Tummy Tuck Surgery - Abdominoplasty For Men and Women

A tummy tuck is a very popular abdominal plastic surgery that flattens the tummy area. If you have excessive bulge in your belly and hip region (around your waist), you can consider getting a tummy tuck treatment with Pristyn Care. Book an appointment with our expert plastic and cosmetic surgeons to undergo tummy tuck surgery in Bangladesh.

A tummy tuck is a very popular abdominal plastic surgery that flattens the tummy area. If you have excessive bulge in your belly ... Read More

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What is Tummy Tuck or Abdominoplasty?

Tummy tuck surgery, or abdominoplasty, is a body-contouring procedure that involves tightening the abdominal muscles and removing the excess skin to improve the overall contour of the abdomen. Tummy tuck has become a very common option for people who have lost significant weight after bariatric surgeries or pregnancy and have a bulge in the lower abdomen that is unresponsive to diet and exercise.

It should be noted that tummy tuck is not a weight loss treatment. It only helps to make the tummy flatter and more defined to improve the overall body shape. If you also have similar concerns and wish to get a flat tummy to improve your overall health and lifestyle, get in touch with Pristyn Care today and consult our experts to plan tummy tuck surgery in Bangladesh.

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Reasons to Undergo Tummy Tuck Surgery

Although most people believe that tummy tuck surgery is purely cosmetic, it can also be performed for reconstructive purposes. Some of the key reasons for people to undergo tummy tuck surgery can include, but are not limited to, the following:

To get rid of the excess skin from the upper and lower abdomen and improve its contour.
To strengthen the weakened abdominal muscles that impact their ability to perform several day-to-day activities.
To repair an abdominal hernia and improve the function of the abdominal muscles simultaneously by correcting the structural defects.
To resolve back pain and improve posture issues that often develop due to weak abdominal muscles.
To improve self-confidence and address self-esteem issues that many people develop if they have a bulging belly.

Whether an individual feels embarrassed about the excess skin or wants to get rid of scars around the abdomen and hips, they can consider undergoing abdominoplasty and consult a plastic surgeon to find out their eligibility.

Benefit	Others	Pristyn Care
Cuts	Multiple	Minimal
Blood Loss	Maximum	Minimal
Scars & Stitches	Yes	Minimal
Recovery	Low	High
Follow Up Consultation	No	Yes
Technology	Traditional	Advanced
Hospital Duration	Long	Short
No Cost EMI	No	Yes

How to Prepare for Tummy Tuck Surgery?

Patients who wish to undergo tummy tuck surgery need to start the preparations from the first consultation with the surgeon. Typically, the surgeon discloses the eligibility criteria and provides recommendations to the patients accordingly. Firstly, the surgeon ensures that the patient understands the potential and limitations of tummy tuck surgery and what they need to do beforehand to be deemed an ideal candidate for the procedure.

The preparations months before the surgery will include the following points:

The patient needs to commit to a weight loss and management plan at least 6 months prior to the surgery. This includes starting exercise and dieting to maintain a healthy or closer to a healthy BMI. If the patient fails to maintain a healthy weight, the surgery plan will be postponed.
The patient needs to start limiting alcohol consumption and other recreational drugs or substances that affect the body’s healing abilities. Such habits are not only unhealthy but can also make it difficult for the patient to lose weight.
The patient is also advised to quit smoking entirely or limit it to improve the body’s healing abilities and allow the nerves and blood vessels to regenerate and heal themselves.
At least one month before the surgery, the patient needs to quit the weight-loss diet and start eating a healthy, nutritious, and balanced diet. This is essential to provide the body with ample nutrition, which is needed for optimal healing. A weight loss diet restricts and deprives the body of many essential nutrients.
Start stocking up the supplies that will be needed during the recovery period a month or week before the surgery. The list of supplies will likely include extra pillows, gauze pads, dressings, comfortable clothes, ointments, ice packs, pain medications, compression bandages, etc. The surgeon or his/her team can guide you through this.
Ask a friend or family member to be available to accompany you to the hospital and help you during the initial days of recovery.

