Maryland Tummy Tuck Surgeon – Dr. Summers Baltimore, Annapolis
At the Maryland Plastic Surgery Center, Dr. Adam Summers offers Annapolis and Baltimore tummy tuck patients the opportunity to achieve a flatter, smoother abdomen and trimmer waistline. Dr. Summers is exclusively sought out by many tummy tuck patients from Annapolis, Baltimore and the region because he has become known for achieving wonderful results with minimal downtime. In fact, most of his patients find that they are able to walk immediately without assistance and that their pain is controlled with ibuprofen alone after 2 days. He combines his surgical expertise and extensive medical training to perform this procedure for Maryland abdominoplasty patients from across the state. Below, Dr. Summers describes the tummy tuck procedure.
Tummy Tuck Introduction:
Sometimes simply dieting and exercising are not enough to take care of waistline problems. In such cases, Dr. Summers has helped many Baltimore tummy tuck patients remove excess skin and fatty deposits from their abdomen and reposition their abdomen muscles for a tighter formation. If you are considering a tummytuck (or abdominoplasty) procedure, Baltimore and Annapolis abdominoplasty patients have found that Dr. Summers’ techniques consistently help patients achieve their goal of a flatter and tighter stomach. The abdominoplasty procedure can also repair a condition known as a “diastasis recti”, where there is a separation between the vertical abdominal muscles (this typically occurs following pregnancy).
Many factors affect the contour of your abdomen. Childbirth can stretch abdominal muscles to an extent that is uncorrectable with exercise. Excess fat deposits may produce undesirable bulges or fullness, and loose skin following childbirth or weight loss may result in an unattractive abdomen.
In women, pregnancy causes significant stretching of the tissues of the abdomen. After delivery, you may be able to exercise to recover the tone in the muscles themselves, but the fascial tissues (the layer of tissue which interconnects the muscles), does not respond to this effort. Stretching or looseness of the lower abdominal tissues creates bulging, which you cannot correct with exercise.
As fat is lost beneath the skin of your abdomen, especially after significant weight loss, the tissues may become much looser and may actually hang downward. Skin also does not respond to any type of exercise; however, excess loose skin can be removed during tummy tuck in Maryland.
Even in individuals who are not overweight, localized deposits of fat can occur in areas of the abdomen, producing an undesirable contour. If fat deposits are the only contour problem, they may be correctable with liposuction alone. However, if stretched musculature or loose skin is present, an abdominoplasty is necessary to achieve the best result.
An abdominoplasty can achieve the following: it reshapes the underlying framework of the abdomen to firm the abdominal wall, removes excess fat deposits that may be present, eliminates excess loose skin to produce a flatter, more youthful abdomen, and removes some (and occasionally all) “stretch marks”.
During your consultation at the Maryland Plastic Surgery Center, Dr. Summers will ask you about the areas of your abdomen that concern you. He will specifically explain which components of an abdominoplasty will be necessary to achieve the best contour, and describe the type of changes you may hopefully achieve.
If you are significantly overweight, you’ll get a much better correction if you achieve a more ideal body weight before your abdominoplasty. There is a limit to the amount of fat and skin that can be safely removed during the procedure.
To reshape the underlying musculofascial framework and remove excess skin, incisions are necessary. Incisions are placed low on the abdomen, and their length depends on the amount of correction you require. In most cases, it is necessary to reposition or reshape your umbilicus (belly button). Dr. Summers will discuss the specifics of the incisions during your consultation in Baltimore.
Any incision will produce a scar. The quality of these scars depends on several factors — most importantly your own specific healing characteristics. You should think of scars as a worthwhile trade-off for significant improvement in the shape of your abdomen.
An abdominoplasty cannot change the underlying skeleton and is limited by how much the muscles can be tailored. Limitations are present. Risks associated with abdominoplasty are generally very small. We want to provide you the best information so that you’ll be well informed in making your decision. At his elegantly appointed tummy tuck Maryland office, Dr. Summers will discuss any specific limitations during your consultation.
The skin and fat are first lifted off the underlying musculature of the abdomen. If the fascia (the tissue that interconnects the muscles) is stretched, he will tighten it by placing multiple rows of sutures. In essence, the underlying framework of the abdomen is reshaped. The skin and fat are then pulled downward, and the excess is removed. Due to the amount of skin that generally must be removed, it is usually necessary to make an incision around the umbilicus (belly button).
Tummy tuck Maryland patients who have a “pouch” or loose skin below the belly-button, but with otherwise good abdominal contour and skin quality, may be good candidates for a mini tummy-tuck. In this procedure, a smaller incision is made above the pubic line and excess skin is removed and the lower abdomen is tightened. There are no incisions around the belly-button and upper abdominal tightening is not performed. A mini tummy-tuck may be safely combined with more aggressive liposuction of the abdomen, if needed.
All of your incisions will be carefully closed with sutures placed beneath the skin, so there is no chance of having “railroad track” marks — this encourages the formation of very fine-line scars. To minimize fluid collection and swelling, and to improve your comfort in the treated areas, you will wear an elastic garment (which we provide) for three weeks (or more) after surgery. Typically, the procedure takes 3 hours to perform.
