New Techniques in Abdominoplasty Delight Surgeons and Patients

Abdominoplasty is a cosmetic procedure that has significantly increased in popularity over the past decade. However, risks associated with abdominoplasty, as well as an extended recovery period, have discouraged some patients who might benefit from the treatment. Now, a new surgical technique known as progressive tension sutures or PTS is reducing risk and eliminating the need for uncomfortable drains after surgery.

Abdominoplasty Overview

An abdominoplasty, commonly known as a tummy tuck, is a surgical procedure designed to remove excess skin and fat from the abdomen while tightening the underlying muscles to create a firmer, more toned midsection. This procedure is often sought by individuals who have experienced significant weight loss, pregnancy, or aging, which can lead to loose skin and weakened abdominal muscles that do not respond to diet and exercise. There are different types of abdominoplasties, including full and mini tummy tucks, depending on the extent of correction needed. While it provides aesthetic benefits, an abdominoplasty can also improve core strength and posture. However, it is a major surgery requiring careful consideration, a skilled surgeon, and a proper recovery plan to achieve optimal results.

Abdominoplasty Surgery Drawbacks

In the past, traditional tummy tuck surgery left an open space in the abdominal area that was prone to seromas (buildups of fluid). To reduce this risk, surgeons insert drains into the abdominal region to eliminate excess fluid as it builds. While drainage tubes have been the standard of care for some time, the tubes have also been a source of discomfort for many abdominoplasty patients. In addition, the rate of seromas was still relatively high at 20 percent.

About Progressive Tension Sutures

PTS is a relatively simple surgical technique that involves the placement of sutures between the skin flap and the deeper abdominal tissue. The progressive attachment offers the
following benefits:

• No “empty” abdominal space, decreasing the risk for seromas.
• Less tension on the incision, which may lead to less visible scarring.
• No need for drainage tubes after the procedure.
• Quicker healing as the patient is able to get up and around faster.
• A more natural appearance to the naval after surgery.

PTS involves a few extra minutes during the procedure, but the reduction in recovery time and elimination of surgical tubes is well worth those minutes to most patients. Plastic surgeons also appreciate this technique, since it minimized post-op complications significantly with abdominoplasty patients.

Progressive Tension Suture Studies

Studies have shown PTS results in fewer complications after surgery, including the formation of seromas. In addition, the procedure may lead to a lower incidence of hematomas (collection of blood outside the vessel) and skin necrosis (skin death). Patients also find the recovery process to be more comfortable since much of the discomfort after abdominoplasty stems from the two or three drainage tubes that were typically sutured to the treatment area.

Schedule a Consultation Today

Patients who undergo this cosmetic surgery procedure experience a leaner, firmer abdominal area with less downtime and discomfort after surgery than patients receiving traditional abdominoplasty techniques. Dr. Kahlil Andrews would be happy to see you to further discuss abdominoplasty with progressive tension suturing. To learn more about abdominoplasty or the revolutionary progressive tension suture technique, contact Dr. Andrews Plastic Surgery at 319-500-4072.

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