San Francisco Bay Area Tummy Tuck (Abdominoplasty)
|Procedure:||About 60 to 90 min|
|Recovery:||2 weeks minimum
If heavy lifting is needed, can be up to 6 weeks
|Anesthesia Type:||General or Epidural Anethesia|
Arrange childcare in advance
Refrain from climbing stars for a few days
|Commonly Combined with:||Liposuction of Back/Waist
Breast Lift/ Buttock Lift
A Tummy Tuck (Abdominoplasty) is designed to smooth and flatten the abdomen by excising excess skin, fat and tightening the abdominal wall. Dr. Delgado offers the option of a waist enhancement technique that tightens additional musculature (the external oblique fascia) around the waist. This procedure trims and sculpts the waistline and improves the shape of the upper buttocks as a bonus.
Ideal Candidate for a Tummy Tuck
A Tummy Tuck is appropriate for men and women who are in good health and have any combination of loose abdominal skin, excess abdominal fat, or lax abdominal musculature.
A patient may be a candidate if she has any of the following:
- Excess or loose, hanging abdominal skin, either from weight loss or pregnancy.
- An abdomen that protrudes unnaturally and out of proportion to the rest of the body.
- An abdominal muscle compartment that has been weakened by pregnancy or aging.
- Excess fat that is concentrated beneath the abdominal skin.
Tummy Tuck Surgery & Recovery
The tummy tuck surgery is performed through a horizontal incision made toward the hipbone. Dr. Delgado uses an anesthetic technique that decreases your risk of nausea, and enables you to recover faster and go home the same day. You will have to wear a girdle for 6 weeks after surgery, and will have a small drain that collects in a plastic reservoir for 4-7 days. Expect discomfort for the first 3 days. At one week, most patients feel quite well. We recommend 2 weeks off of work, as you need to feel comfortable. The only restrictions at 2 weeks are no heavy lifting or straining. By 6 weeks, you can do abdominal crunches.
You will have several post-op visits the first week, as this is the crucial healing time, and quite a few more throughout the year. Staying bent at the waist during the first week is important to healing a fine line scar. The results are dramatic and long lasting. Most patients find that a flatter and firmer abdomen boosts his/her confidence and makes them feel more confident in clothing. Unless a significant amount of weight is gained or lost, a patient can expect to retain his or her new shape for many years. Contact Dr. Delgado to schedule your consultation today!
Frequently Asked Questions
About Tummy Tuck Surgery
1. How is a tummy tuck performed?
During an abdominoplasty, Dr. Delgado makes a horizontal incision across along the lower abdomen, staying inside within the underwear coverage area line. The underlying muscle is tightened like a corset. Excess skin is pulled down and meticulously trimmed and the incision line is sewn closed. The belly button (navel) does not change from its original location in the abdomen, but it is pulled through a tiny incision made in the newly tightened abdominal skin. Tiny sutures reaffix it to the skin surface, resulting in a flat reset as an “innie” style belly button (navel).
2. What can I expect during my initial consultation?
Dr. Delgado sees patients for consultations in both his offices, with one being located in San Francisco and the other being located north of the Golden Gate Bridge, in the city of Novato, in Marin County. He sees patients in both locations for consultations. In your initial consultation, Dr. Delgado will inquire about your concerns and goals, both short-term and long-term. Dr. Delgado, in addition, will confirm that you are certain you will not become pregnant in the future. This is because the procedure is intended only for patients who have completed childbearing or have no intentions or ability to become pregnant in the future. Dr. Delgado will perform a physical examination to assess the degree of your skin laxity, determine any slackness in the belly button and your abdominal wall and evaluate the appearance of the belly button (navel). He will show you an outline of where the incisions will be located and how long they would be. Dr. Delgado will have the opportunity to review before and after photographs of patients that he has performed surgery on so that you have an impression of his artistic work and talent. You will be presented with a DVD that shows patient testimonials as well as a DVD of a patient’s total experience. An exact price quote for your procedure will be prepared and given to you the day of your consultation for review.
3. Is there anything I need to do to prepare for surgery?
The most important preparation you need to make is to prepare your family (or friend caregiver) and your home for your recovery. Make it as comfortable and uneventful as possible. Initially, your family/caregiver will be required to help you initially get in and out of bed and to and from the bathroom. You will need them to prepare food for you and assist you with your medications. If it is your habit to smoke, you need to discontinue this entirely. This needs to be stopped at least four weeks prior to surgery as smoking significantly impedes normal healing and can compromise your final results. Dr. Delgado and his staff will explain all the elements for the blood clot prevention program, which is a pro-active educational process designed to help prevent the serious complications of blood clots and thromboembolism. Prior to surgery, it is important to avoid all blood-thinning products that inhibit the blood’s ability to clot. These products include all non-steroid anti-inflammatory medications (e.g. Advil, aspirin, Motrin, Aleve, ibuprofen) and medications containing aspirin. Fish oil and certain herbal supplements need to be avoided for the same reason. Dr. Delgado will be providing a 20-page information booklet with these and other details to help you prepare for surgery.
4. How long does the procedure take?
It takes approximately four to five hours. Often times, liposuction is done at the same time, which takes an additional hour or so. It also depends on if there is a waist-enhancement procedure performed, which takes more time as well. The length of time also depends if there are additional procedures, such as breast surgery; much like a Mommy Makeover. Dr. Delgado will be able to give you a fairly accurate time for your surgical procedure.
