ARE YOU A CANDIDATE FOR ABDOMINOPLASTY?

Abdominoplasty is most beneficial for men or women who are bothered by a large fat deposit
or loose abdominal skin that won't respond to diet or exercise. The surgery is particularly
helpful to women who, through multiple pregnancies, have stretched their abdominal muscles
and skin beyond the point where they can return to normal. Loss of skin elasticity in older
patients, which frequently occurs with slight obesity, can also be improved.

Diet and exercise should be implemented weeks before surgery and a steady weight
established.  Not only will weight loss improve your overall result after surgery but will also
decrease your risk of experiencing a complication.  Women who plan future pregnancies
should wait because of stretching the muscles of the abdominal wall.


ALL SURGERY CARRIES SOME UNCERTAINTY AND RISK

Abdominoplasty is a commonly performed operation which may result in dramatic
improvements; however, every surgery inherently carries potential risks and complications.

Post-operative complications such as infection and blood clots are rare, but may occur.
Infection can be treated with drainage and antibiotics, but may require a hospital stay. You can
minimize the risk of blood clots by walking as soon after the surgery as possible.

Poor healing, which results in conspicuous scars, may necessitate a second operation.  
Because of the dramatic increase in the risk of complications, smokers must stop at least 4
weeks prior to surgery.

You can reduce your risk of complications by closely following Dr. Baroody's instructions
before and after surgery, especially with regard to when and how you should resume physical
activity.


PLANNING YOUR SURGERY

During your initial consultation, Dr. Baroody will evaluate your general health, evaluate the
strechmarks/abdominal scars, determine the extent of subcutaneous fat in your abdominal
region, and asses underlying muscle weakness.  Be sure to inform Dr. Baroody of your past
medical/surgical history, all medications you are taking, allergies to medications, and history of
tobacco use.

According to your anatomy, the most appropriate body contouring procedure(s) will be
recommended.  Whether you would most benefit from liposuction alone, abdominoplasty
with/without liposuction, or a mini-abdominoplasty with/without liposuction, Dr. Baroody will
weight the potential results against the risks to offer the procedure right for you.

During the consultation, Dr. Baroody will discuss the anesthesia, facility, and the costs involved.


PREPARING FOR YOUR SURGERY

You will be given specific instructions on how to prepare for surgery, including guidelines on
eating and drinking, smoking, and taking or avoiding certain vitamins, and medications.

If you smoke, you must quit at least four weeks before your surgery and not to resume for at
least four weeks after your surgery. You must also avoid second-hand smoke.  If you smoke or
develop a cold/infection of any kind, your surgery will most likely be postponed.

Whether your surgery is performed on an outpatient or inpatient basis, you should arrange for
someone to drive you home after your surgery, and to help you out for a day or two after you
leave the hospital, if needed.


LOCATION OF THE SURGERY

Dr. Baroody performs the procedure in both the hospital and outpatient settings.  
Abdominoplasty may be performed in New Milford Hospital, Naugatuck Valley Surgery Center,
or the Ridgefield Surgery Center in Ridgefield, CT.


TYPES OF ANESTHESIA

Dr. Baroody performs the procedure under general anesthesia and will numb the abdomen
prior to awaking.  Dr. Baroody has also written scientific papers and has given presentations
on the use of pain pump catheters which slowly infuses numbing medication (like Novacaine)
onto the abdominal wall for 2 days after surgery.  The use of this catheter is also an option for
those concerned about postoperative pain.


THE SURGERY

A standard abdominoplasty usually takes 2-4 hours, depending on the extent of work required.
 Mini- abdominoplasty may take an hour or two.

Most commonly, the incision will be from hipbone to hipbone, just above the pubic area. A
second incision is made to free the navel from the surrounding tissue. With
mini-abdominoplasty, the incision is much shorter and the navel may not be moved, although it
may be pulled into an unnatural shape as the skin is tightened and stitched.

Next, Dr. Baroody elevates the skin from the abdominal wall all the way up to your ribs and lifts
a large skin flap to reveal the vertical muscles in your abdomen. These muscles are 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 pulled down and the extra skin is removed. The navel is then brought up
through the skin flap and stitched in place. Finally, the incisions will be closed with absorbable
sutures, dressings will be applied, and two temporary tubes will be inserted to drain excess
fluid from the surgical site.

During a mini-abdominoplasty, the skin is separated only between the incision line and the
navel. This skin flap is pulled down, the excess is removed, and the flap is stitched back into
place.


AFTER YOUR SURGERY

For the first few days, your abdomen will be swollen and you're likely to feel some pain and
discomfort which can be controlled by medication and an optional pain pump catheter.
Depending on the extent of the surgery, you may be released within a few hours or you may
have to remain hospitalized overnight.

You may only sponge bathe during the first week the drains are in place.  And though you may
not be able to stand straight at first, you should start walking the night of surgery.


GETTING BACK TO NORMAL

It may take you weeks or months to feel like your old self again. If you start out in top physical
condition with strong abdominal muscles, recovery from abdominoplasty will be much faster.
Some people return to work after two weeks, while others take three or four weeks to rest and
recuperate.

Exercise will help you heal better. Even people who have never exercised before should begin
an exercise program to reduce swelling, lower the chance of blood clots, and tone muscles.
Vigorous exercise, however, should be avoided until you can do it comfortably.

Your scars may actually appear to worsen during the first three to six months as they heal, but
this is normal. Expect it to take nine months to a year before your scars flatten out and lighten
in color. While they'll never disappear completely, abdominal scars will not show under most
clothing, even under bathing suits.


YOUR NEW LOOK

Abdominoplasty, whether partial or complete, produces excellent results for patients with
weakened abdominal muscles or excess skin. And in most cases, the results are long lasting, if
you follow a balanced diet and exercise regularly.

If you are realistic in your expectations and prepared for the consequences of a permanent
scar and a lengthy recovery period, abdominoplasty may be just the answer for you.
Abdominoplasty, known more commonly as a "tummy tuck," addresses three main aspects of
the abdomen; skin, subcutaneous fat, and the muscles of the abdominal wall.
ABDOMINOPLASTY
CONSENT, INSTRUCTIONS
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Abdominoplasty
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10 South Street . Suite 204 . Ridgefield, CT
46 Federal Road . Danbury, CT
203.790.5700
Plastic surgeon Michael Baroody, MD offers a variety of plastic surgery
procedures. Dr. Baroody's practice is located in Danbury, and Ridgfefield, CT and
serves both Fairfield and Litchfield Counties. The doctor specializes in
forehead
lift, eyelid surgery, rhinoplasty, facelift, neck liposculpture, liposuction, breast
augmentation, breast lift, tummy tuck, and others as well as a variety of
reconstructive procedures. Examine the website and learn more about Dr. Baroody
and the various services provided.
Financing options available.

10 South Street . #204 . Ridgefield, CT 06877
46 Federal Road . Danbury, CT 06810 . Phone: (203) 790-5700