Abdominoplasty (Tummy Tuck)
in Paramus, NJ
The quest for a flat stomach. It’s almost mythical when you think about it. Between the millions of infomercials touting “six-pack abs,” the questionable fat-burning supplements, and the good old-fashioned crunch there’s somewhat of a national obsession with flat stomachs.
But, unless you quit your job and submit yourself to the commands of some sadistic personal trainer, most people just can’t get their stomach area flat. And if you’ve had children, it’s virtually impossible due to the sagging skin and muscles that have been over-stretched for too long.
That’s where a tummy tuck with Dr. Ferraro comes in. A tummy tuck gives patients a flatter, firmer, smoother profile in the abdominal area.
Would a tummy tuck (Abdominoplasty) help me?
Tummy tucks, clinically known as abdominoplasty, are really all about skin and muscle in the abdomen. Once over-stretched, this skin and muscle won’t rebound, no matter how much exercise the person does. Plus, our skin loses some of its elasticity as we age. Women and men both can benefit from a tummy tuck. Pregnancy is the most common event that leads to a woman wanting a tummy tuck. In men, loss of a large amount of weight can create the same saggy stomach.
A good candidate should be at a healthy, stable weight because additional weight loss can create more sagging skin. Also, if a woman plans on having additional children, a tummy tuck should be postponed until after that event because the weight gain and loss will negate the results of the tummy tuck.
What is the difference between a tummy tuck and liposuction?
If a patient is choosing between these two procedures, the difference comes down to loose skin. If a patient has a lot of loose skin, due to weight gain and loss or just the natural slackening from aging, then that skin will need to be pulled down and the excess skin removed. Underlying muscles will be tightened. That is the basis of a tummy tuck.
However, if pockets of stubborn fat are the problem, rather than stretched, loose skin, then all that is needed is liposuction to remove those pockets of fat. It’s also important for liposuction patients to still have good elasticity in their skin, so it can tighten back down after the fat has been removed.
In reality, most tummy tuck procedures with Dr. Ferraro also involve some degree of liposuction; it is simply a more efficient way to remove fat pockets. But with a tummy tuck, skin excision and muscle tightening are the main facets of the procedure.
"You're in good hands with Dr. Ferraro. I'm so glad I chose him. He has a great bedside manner and his whole staff was really nice and caring. He stays in touch and is easy to get in contact with. He is highly skilled and super safe. I was a tougher case but he exceeded my expectations and I'm really happy with the results! You can trust he will do what's best for you." -Tracey
The TUMMY TUCK (ABDOMINOPLASTY) procedure
With a tummy tuck, there are two options, a full tummy tuck or a mini. Which option is right for you depends on the amount of loose skin and its location. In a full tummy tuck, two incisions are made. The first incision runs from hipbone to hipbone, usually running along the pubic hairline. The goal is to be able to cover the scar with a bathing suit. The second incision is made at the belly button. Once the skin is separated from the underlying muscle, the abdominal muscles are pulled together and stitched into place to make the abdomen firmer and to narrow the waist. Next, the skin is pulled downward, excess skin is trimmed away, and the navel is reattached in a natural position.
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In a mini tummy tuck, only a single incision is made. The location is dependent on where the patient has the loose, sagging skin.
Disclaimer: Results and patient experience may vary
TUMMY TUCK (ABDOMINOPLASTY) Recovery
Since abdominoplasty involves incisions in the abdomen and movement of muscle fiber, recovery is not simple. Dr. Ferraro uses Exparel during tummy tuck procedures to limit pain after surgery. Still, there will be pain and swelling for a few days after surgery. You will have residual soreness for weeks, possibly months. Obviously, any lifting or strenuous activity of any sort will have to wait for six weeks to not stress the newly placed muscle and skin.
How should I care for my incisions post-surgery?
Dr. Ferraro will instruct you on showering and your incisions. Once your dressings come off, you will still have steri-strips over your incisions. Leave these alone, just patting them dry after showering. They will come off on their own when ready.
You’ll have to be sure not to stress your incisions. For the first few days after surgery, your abdomen will feel tight and you’ll walk somewhat hunched over. To not stress your incisions, you cannot lift anything over a few pounds or perform strenuous exercise for at least six weeks.
