Tummy Tuck in Louisville, Lexington, Kentucky
Dr. Salzman is an extremely experienced tummy tuck surgeon having performed thousands of tummy tucks since 1989. His procedure is done without any blunt tearing of the tissues producing a more comfortable postoperative experience.
Loose or sagging abdominal wall skin sometimes combined with excess fat of the abdominal area and laxity of the abdominal muscles. This change in appearance is often a result of wide weight fluctuations commonly seen after pregnancies or bariatric surgery for weight loss.
Abdominoplasties (tummy tucks) are done in most cases as an outpatient under a general anesthetic in our own AAAASF certified surgery center on-site. The surgery involves removal of excess skin, tightening of the abdominal muscles and liposuction of the excess fat of the abdominal wall, flanks, and hips. An extended abdominoplasty may be necessary to remove large amounts of excess skin in both a vertical and horizontal fashion resulting in a “T” shaped incision. Like liposuction, we add a tumescent fluid containing numbing medication and epinephrine to narrow the blood vessels. We also use an Exparel injection intra-operatively into the abdomen that lasts 3 days to help with pain management.
Dr. Salzman performs a no-drain tummy tuck, which does not require the use of drains during recovery. This is done with the help of progressive tension sutures, which dissolve over time. This technique prevents the development of seromas or built up fluid, so drains are not needed. The no-drain tummy tuck is a popular procedure, as drains can be uncomfortable and hard to deal with during recovery.
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Recuperation and Healing
Typically recovery for a tummy tuck takes about 10 days to 2 weeks. Pain is controlled with oral pain medications. The Exparel injection lasts 3 days. We will send patients home with a catheter in their bladder to allow the bladder to return to function the next day when the catheter can be removed. In patients with desk type jobs, work can usually be resumed after 2 weeks for tummy tucks. More vigorous types of work may require 2-3 weeks before work can be comfortably resumed.
Abdominoplasties are often combined with cosmetic breast procedures such as breast reduction, breast lifts, or breast augments. Also, other areas of liposuction such as the legs, arms or neck can be done at the same time.
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The specific risks and the suitability of this procedure for a given individual can only be determined at consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.