5. What type of anesthesia is administered?
Abdominoplasty surgery requires general anesthesia. An LMA (or laryngeal mask airway) is a new, state-of-the-art technique that allows the patient to breathe unassisted during the procedure. Short acting anesthesia medications are given to maintain an adequate, but light level of general anesthesia. This allows the patient to awaken very quickly at the end of the procedure. However, with a Tummy Tuck procedure, it is required that a short period of paralysis is performed, so that the abdominal muscles can be adequately tightened. This, again, is a short-acting paralysis, which quickly wears off before the procedure is concluded. Unless the muscles are in a relaxed state, this cannot be adequately accomplished. The anesthesiologist manages the patient’s breathing during this short phase. For most of the procedure, however, the patient breathes on their own.
6. Will I be able to return home the same day?
Most patients are able to return home the day of surgery. Significant advances have been made regarding the early postop recovery with the addition of the long acting Exparel directly into the surgical site for three to four days following surgery. This greatly reduces the amount of discomfort during the early postoperative period. However, if other procedures are added, an overnight stay may be required for safety and pain management.
7. When can I return to work?
You will be able to return to work and most other activities within two to three weeks following your procedure. However, intense exercise and other strenuous activities should be avoided for at least six weeks to avoid unnecessary swelling and excessive stress on freshly healed structures. Driving generally can be resumed usually within reach in seven to ten days.
8. How significant are my scars following my procedure?
All surgical procedures leave incisional scars. Dr. Delgado understands that you want these scars located in the most inconspicuous areas, so that regular clothing will conceal them. The scar is located low on the abdomen, just above the pubic hairline on most patients. The scar traverses from hipbone to hipbone. The exact length of the scar will depend on how much extra skin is to be removed. The scars can be easily hidden with clothing and will significantly blend into your skin tone over the subsequent year. Women tend to wear a large variety of clothing styles and they can opt to have a lower or higher incision.
9. Will I be able to have children after an abdominoplasty?
We recommend that the childbearing years be completed. The internal tightening of the muscles could adversely affect a future pregnancy and, therefore, pregnancy is highly discouraged following a Tummy Tuck. We do not recommend it.
10. How can I tell if I am a good candidate
Many women, after childbearing years, require a Tummy Tuck to reclaim their pre-pregnancy bodies. The results of pregnancy can cause irreversible stretching, increased laxity of the skin, increased muscle laxity around the mid torso region and unwelcome increased fat deposits. A patient may best benefit from a Mommy Makeover, which, in addition to an Abdominoplasty, includes breast surgery and liposuction. This has become a very popular surgery combination. Other patients who are good candidates are patients who lose a large amount of weight, resulting in excess skin, which responds extremely well with a Tummy Tuck procedure.
11. What is the cost of tummy tuck surgery?
The cost of tummy tuck surgery is about $12,000. That includes Dr. Delgado’s professional fee, Esperal for pain control, Marin Cosmetic Surgery Center fee, the anesthesiologist’s fee and all follow up care. It may be more if additional procedures are added such as; waist enhancement and additional liposuction. At the time of your consultation you will be given a detailed estimate of all your surgery fees.
Additional Before & After Photos
This is a 45-year-old, San Francisco, California resident who presented to the San Francisco Bay Area office at Union Square for evaluation for a tummy tuck. She is a mother of two children and underwent C-sections for her children. She underwent a full tummy tuck with liposuction of her back, flanks and medial thighs for a total of 1875 cc of fat removed. Her procedure was performed at the Marin Cosmetic Surgery Center in Marin County, California.
*Results May Vary.
This is a 30-year-old resident of Greenbrae, California who presented to the Novato office in Marin County for evaluation for a tummy tuck. She is a mother of two children. She is 5 feet tall and weighs 124 pounds. She underwent a tummy tuck with the waist enhancement procedure as well as liposuction of the back, flanks and upper hip region. She had 4200 cc of fat aspirated. Her surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the nice, slim silhouette of her waist and the effect of the waist enhancement procedure to her tummy tuck.
*Results May Vary.
This is a 39-year-old resident of San Rafael, California who presented to the Marin Bay Area office for evaluation for a tummy tuck. She is a mother of four children. She is 5 feet tall and weighs 112 pounds. She underwent a breast augmentation using Mentor 300 cc, normal-saline breast implants with a full tummy tuck and liposuction of her flanks. The tummy tuck and liposuction were performed two months after the breast augmentation for completing her Mommy Makeover procedures. Her surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the slim contour of her waist.
*Results May Vary.
This is a 39-year-old resident of San Rafael, California who presented to the Novato, California office for evaluation for a tummy tuck. She is a mother of four children. She is 5 feet tall and weighs 112 pounds. She underwent a breast augmentation using Mentor 300 cc, normal-saline breast implants with a full tummy tuck and liposuction of her flanks. The tummy tuck and liposuction were performed two months after the breast augmentation for completing her Mommy Makeover procedures. Her surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the slim contour of her waist.
*Results May Vary.
This is a 45-year-old resident of Napa County, California who presented to the Novato office in Marin County for evaluation for a tummy tuck. She is 5 feet 5 inches tall and weighs 135 pounds. She is a mother of two children. She underwent a full tummy tuck and tumescent liposuction of her flanks. Her surgery was performed at Marin Cosmetic Surgery Center in Marin County, California. Note the nice, thin, natural appearance of her midsection and the nicely proportioned belly button.
*Results May Vary.
This is a 49-year-old resident of Petaluma, California who presented to the Novato office location in Marin County for evaluation for a tummy tuck. She has three children, two of which were a set of twins. She is 5 feet 7 inches and weighs 150 pounds. She underwent a C-section. She has undergone a full tummy tuck and liposuction using ultrasonic liposuction of her flanks. Her surgery was performed at Marin Cosmetic Surgery Center in Marin County, California.
*Results May Vary.
Disclaimer: Results may vary depending on patient condition and specific needs.