As for the incisions, they will darken initially as the body creates new collagen fibers to fill and close the wounds. This will make your scars darker, thicker, and somewhat more prominent for anywhere from 3-6 months. This can make you depressed, but they will lighten, so you need to be patient. Once the body has formed enough collagen at the wound site, some it will break down and the blood supply decreases. Now the scar will become lighter, thinner, and flatter. This can take one to two years.
There are a couple things you can do for the actual incision scars. Once the incision has fully closed and is no longer covered with any scabs, you can apply topical treatments. The best options include silicone. Silicone can help the skin in the area hydrate normally, and it can help to preclude the body sending excess collagen to the scars.
Keep your skin well moisturized, but only after your incisions have fully closed. Doing so early can prevent incisions from closing properly and increase your risk of infection.
Keep sun off your scars. UV exposure makes scars darker and thicker. It’s best to cover them with clothing to really protect them.
Warning Graphic Material, actual Abdominoplasty surgery
See What Our Patients Are Saying:
"Dr. Ferraro is a wonderful doctor and I am extremely happy with my surgery. He came recommended from professionals in the medical field and I am very pleased with the whole process. He does not hesitate to answer any questions that you may have to make you feel more comfortable about your surgery. Also, the recovery period was much better than I had anticipated because of Dr. Ferraro's expertise. I highly recommend Dr. Ferraro. He is very patient friendly."
Tummy Tuck FAQs
Is there anything special I need to do to prepare for this procedure?
Ideally, it’s wise to maintain a stable weight for 12 months prior to having a tummy tuck. You don’t want to lose significant weight after the procedure, as this will diminish your results, so Dr. Ferraro advises his overweight patients to lose the weight before you have this procedure.
You’ll have to stop smoking and taking certain medications, but those actions apply to all surgeries. Because you won’t be able to lift more than just a few pounds, you should plan on having someone not only drive you home, but stay with you for at least the first night or two of your recovery.
Do I need to rest after surgery?
Yes, we ask you to really consider two to three days of limited activity.
When can I drive?
Most patients can drive three or four days after an abdominoplasty.
Can I use that pain reliever everyone is talking about?
Yes, I use Exparel to keep you from having significant pain after an abdominoplasty. It is a long acting anesthetic that will allow you to have less pain after the procedure and you will use less narcotics. The medication is injected while you are under anesthesia and can last three days. It will facilitate your recovery because you will be more comfortable and move more quickly.
Am I going to have drains?
Dr. Ferraro uses drains for breast reduction and abdominoplasty procedures. They will come out at two to three days depending on what procedure you have had done.
How long do the drains stay in?
Most of the time I take the first drain out six days after surgery, then the second drain out on day seven. They are removed in the office.
How long do I have to wear the binder/garment?
In general, the longer you wear the garment the better your result. Most patients will wear the binder for two weeks, then switch into a secondary garment more consistent with a girdle. Most patients wear the garments for a total of 4-6 weeks, but some use it longer and have the best results. The compression garments play a big role in your recovery and serve to improve the final result.
Can I order a second garment?
Yes, my staff will assist you with the second garment size, style, and color.
Will I look like that picture on Vanity Fair Magazine?
Realistic expectations are important to understand. The pictures we see on social media and print ads are photo shopped but you will be flatter and much improved.
Will the swelling go down? Are the areas to the sides of my incisions going to flatten out?
The swelling or edema will take up to one year to go away. The area to the side of the abdominoplasty incision is elevated on the hip so it will be more raised than the front.
When can I work out?
Dr. Ferraro asks his patients to wait one month before physical activity.
Will I Need help with my kids after surgery?
Yes, try to arrange help for two to three days, depending on the procedure.
How soon will I see results after a tummy tuck?
You will see immediate changes after this procedure. Your stomach pooch will be gone and your contour much slimmer. There isn’t much swelling in the area, but you have to walk a little hunched over and the skin of your abdomen will feel tight. You will be in a compression garment for at least a couple of weeks, so you won’t really see your stomach contour until those garments come off full time.
When do I start the scar cream and is there anything else I can use along with it?
We use a scar cream that resembles a liquid bandaid. You will begin to apply the cream to the incision site at four weeks and use it for three months. You will use it once per day and apply moisturizer as well.
