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Dr. Shu has adopted a revolutionary minimally invasive approach to tummy tucks that can be safely and effectively performed as a surgical procedure completely under local tumescent anesthesia with conscious sedation. The technique, called RejuveTummy™ lipoabdominoplasty, combines two procedures—liposuction of the abdomen and a tummy tuck. Dr. Shu’s technique involves extensive liposuction and preserves the perforating vessels and Scarpa’s fascia, providing faster recovery time and better body contour with fewer complications compared to a traditional tummy tuck. By avoiding the use of general anesthesia or heavy sedation (and complications associated with this type of anesthesia), this new procedure offers an improved postoperative recovery.
The management of the belly button, skin incisions, and amount of skin removed are identical in both procedures. The tightening of the muscles can be performed with either procedure. However, Dr. Shu’s technique can remove a larger amount of fat, which can improve abdominal contour by thinning the fat layer considerably more compared to a traditional tummy tuck, while also decreasing the risks of skin necrosis. In addition, Dr. Shu’s approach does not require the use of traditional suction drains.
Performing the RejuveTummy™ lipoabdominoplasty procedure totally under local tumescent anesthesia adds additional benefits over the traditional tummy tuck:
Traditional Tummy Tuck (Abdominoplasty) | RejuveTummy™ Lipoabdominoplasty | |
---|---|---|
Anesthesia | General anesthesia With post anesthesia reaction | Local tumescent anesthesia Awake, can eat and ambulate |
Liposuction | Limited | Extensive |
Bleeding and trauma | Significant | Minimal |
Perforating vessels and Scarpa’s fascia | Not preserved | Preserved |
Abdominal suction drains | Yes | No |
Operating time | Long | Relatively short |
Recovery | Slow and long recovery | Short and fast recovery |
Post operative pain | Moderate to severe | Moderate |
Supra-pubic skin sensitivity | Less preserved | More preserved |
Safety | More complications | Fewer complications |
Incision and scar | Long | Relatively short |
Abdominal profile | Less natural | More natural and youthful |
Minimal bleeding occurs due to the vasoconstriction created by the tumescent anesthesia. Traditional tummy tucks can be associated with profuse bleeding or even blood transfusions, requiring meticulous hemostasis throughout the surgery using electrocautery (which by itself creates blood vessel and tissue heat damage).
The tummy tuck procedure will not remove stretch marks on the mid or upper abdomen, but it will shift the marks lower. A scar will extend across the lowest part of your abdomen at about the bikini line. An additional small scar will appear if the belly button requires transposition. However, these scars can be easily hidden by underwear or a swimming suit. The scars typically worsen in the first 3 to 6 months while they heal, and it takes approximately 9 months to a year before scars blend into the surrounding skin. Serious complications are rare, but there are risks to consider with every surgery.
You are at increased risk for complications if you have diabetes, poor circulation, heart, lung, or liver disease, smoke, have a family history of blood clots, or take certain medications. Morbid obese patients are not recommended for this procedure.
RejuveTummy™ lipoabdominoplasty Recovery
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