As the surgery date approaches, the patient will receive further instructions, which will include the following:

A routine health checkup must be done, which should include comprehensive blood tests that can assess hemoglobin, electrolytes, blood clotting abilities, creatine, etc., along with tests like liver function tests, kidney function tests, ECG/EKG, pulmonary function tests, etc.
Stop taking aspirin, ibuprofen, and other medications that act as a blood thinner. It is also advised to avoid taking non-prescribed herbal supplements that have blood-thinning properties. These medicines increase the chances of excessive bleeding during and after the procedure.
Don’t shave, trim, or wax the hair on the abdominal region until advised otherwise. In many cases, the nurse removes or trims the hair as required after the patient is admitted to the hospital.

On the day of surgery, the patient will receive the following instructions:

Have a proper bath using the prescribed antibacterial soap, and don’t apply cream or any other skin care product.
Practice fasting for 6 to 8 hours before the surgery. Take only small sips to take medications. It’s crucial to keep the stomach empty to prevent risks of anesthesia.
Wear loose and comfortable clothes, preferably a buttoned shirt that can be easily removed before the surgery.
Arrange for transportation to take you back home after the surgery, as you won’t be able to drive. It’ll be best to ask a friend or family member to help with the commute.

The instructions given to the patient may vary depending on the specific case. The surgeon’s team will stay in touch with the patient to provide regular updates regarding the surgery’s schedule and to help him/her as required.

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What Happens During Tummy Tuck Procedure?

The steps of the tummy tuck procedure vary for each patient, as two patients never have identical concerns. Thus, based on individual concerns, the extent of the surgery (full, mini, or extended) varies.

Before the procedure, an IV line is inserted into the patient’s arm, through which medications are administered. The patient is asked to change into a hospital gown and be taken to the operating room (OR). The surgeon marks the incision lines across the patient’s abdomen (the incision lines also vary based on the type of tummy tuck), and anesthesia is administered to put the patient to sleep (typically, general anesthesia is used). The steps of the surgery are explained below:

Full Tummy Tuck Procedure

The incision line goes left to right from one hip to the other in the horizontal direction right above the pubic mound but doesn’t extend over the hip bones. The lines around the belly button are also marked for the incision.
Then, a scalpel is used to make the incisions, and the skin is carefully lifted to expose the underlying abdominal muscles.
Stitches are used to bring the muscles together, and they are tightened as required.
After tightening the abdominal muscles, the skin is pulled back over the abdomen. The excess skin is removed or excised carefully.
A second incision is made in the abdomen to reposition the navel. To do this, the navel is not detached from the abdomen, i.e., its blood supply is left intact. The incision is made around the navel to separate it from the surrounding tissues. Once the new position is marked, a small hole is made in the skin layer, and the navel is reattached.
Then, drains are placed inside the abdomen to allow drainage. The incision is closed using stitches, and the site is covered with sterile dressing and compression bandage.

Mini Tummy Tuck Procedure

The incision line is around 4 to 8 inches long and appears like a C-section scar in the lower abdomen.
Through the incision, the loose abdominal muscles are tightened, and the excess skin is trimmed to make the lower tummy flat.

*Note: The belly button or navel remains untouched during a mini tummy tuck.

Extended Tummy Tuck Procedure

The incision line is made from one hip to the other and extends to the sides, and another incision is made around the navel to make the repositioning easier. The incision line is also closer to the pubic bone.
The skin is lifted, and the separated abdominal muscles are tightened and sewn together.
If required, liposuction is also used to remove extra fat that enhances the contours around the waist.
After the underlying muscles are tightened and contouring is done, the navel is positioned according to the modified contours, and tubes are placed in the treated area to allow excess bodily fluid to drain.
Then, stitches are used to close the incisions, and dressings or gauze are placed over them. A compression bandage is also used to provide external support to the abdomen.

