Make sure you answer our DVT questions honestly. Deep Vein Thrombosis (DVT) – This is a blood clot in the leg which can spread to the lungs.This is usually from too much activity (movement, riding in cars or busses). Seroma – A collection of fluid under the skin after the drain is removed.Numbness in skin sensation – very common in the lower abdomen.You MUST stop smoking 4 weeks prior to, and after, surgery. Wound healing Issues – More common if you smoke.Unsightly scarring – This can happen, especially if you have a history of bad scars, however, most people will take the scar as long as their abdomen is flat.In addition to the usual risks associated with surgery and anesthesia, risks associated with abdominoplasty include the following: If you gain weight or get pregnant, you will ruin the result to some degree. Maintaining your weight with a balanced diet and regular exercise provides long-lasting results. Scar treatment with Embrace ( is recommended for 6-8 weeks. Abdominoplasty leaves a scar spanning the lower abdomen from hip to hip, although it is low enough to be concealed by a bikini. You can go back to the gym at about 4 weeks EXCEPT for no abdominal exercises for 6 weeks. By the third week, you may be able to go back to work. The first week you are in bed or a recliner chair (very helpful) and get up to eat and go to the bathroom, The second week, you are up and around the house, but not doing any work. It does cost extra ($500), but it makes you much more comfortable. That is why most patients choose to have a new long-acting pain medication (Exparel) injected at the time of surgery. The surgery, however, can hurt – especially the first 4-5 days. They are annoying but don’t hurt much at all. Most patients have 1 to 2 drains under the skin for 1 to 2 weeks. The incisions are then closed, and sterile surgical dressings are applied over the sutured areas. The skin flap is then stretched down over the newly tightened muscles, excess skin is removed, and the navel is reattached where it looks natural. Skin is separated from the abdominal muscles, which are then pulled together and stitched into place for a firmer abdomen and narrower waist. Two incisions are usually made: one from hipbone to hipbone close to the pubic area, and another around the navel. Abdominoplasty takes approximately 3 to 4 hours to perform.
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