Where do I get the scar cream?
We have the scar cream for you in the office.
Can I combine a tummy tuck with other procedures?
Tummy tucks can be combined with other procedures with Dr. Ferraro. Often, after a woman has her abdomen tightened after childbirth, she can then feel as if her breasts sag as well. Rather than having a separate procedure for a breast lift, it can be combined with a tummy tuck. Liposuction is often a part of most tummy tuck procedures, but it can be extended to the thighs and buttocks when combined with a tummy tuck. Thigh lifts and butt lifts can extend the contour improvements to these areas, as well.
How long do the results of a tummy tuck last?
The results from your tummy tuck are permanent. After all, excess skin and fat have been removed and your abdominal muscles likely will have been pulled together and stitched into place, narrowing your waist. These are permanent changes, and you’ll love your new contour. As long as you maintain a healthy weight and incorporate exercise into your life, your firmer, slimmer abdomen will endure. Of course, there will still be some slackening of the muscles and tissues in the area, but this will be very minor compared to where you were before the procedure with Dr. Ferraro.
Are the results of a tummy tuck permanent?
The excess skin and fat that are removed are gone for good. The repositioned muscles will always be tighter and give you a slimmer contour. Will your body still age and your stomach skin and muscles slacken? Of course. But they will do so from a far better starting point, having lost the looseness and pooch that had developed.
The best way to enjoy your tummy tuck for the rest of your life is to maintain a healthy weight and to incorporate exercise into your daily life. If you do this, you’ll keep your slimmer contours for the duration.
What if I need additional surgery?
Dr. Ferraro and his staff are here to support you throughout your recovery period. Problems are rare, but if they occur you will be treated appropriately and the costs will be minimized if at all.
Will a tummy tuck remove my stretch marks?
This is a big “maybe.” If your stretch marks are on skin that is trimmed in the surgery, then they will obviously be addressed, as the skin will be removed. However, if the stretch marks are outside of that trimmed skin they will not change due to this surgery.
What are the risks involved with a tummy tuck?
Abdominoplasty is major surgery, and the procedure involves the same risks as with most any surgery: reaction to anesthesia, poor healing, continued bleeding, and danger of infection. The procedure with Dr. Ferraro involves very low rates of complication or risk. However, it’s important to remember there will be a major scar involved. Dr. Ferraro places the incision at a height that can be hidden under panties or a bikini bottom. Over time, the scar will fade. There can also be some changes in skin sensation affecting the sensory nerves in the abdominal area. This usually resolves in the months after your procedure.
Will my belly button look the same after a tummy tuck?
The appearance of your belly button will not change. For instance, if you have an inner directed belly button, it will stay that way. However, depending on the extent of your tummy tuck with Dr. Ferraro, he may need to move your belly button higher, due to the skin he removes.
"Dr Ferraro is amazing! He is very attentive to my concerns and address them with facts and great care. Since my surgery he has taken care of my with professionalism. I have recommended Dr. Ferraro people I know that is interested in have this type of surgery. I am happy with his work and I look stunning! You are in good hands with Dr. Ferraro and his staff." - R. Gibbs
When is the best time to get a tummy tuck?
There are two aspects to this question. First could be eligibility timing. Dr. Ferraro requires his tummy tuck patients to be sure they do not want to have any additional children. Doing so will stretch the incisions and negate all of the benefits of this procedure. Also, patients need to be within 10 percent of their ideal body weight before they should have a tummy tuck.
As for timing, our New Jersey winters are a great time for your recovery from this procedure. You can lay low, gradually increasing activity, and you don’t need to be outside. If you can schedule a tummy tuck in the late fall or early winter, you’ll be healed and your scars will begin the process of lightening by the time summer rolls around.
At what age do people typically get tummy tucks?
Age really isn’t the determinant with this procedure: it is really about the degree of sagging in your lower abdomen, regardless of your age. Younger people may have gained and lost weight or had a couple children, and now they have a noticeable loose tummy that won’t tighten back up. Or an older person may simply not like the pooch in his or her stomach area that has developed due to the muscles and support tissues slackening with age. Age is not relevant with this procedure, as long as the patient is in good overall health.