The duration of tummy tuck surgery varies from 2 hours to 5 hours, depending on the type of tummy tuck. After the procedure, the patient is kept under observation for a few hours until he/she wakes up. The patient’s health is regularly monitored, and if required, the doctor will recommend an overnight stay.

What to Expect After Tummy Tuck Surgery?

When the patient wakes up after tummy tuck surgery, he/she will be in extreme pain, which will be managed with strong pain medications. Besides, the patient can expect to feel nauseous, confused, dehydrated, sore, and numb after the procedure. Most of these symptoms are side effects of anesthesia and will dissipate in the next few days.

The treated area will be covered with dressings and compression bandages. Thus, the patient won’t be able to see the difference in his/her abdominal contours. There might be some fluid or blood leakage from the drains, which will stain the dressings. The doctor will advise the patient to keep the drains clean, and they will be removed after 5-7 days.

As tummy tuck surgery is mainly performed on an outpatient basis, the patient is discharged on the same day after a few hours of observation. Before discharge, the doctor and his/her team will provide detailed post-op care instructions to the patients to ensure a smooth and successful recovery.

What are the Risks and Complications of Tummy Tuck?

Tummy tuck surgery or abdominoplasty is a major procedure with several risks and complications. The patient must understand these risks and the value of pre and post-op measures that are recommended by the doctor to mitigate these risks. If the patient fails to adhere to the care instructions, the following risks can arise during or after the surgery:

Infection: Surgical incisions make the individual prone to infections, as bacteria and other microorganisms can enter the body directly. To prevent this, antibiotic medicines are prescribed to the patient, but sometimes, even they are not enough to prevent the risk entirely. If so, the patient will need prompt medical attention.
Hematoma: Also called accumulation or blood, this post-op complication arises when the damaged blood vessels take longer to heal, and blood continues to leak from them. This often requires drainage, and in some cases, surgery may be required to identify and stop the source of bleeding.
Seroma: Also called fluid accumulation, this complication arises when bodily fluid leaks into the surgical site. In many cases, the fluid gets absorbed by the body, but sometimes, aspiration may be required. To prevent seroma, drainage tubes are often placed inside the tummy area.
Poor Wound Healing: This complication often arises in people who smoke excessively. Besides that, if the blood supply to the affected area is compromised or the patient develops an infection, the wound healing will be disrupted. Sometimes, this can even lead to tissue death if the problem is not addressed on time.
Scarring: This is an unavoidable outcome of all surgical procedures, but the extent of scarring with tummy tuck surgery is comparatively greater than other cosmetic procedures. Though the incision line is made in the pelvic area, which is covered with innerwear and clothing, sometimes, the scar may not heal as expected or look worse. Typically, factors like genetics, individual healing abilities, scar care, etc., determine how the scar will look over time. Thus, to improve the scar’s appearance, several remedies and scar reduction techniques are advised by the surgeon.
Changes in Sensations: Disruption of neural pathways is very common with surgical treatments which leads to altered sensations. The patient may feel numb, tingling sensation, or constant discomfort in the treated area due to the nerve damage. This often resolves as the nerves regenerate, but complete restoration may not be possible in all cases, and the sensory deprivations may persist.
Anesthesia Complications: With any drug or medicine use, there are some inherent risks. This is also true with the administration of anesthesia. It can cause aspiration, irregular heartbeat, high blood pressure, etc. To manage the risks of anesthesia, the patient’s health is evaluated before the surgery, and during the surgery, the anesthesiologist constantly monitors the patient and provides immediate care if needed.
Deep Vein Thrombosis or Pulmonary Embolism: Due to prolonged immobility after tummy tuck surgery, the risk of developing blood clots often increases in patients. If a blood clot develops in the deeper veins and breaks down, it can travel to the lungs and cause pulmonary embolism, which is a life-threatening complication.
Unsatisfactory Results: As the healing process is different for each individual, the patient may not feel satisfied with the results of surgery. In such cases, revision surgery may be considered after a year or so to address the aesthetic concerns of the patient and improve the abdominal contour.

