The traditional abdominoplasty procedures (full tummy tuck, mini-tummy tuck and dermolipectomy) are associated with a relatively high complication rate because of the required significant undermining of the anterior abdominal flap that involves extensive trauma and compromises the blood supply of the abdominal flap. General anesthesia or heavy twilight sedation is frequently needed to complete the surgery because of the extensive tissue dissection and manipulation.
Dr. Marcia Byrd has adopted a revolutionary minimally invasive approach to tummy tuck that can be safely and effectively performed as an office procedure totally under local tumescent anesthesia. The technique called Abdominoplasty combines two procedures: liposuction of the abdomen and tummy tuck. By avoiding the use of general anesthesia or heavy sedation (and complications associated with this type of anesthesia), this new procedure offers an improved postoperative recovery.
In the past, traditional teaching held that performing abdominal liposuction at the same time of tummy tuck would further disrupt the blood supply, creating a significantly greater risk of necrosis of the inferior end of the flap.
Recent studies clearly demonstrate that such a belief was erroneous. It is well established now that when one performs limited liposuction, the blood vessels remain intact and functional even though the fat is removed. The removal of the fat by liposuction leaves essentially an empty space, thereby eliminating the need to undermine. Because the skin overlying this empty space remains extremely mobile, we can remove as much skin as, or more than, that removed during a standard tummy tuck without the danger of losing blood supply.
The management of the belly button is identical in both procedures. The skin incisions and the amount of skin removed are also similar. Tightening of the muscles also can be performed with either procedure. However, with the technique used by Dr. Byrd the amount of fat one can remove is greater. This improves the abdominal contour by thinning the fat layer considerably more than one can with the traditional tummy tuck while decreasing the risks of skin necrosis because the blood supply remains intact. Our approach doesn’t require the routine use of suction drains – a standard requirement in traditional tummy tuck.
Please contact us to request a consultation today. Call toll free 1.866.671.5633.
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