Phone: (425) 366-8222

Kirkland/Bellevue, WA

NO DRAIN Tummy Tuck

No Drain Tummy Tuck 

Sometimes, even the most rigorous exercise program or diet will not correct "love handles," weak abdominal muscles or loose skin resulting from weight loss or pregnancy.  Abdominoplasty, commonly known as a "tummy tuck," is the surgical procedure used to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall.  It can help correct a protruding abdomen or an abdomen with stretched, excess skin resulting from a pregnancy or weight loss.

The best candidates for a tummy tuck are men and women who are in good physical condition but have excess fat, loose skin, or loose muscles in the abdominal area that won't respond to exercise or diet.

The Procedure

Depending on your situation and the recommendation of your surgeon, you will either be given the option of a mini-abdominoplasty or a complete abdominoplasty.  A complete tummy tuck usually takes about 2 hours hours, depending on the extent of work required.  A partial (mini-) abdominoplasty may take an hour or so.  These procedures are performed in an outpatient facility under conscious sedation.

Mini-abdominoplasty or mini tummy tuck

The mini-abdominoplasty involves a short, horizontal incision in the lower abdomen and the navel is usually not moved.  The skin is elevated from the incision line to the navel.  Loose muscles in this area are then tightened.  The "skin flap" is stretched down, the excess is removed, and the flap is stitched back into place.

Complete tummy tuck

The complete  tummy tuck involves a horizontal "bikini" line incision across the lower abdomen just above the pubic area. A second incision is made to free the navel from the surrounding tissue. Next, your surgeon elevates the skin from the abdominal wall and lifts a "skin flap" to reveal the vertical, "sit-up" muscles in your abdomen. These muscles are surgically tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline. The skin flap is then stretched down and the extra skin is removed. A new hole is cut for your navel, which is then stitched in place. Finally, the "bikini line" incisions are stitched. Dressings and a garment are applied and after a short recovery you are ready to go home

For the first few days following your tummy tuck, your abdomen will probably be swollen and you're likely to feel some discomfort which can be controlled with medication.  We start you on a rapid recovery protocol right away and usually most patients can be out shopping or to dinner the next night.

Patients who are in good physical condition with strong abdominal muscles will recover from an abdominoplasty even faster. Some people return to work after 3 to 4 days, while others take a little longer. Your scars will flatten out and lighten in color over time.While they will never disappear completely, abdominal scars will not show under most clothing, even under bathing suits.

 

Abdominoplasty FAQs

 

What is the recovery from a tummy tuck?

Tummy tuck recovery can be as short as 24 hours.  Many patients are up and out for a walk or even out for dinner the next night.  This is accomplished mainly through 3 techniques or after surgery protocols:

  1. A long acting local anesthetic is instilled at the time of surgery (Exparel) a number of things can be accomplished.  First, there is no cumbersome pain pump.  These work well but they are hard to handle and impede recovery.   Second, with the long acting local anesthetic in place, your need for powerful narcotic pain medications is minimal and the transition to anti-inflammatories can be made easily and quickly to help speed recovery.  (See my article on rapid recovery from surgery and the use of anti-inflammatories)
  2. NO DRAINS are used.  The no drain tummy tuck eliminates the messy, painful and cumbersome drains that have been used for a long time in surgery and are a common part of tummy tuck or abdominoplasty surgeries performed by many surgeons still.  Without drain the after care of an abdominoplasty is much easier and the discomfort from the drains is eliminated.
  3. The use of new post injury therapy protocols that are allowing athletes and orthopedic surgery patients to recover so fast.  These protocols involve early active motion regimes and anti-inflammatories.

While you are not healed at 24 hours you should be recovered at 24 hours and back to the simple activities of daily living.     You will be allowed to resume simple exercises (excluding lifting heavier objects) at a week.  If your muscles are repaired you cannot do heavy lifting for 6 weeks. 

Most patients can be back to their desk job at 72 hours after surgery if they want.

 

As with any surgery, abdominoplasty may carry some risks along with the potential of side effects. These may vary by individual and will be fully discussed during your initial consultation with the Board Certified Plastic Surgeons at Dr. Windle's office that serves Bellevue, Kirkland, Bothell, Redmond, Woodinville, Snohomish, Everett, Mill Creek, Edmonds, North Seattle, Auburn, Kent, Mercer Island, Renton, Sammamish, Marysville, Bremerton, Burien, West Seattle, Federal Way, Tacoma, Munroe, Ellensburg, Maple Valley, Shoreline, Burien, Lynnwood, Seattle, Issaquah, West Seattle, North Bend, Des Moines