For patients who desire a flatter, more toned tummy and who find that diet and exercise alone cannot provide the results they desire, a tummy tuck may be an appropriate option. Drains after surgery are the typical method used, but drainless surgery is something to consider.
Patients often prefer the drainless tummy tuck method because drains can be irritating and cumbersome. Furthermore, it may not be possible to shower until the drains are out, which averages about five days. In addition, the scars are usually better with the drainless technique.
The downside to a drainless procedure is that, in some cases, patients may develop a fluid collection beneath the skin because there is no pathway for fluid drainage. This fluid may then result in scar tissue formation that, in some cases, requires surgical removal.
The ideal candidate for a drainless tummy tuck is someone who is in good health overall with well-controlled blood pressure, and who will not use blood thinners after surgery. If blood thinners are used, we recommend that drains be placed.
The procedure itself is very similar to a traditional tummy tuck. You will be placed under full anesthesia, and your surgeon will excise unwanted skin and fat and will then suture separated abdominal muscles back together.
The difference in technique occurs during the closure when stitches are placed between the undersurface of the lifted skin and the underlying muscle layer, effectively joining them together. As a result, there is less movement between the skin and the muscle after surgery, decreasing the chance of fluid buildup and thus eliminating the need for drains. Furthermore, there is less tension on the scar, which may produce less visible scarring.
Recovery from a drainless tummy tuck is similar to the the recovery from a traditional tummy tuck, except that showering is allowed immediately and there are no drains to deal with. Patients will still need to spend their first night at an aftercare facility. They will also need to wait two weeks before driving a car, four weeks before resuming cardiovascular workouts and six weeks before returning to weight training and other strenuous forms of exercise.
Scarring for a drainless tummy tuck is very similar to the scarring you experience with a traditional tummy tuck. Typically, this means a low scar across the abdomen, as well as another, smaller scar around the belly button. The drainless method does eliminate some tension from your scar, which often results in a scar that heals better and is less noticeable.
The end results are essentially the same as with a traditional tummy tuck, with a tighter and more toned abdominal area. A tummy tuck is unlikely to change the number you see on the scale, but it can produce notable, natural-looking improvements to your body contour.