A tummy tuck is one of the most powerful body contouring procedures in plastic surgery. When done well, it can get rid of the excess skin of the abdomen, flanks and can reshape the entire torso. With arguably the best tummy tuck Seattle has to offer, Bellevue plastic surgeon, Dr. Egrari, is at the forefront of body contouring in Seattle and his extensive experience with all types of body contouring, has made Egrari Plastic Surgery Center one of the premier body contouring clinics in this region.
If you have loose or sagging abdominal skin, due to an abnormal relaxation or split appearance of the muscle structure in the tummy area after multiple pregnancies or weight loss.
If you have been unable to tighten the tummy area with diet and exercise.
If you have stretch marks from previous pregnancies.
If you have unsightly scars from surgical procedures performed in the tummy area.
A drainless tummy tuck is a method of performing a tummy tuck and closing the surgical incisions so that no drains or tubes are placed or necessary during the recovery period. This method involves the use of layered suturing that brings any separated layers below the skin together and holds them firmly in place. This helps to prevent fluid massive accumulation, or a seroma, from developing, and allows your lymphatic system to drain off the small amount of fluid that may accumulate during healing.
Both drainless and traditional tummy tuck techniques are similar in some aspects of abdominal reshaping surgery, with an incision placed just above the pubis. The difference between the two surgical techniques lies in the closure of the incision and the suturing techniques used. A regular tummy tuck will involve the use of drains and generally takes longer to heal. The drainless tummy tuck will involve no drains and has a faster, easier recovery time. Not all people will be eligible for the drainless tummy tuck, and this can be discussed with Dr. Egrari during your initial consultation.
The procedure involves placing an incision to remove excess fat, skin and tissue, and tighten muscles when needed, with the addition of liposuction to aid in the contouring process. The technique employed in a drainless tummy tuck involves a meticulous suturing of the various tissue layers, often with the use of surgical glue, so that no spaces are left after surgery that could fill with fluid. This technique is referred to as the “progressive tension suture,” which prevents each layer of tissue from accumulating fluid. Once the layers are sutured and the incision is closed, then there is no need for drainage tubes.
There will be the usual scarring that is associated with a tummy tuck, such as the incision line that extends between the hip bones. This incision can vary in length depending on the extent of the procedure. with a drainless tummy tuck there will be no additional scars from incisions from drainage tubes.
Good candidates have these traits:
Additional procedures that may enhance the smoother, firmer abdomen created with our tummy tuck in Seattle procedure are liposuction, a breast lift, a breast augmentation, lower body lift or other body contouring or enhancement procedures.
Although there are several different tummy tuck surgical procedures, they each follow general rules. All procedures will address excess skin in the abdominal area from age, weight loss, pregnancy or genetics. The procedure not only removes excess skin; it will tighten and restore the weakened muscle structure in the tummy area. A mini tummy tuck is less extensive, and treats only excess skin in the lower abdominal area. A float tummy tuck is best used for patients with a high belly button and who have extensive abdominal wall muscle weakness, rather than an abundance of excess skin.
The most common tummy tuck procedure is a full tummy tuck. A full tummy tuck in Bellevue removes the excess skin on the lower abdomen, stretches the upper skin down and repositions the belly button. This procedure resolves the issue of weakened muscles in the entire abdomen. If the excess skin extends to the flanks (sides of body), this problem is also resolved in the surgery. In cases of both front and back excess skin and tissue, a central body lift is often the appropriate procedure. The procedure will be chosen based upon the unique condition of the patient.
A Tummy tuck is a major surgical procedure. Dr. Egrari uses the medication Exparel, a long-acting anesthetic injected into the surgical site, for a higher degree of patient comfort. We have a time-proven regimen of tiered pain medications and muscle relaxants to help patients recover in comfort over the first week or so. Most patients no longer need any pain medication after about 10 days following the procedure.
Most patients will need about two weeks off work. For the first week, you will rest and heal at home, and walking is encouraged to aid in blood circulation, including climbing stairs. At four weeks you can ease into a light exercise regime and at 6 weeks you may resume vigorous exercise and activities.
Almost 90% of patients will require repair to the muscle structure in the abdomen in a tummy tuck to help create a smooth contour. Patients report improved function of the abdominal muscles, and often experience relief from back tension and pain due to the strengthening of the muscles in the procedure.
Some hernias may be repaired during the procedure. You will be evaluated in consultation to determine if suitable.
For patient safety and comfort, drains are needed, and will stay in place for seven to ten days.
The most essential element in scarring in a tummy tuck is the position of the incisions placed in the procedure. Dr. Egrari’ s considerable experience means he carefully places the incision very low on the abdomen so it will be covered even by the skimpiest undergarment or swimsuit. The most dynamic and up-to-date suturing techniques are used to reduce any risk of visible scars. We then take the patient through a very detailed post-surgical scar control process that includes taping, silicone sheeting, silicone gel (bioCorneum), and for some patients, an added laser treatment. We help our patients by teaching the procedure for the belly button to soften the perimeter for a more pleasing look.
The belly button is yours, and is repositioned to a more youthful location. Dr. Egrari feels that belly button recreation is an art that requires some understanding of the what is most beautiful in a classic belly button. He carefully creates the attractive slightly-hooded top, oblong shape, and a lower indent. Here are some actual patients.
A tummy tuck may be combined with liposuction of the flanks, breast lift or breast augmentation, and recontouring of the thighs.
Small wound separations are the most common complications. They are treated conservatively and heal well. Other rare complications include infections, bleeding, more visible scars, seroma formation, blood clots (DVT) and the standard risks associated with the use of anesthetics.
It is best to do this operation after you are finished with your childbearing years. However, should you become pregnant after the procedure, it will not create a problem for you.
Depending on the strength of your muscles, the look of tight, athletic-looking abs is often achieved. For some patients, Dr. Egrari carves and etches the central upper indent to produce the look of a more feminine or masculine figure.
The American Society of Plastic Surgeons offers additional information on Abdominoplasty and other plastic surgery procedures — https://www.plasticsurgery.org/.
Visit our gallery to view before and after photos of our patients who have undergone this life-changing procedure.
2950 Northup Way Bellevue, WA 98004
Plastic Surgery Center, Suite 100 | (425) 827-7878
Non-Invasive Center, Suite 105 | (425) 827-8285
© Sepehr Egrari MD FACS PC. All rights reserved.