Along with these risks and potential complications, there are several side effects of tummy tuck surgery, including swelling, mild to moderate pain, discomfort, redness, bruising, etc. In most patients, these side effects are temporary and resolve within a few weeks or the first month. The swelling can sometimes take longer to dissipate completely. If any of these signs persist or get worse after the first week, report them to the surgeon and seek immediate medical attention.

Recovery Timeline After Abdominoplasty

The recovery after tummy tuck surgery can take around 4 to 6 weeks, and throughout this period, it’s important to be patient and understand that the body takes time to heal after such a major procedure.

In the first week, the patient will notice that swelling is increasing, which is completely normal. Along with swelling, other side effects, including bruising, redness, discharge, etc., will start to resolve after the first week. This will allow the patient to resume walking and other basic activities, which are usually restricted in the first week, to avoid undue stress or pressure on the body.

Over the second week, the patient will feel more comfortable, but the mobility will still be restricted. The drains will be removed during the second week, and the doctor will make necessary adjustments in the prescriptions and also monitor the wound healing process. Patients are advised to be very attentive and careful during the first two weeks after surgery as there is a high risk of post-op complications.

In the third and fourth weeks, the patient will feel much better, and the swelling will dissipate enough to show the modified abdominal contours. It’ll be easier to walk around and perform other activities. Some patients can even resume work within 3-4 weeks.

Throughout the recovery period, patients are advised to diligently follow the care instructions, look out for signs of infection, and stay in touch with the doctor’s team to get proper guidance.

Tummy Tuck Post-op Care Instructions

Some common care instructions given by the surgeon after tummy tuck surgery include the following:

Follow the surgeon’s post-operative care instructions strictly, without fail.
Take prescribed medications, including painkillers, antibiotics, anti-inflammatory medicine, etc., as directed for pain management, reduce the risk of infection, and manage swelling in the treated area.
Pay special attention to wound care and cleanliness to prevent infections. Keep the incision site clean and dry, but also moisturize it to prevent dryness.
Wear compression garments 24×7 or as advised by the doctor in the first month to reduce swelling and support the healing process.
Sleep in a comfortable position and provide enough support to the body to ensure that the abdominal muscles or incisions are not strained.
Avoid strenuous activities and heavy lifting during the initial recovery period as they can strain the treated area and increase the risk of tearing the stitches, especially the internal stitches placed to tighten the abdominal muscles.
Take a balanced and nutritious diet to improve healing abilities and stay hydrated to support overall recovery and tissue healing.
Don’t stay immobile for long after the surgery. Start moving around as soon as possible and gradually increase the activities to get back to your normal routine.
Don’t start smoking or drinking alcohol until the recovery is complete, as they will disrupt the healing and increase the risk of complications.
Avoid exposing the treated area to direct sunlight, as it can cause hyperpigmentation and skin darkening.
While resuming daily activities, be careful and avoid putting undue stress on the body.
Keep an eye out for the signs of infection and other post-op complications and report them to the doctor right away.

Tummy Tuck Cost in Bangladesh

Tummy tuck surgery in Bangladesh costs around ৳ 70,000 to ৳ 1,40,000. This is a general estimate for the procedure, and the actual price for abdominoplasty will vary for each patient due to the following factors:

The extent of modifications required by the patient.
Pre-operative tests and evaluations.
The surgeon and anesthesiologist’s fee.
The choice of hospital (government or private and super specialty or multi-specialty).
Hospital-related expenses.
The city where the patient is getting treatment.
Post-op care, support, and follow-ups.

To get an estimate for abdominoplasty or tummy tuck price in Bangladesh, get in touch with Pristyn Care and talk to our experts.