karanetz
Fellowship-Trained
Board Certified Plastic Surgeon

Semih Yildiz, MD, FEPOBRAS · Answer

Your photos show abdominal laxity and protrusion, but the pain level after a tummy tuck depends more on the extent of skin removal, liposuction, muscle repair, and the surgeon’s pain-control plan than on the country where it is done. With muscle repair, most patients describe tightness, pulling, and difficulty standing straight more than sharp constant pain, but it can still be quite uncomfortable.

The hardest period is usually the first 48 to 72 hours, then discomfort typically improves day by day. Many patients still feel tight, sore, and tired for 1 to 2 weeks, especially when coughing, getting up, or walking. Ask your surgeon exactly what their pain protocol includes, whether a nerve block or long-acting local anesthetic is used, and what support you will have after surgery; good planning matters more than comparing India versus the West.

William Andrade, MD · Answer

Thank you for your question.  I can't comment on pain medications administered in India, and in any case the exact pain regimen would likely vary depending on the surgeon.  In my own practice I use a combination of a muscle block with a long-acting local anesthetic, plus different medications so each patient can customize their treatment.   The most common combination is acetaminophen, celecoxib, and hydromorphone, but other medications can be helpful such as muscle relaxants or drugs that specifically target pain due to nerve irritation.  As for your question about pain after tummy tuck surgery, this is unique to each patient.  Some find the pain to be very minimal and hardly use any medications, and others will be more sore for the first week or so.  The surgeon(s) you are consulting will be able to discuss their pain control regimen and what you should expect after surgery.

Ricardo L. Rodriguez, MD · Answer

hello,
Thank you for your question.  You should expect to have post op pain for the first week following surgery.  This can be greatly managed with the use of an Exparel block (given at the time of surgery)  which will numb the area for up to 3 days. In my practice, we also prescribe narcotics for pain . Since they both work in different ways, you can do both at the same time.  Lastly, most patients will take a short course of steroids which will help with the swelling, and likewise reduce pain.

Once you have your drains removed and take a shower at one week, you should feel almost like yourself!  However, patients do continue to take motrin for the remaining 2-3 weeks for any discomfort they still have.  With time, it all heals, and your pain should go away completely.

cheers,
Ricardo L Rodriguez MD
Board Certified Plastic Surgeon
Baltimore, Maryland

Daniel Barrett, MD · Answer

Dear Vivid509576,
pain levels can be significantly reduced with proper preoperative and postoperative planning. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Yily De Los Santos, MD · Answer

Thank you for your question and pictures. The pain varies a lot from patient to patient, in my practice, we manage the pain with pills for 7-10 days and offer patients a pain pump. Thankfully it's usually bearable and Doctors follow up closely with their patients to adjust the dose if necessary.

I do suggest losing weight before surgery, that will ensure getting better results and safer surgery.

If you're willing to travel, Surgeons in the Dominican Republic have experience and very high standard of excellence when it comes to plastic surgery. I'm positive you can get what you're looking for.

Ajaya Kashyap, MD · Answer

Thank you for your query!  You seem to have a significant diastasis of your muscles, and a good repair is required. Pain relief in the postoperative period is essential. There are several methods thay I use in my practice. For most individuals I use a TAP block with a long acting local anaesthetic agent, which I administer  before closure of the skin. Another method, for people with a low pain threshold, is an epidural catheter local anaesthetic infusion that can be used  for the first day or two. The skin around the incision can also be infiltrated with a long acting anaesthetic agent for additional pain relief. Post operatively  a PCA pump can be used as also multiple other medications that are available.  Please discuss the methods of pain relief that your surgeon employs. I am sure he/she can keep you comfortable. All the best!

Eleonore Zetrenne, MD · Answer

I’m looking at your abdomen you need a diastasis repair in order to flatten out your abdomen and prevent the projection or “sticking out.” This is the corset part of the abdominoplasty, where we tighten the muscles, this can cause moderate discomfort. However, if you use Exparel (which is liposomal, bupivacaine) during the surgery, you should have 72 hours of minimal discomfort. We do use a muscle relaxer, which helps with the discomfort/ muscle spasm after surgery. I’ve got a.

Connie Hiers, MD, FACS · Answer

A tummy tuck is surgery and involves the whole anterior abdomen. Yes, you will have pain, but you will also have pain medication. If you are too worried, then do not have surgery.

Camille Cash, MD · Answer

Patients typically rely on narcotic based pain medication for the first 5-7 days after surgery for pain management.  If the Exparel injection is used during surgery the pain seems to be more manageable.  By two weeks post op patients usually no longer require pain medication or if it is still needed, over the counter medications suffice.

Is tummy tuck very much painful? How many days major pain will be there after post op? Considering to do it in Pune (Photo)

Answers (11)

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