Tummy Tuck – Patient 47

A mother of 2 in her early 50’s who is bothered by her abdomen following her 2 pregnancies.  She describes it as “ a lump of blob” and does not like the roll of skin and bulging above the waistline of her pants and in fitted clothing.  She is 5’5” and 145 lbs.  She is shown before and again, 6 ½ months after abdominoplasty. 

Last four photos: Our patient is now seen one year after her surgery.  Scars have continued to fade and improve, and will typically continue to do so for another year or more. 

Discussion: Scars typically get redder for 6 weeks and then begin to soften and fade over the next 2 years or more.  Sharp eyes will notice a small vertical scar in the lower abdomen- this was the original aperture or opening around her umbilicus ( belly button) that is pulled down like a window shade after the muscles are tightened.  It is better to have the longer scar low and in a thong position with a small vertical slit if needed, instead of having the entire scar higher on the abdomen.  She is thrilled with her new shape and size.  Exparel was used to limit her reduce pain and limit need for narcotics after surgery.