It’s important to be up and about the day following your procedure. How much activity we recommend depends upon the specific procedure required to reshape your abdomen.
Bruising and swelling resolve: 7-21 days
Return to work, social activity: 5-14 days
Aerobic or strenuous activity: 3-6 weeks
We encourage you to be active, but to adhere to the limitations we prescribe. To assure the best result and to prevent damaging the reshaped areas, we will tailor your activity accordingly.
It may take up to a year for the body to completely adapt to the new abdominal configuration. With proper diet and exercise the striking results of the surgery will be long lasting.
Baltimore, Maryland tummy tuck patients may also benefit from liposuction, a procedure that can help remove fatty deposits that are unresponsive to dieting and exercise. Baltimore liposuction patients enjoy a slimmer figure and a more sculpted physique. To learn about how Dr. Summers has helped Annapolis and Baltimore, Maryland liposuction patients achieve a tighter figure, please visit our liposuction page. Other body contouring procedures Dr. Summers might perform in conjunction with tummy tuck include body lift and breast augmentation in Maryland. Please explore the respective pages to learn more about these treatments.
Frequently Asked Questions About Tummy Tuck in Maryland:
Click on a question below to see the answer.
The second consultation is designed to give you an opportunity to ask any additional questions and to make sure that you fully understand all of the pre-operative requirments, post-operative restrictions and potential risks and complications of the abominoplasty procedure. The informed consent documents will be reviewed in detail, photographs will be obtained, laboratory work and a medical clearance (if necessary) will be requested, prescriptions will be written, a surgical date will be selected and a deposit will be collected. We will also give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, avoidance of smoking, and the use or avoidance of certain vitamins and medications.
Note: patients with stria (stretch marks) above the umbilicus (belly button) may notice that the skin below the belly-button loosens up several months after surgery. This is because the skin is damaged (the stretch marks indicate that the collagen fibers in the skin have been torn) and has lost its elasticity. In this case, a secondary abdominoplasty may be performed to further tight the abdomen, if necessary.
Other major post-operative complications such as infection and blood clots are rare, but can occur. Infection can be treated with drainage and antibiotics, but will prolong your healing significantly. You can minimize the risk of blood clots by moving around as soon after the surgery as possible. Poor healing, which results in conspicuous scars, may necessitate a second operation.
Smokers must stop smoking at least one month prior to surgery to avoid an increased risk of these complications.
Because Dr. Summers performs the abdominoplasty procedure in a way which minimizes post-operative discomfort, the typical patient having an abdominoplasty (tummy-tuck) at the Maryland Plastic Surgery Center is able to walk immediately afterwards. Most patients only need to take narcotics for 48 hours, after which time ibuprofen is adequate. This rapid recovery is significantly different than the type of recovery patients typically experience at other plastic surgery centers.
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.
Although we encourage walking after surgery, we do not want you to return to your exercise routine for approximately one month after sugery. If you start on an exercise routine too soon, you will develop fluid collections in your abdomen which will require drainage with a needle and/or additional surgery.
Your drain tube will need to be emptied several times a day – you will record the amount of fluid in the collection reservoir each time you empty the drain. If you have had liposuction at the same time as your abdominoplasty, there will be a lot of drainage in the first two days – this is normal and is the liposuction fluid coming out of your tissues.
Although you may not be able to stand straight at first, you should start walking immediately after surgery – most patients are able to walk upright within one week of surgery. Because we want you to keep the the incision dry, you will not be able to get in the bathtub. One week after surgery, you will return to the office for your second post-operative visit. At that time, surface stitches, if used, will be removed. Surgical tape will be applied over the incision to help protect it during the early healing phase. The drain tube may be removed, after which time you will be able to shower.
When showering, keep your back to the shower stream to minimize wetting of the surgical tape – it is important that these tapes stay on securely. Bathtubs, jaccuzis, swimming pools and hot tubs are off-limits for another 3 weeks. You will return each of the next two weeks for changing of your surgical tape. After three full weeks, we will typically remove the surgical tape completely and allow you to start using scar fading cream (e.g. “Mederma”) or Vitamin E oil. These creams/oils should be massaged into the scar to help soften and fade the scar. Additional scar treatments and/or therapies will be recommended based on your individual needs.
Avoid overexposure to the sun before surgery as this can worsen the appearance of scars.
If you have been trying to loose weight, avoid starting on a strict diet prior to the procedure, as this can inhibit your ability to heal.
Notet: If you develop a cold or infection of any kind the week prior to surgery, your surgery will probably be postponed.
In order to avoid constipation, we recommend that you cleanse your bowels with a laxitive two days prior to surgery. This can be with prune juice or an over-the-counter laxitive. Following this routine, drink a lot of fluid for the next day to keep well hydrated.
Avoid eating large or “heavy” meals for several days prior to surgery. You should also have an over-the-counter stool softener available to take immediately after surgery.
Please arrange for someone to drive you to the surgery and to drive you home after your surgery. Also, you will need someone to help you out for the first week following the procedure. Do not expect to be able to drive yourself for up to two weeks following surgery.