Is there a modified tummy tuck which does not result in permanent numbness on the lower abdomen? E.g. is it possible that the muscles are tightened with laproscopy and the excess skin simply removed without lifting the skin further up? Would this prevent permanent numbness? Thanks a lot!
Is There a Modified Tummy Tuck Which Does Not Result in Permenant Numbness on the Lower Abdomen?
Doctor Answers 7
Is there a modified tummy tuck which does not result in permanent numbness on the lower abdomen?
The usual signs of the nerves regenerating and neuropraxia resolving is itching, followed by a burning sensation and then occasional sharp, shock-like pains. These will be normal to experience, and actually a promising sign. Usually, normal sensation returns, but is is also possible to have decreased sensation or even increased sensation to the areas affected. Re-educating nerves postoperatively is often helpful and will allow proper instruction for the affected sensory nerves - methods include using different textures to the affected areas when showering, bathing, applying lotion, etc. If bothersome, there are some medications that may be helpful, including Neurontin for pain for hypersensitivity. You can try various textures such as washcloths, loofahs, cotton sheets, etc. Massaging the areas is also beneficial for the incision to make the finest scar possible. The last place to regain the sensation will be directly adjacent to the incision/scar as the nerves will make its way from the periphery to this location. If continual pain arises, evaluation is warranted. After ruling out other causes, one rare explanation may be that a neuroma has developed and may require surgical excision. This is very unlikely unless a large sensory nerve has been transected inadvertently during the procedure. Hope that this helps! Best wishes!
Any tummy tuck where skin is removed has risk of numbness
Pablo Prichard, MD
Numbness After Tummy Tuck
For a simple and illustrated explanation of tummy tuck and body contouring procedures, watch my video.
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Tummy tuck without numbness.
Yes, it is possible to modify the standard tummy tuck to prevent numbness of the skin, but it may not be the best procedure for you. If a patient has rectus diastasis or separation of the muscles with a slight amount of lower abdominal skin a direct skin excision with or without liposuction and plication of the muscles with scope assistance is possible.
In a standard tummy tuck the numbness is usually temporary, however there may be some decreased sensitivity to light touch, but not true total numbness.
Numbness after tummy tuck
Here's the problem: you can do a tummy tuck without undermining thus guaranteeing no numbness. But the result is likely to be compromised and second rate.
The best tt's involve skin elevation and undermining which can result in some patchy loss of sensation above the incision centrally.
Most c sections also have the same patchy numbness, it is common.
The numbness is completely unimportant. In 20 years I have never seen a patient seriously bothered by it. Any skin incision anywhere can cause adjacent numbness.
However if you're seriously bothered by the possibility you would need to either decide not to have surgery or agree to have a second rate operation to guarantee it would not occur.
Numbness In Lower Abdomen After Tummy Tuck Usually Temporary
The numbness following a tummy tuck in the lower abdominal area is usually temporary, although there is always a poosibility that it could be permanent. I cannot recall any TT patients who complained of any permanent numbness.