Windsor Tummy Tuck
When an abdominoplasty is performed by a qualified plastic surgeon,
complications are infrequent and usually minor. Still, individuals vary
greatly in their anatomy, their physical reactions, and their healing
abilities, and the outcome is never completely predictable.  

The operation does not, in any way, guarantee complete obliteration
of all folds and stretchmarks.  The quality of your skin and your age
are factors in the overall result to be obtained.

The most common complications following abdominoplasty include the
following:

Fluid collection (seroma): This is a collection of serum in small
pockets beneath the skin. Generally, the seroma spontaneously
resorbs. Occasionally, needle aspiration is necessary. The drains that
we place in your incision help to remove fluid collections.

Infection: Infection following abdominoplasty is rare. The incidence is
less than 1% and severe infections are extremely uncommon.
However, any surgical wound can become infected. An infection
usually will become apparent a few days after the surgery. The signs
are: pain, redness, heat and swelling. Antibiotics and dressing
changes will often control it. On rare occasions, hospitalization and
formal drainage in the operating room may be needed to control more
significant infections.

You will be given a prophylactic antibiotic when undergoing your
abdominoplasty. In addition you will be sent home with a prescription
for antibiotics for 4-5 days.

Bleeding under the abdominal tissue (haematoma): You should
expect a small amount of bleeding from your incision line during the
first 24 to 36 hours after your surgery.

Any type of surgery may result in excessive bleeding in the operated
area. This may be due to a temporary increase in blood pressure, for
example due to coughing. It can also occur from the effects of
medication like aspirin or anti-inflammatory drugs. Bleeding is usually
manifested by acute swelling of the area, discolouration of the skin,
pain and a feeling of tension. External compression of the wound
usually stops it. In rare cases, if it continues, we may have to stop it
after reopening the incision. Massive bleeding may require
hospitalization and transfusion.

If the accumulation of blood is small, it may be allowed to absorb by
itself or aspiration may be indicated as with a seroma. However, if it is
large, formal drainage in an operating room may be necessary.

Partial or complete loss of navel, asymmetry of the navel,
narrowing of the navel.

Death (necrosis) of tissue resulting in delayed healing:
When
blood circulation is inadequate to bring sufficient oxygen to the
tissues, some of the tissue furthest away from the blood supply may
be lost. The skin will become discoloured and form a dark dry crust
which will eventually separate off. The underlying normal tissues heal
by themselves. This may leave a wide scar. Skin necrosis is not
infrequent in patients who smoke but it is uncommon in non-smokers.
Significant necrosis may necessitate further operative procedures to
remove the unhealthy skin and revise the scar in the future.

Prominent, unsightly scars (thick, red, ropy, itchy, and painful):
The normal healing of wounds is a physiological process which
continues to take place in the depths of the tissues for many months
before final resolution. At first, the surgical scar is almost invisible.
Then it becomes red and somewhat elevated for about 3 months. It
then becomes paler, softer and flatter and reaches its matured state
in 6 to 12 months. Aesthetic surgery has its limitations. Any time the
skin is opened a scar of some kind results. This may be a good scar
(fine white line) or a conspicuous one, but there is always a scar of
some sort.

Each individual’s healing is different. Some form fine white lines while
others will form heavier ones. The surgeon has no influence on the
actual formation of a scar. Factors that can influence the quality of
healing include smoking, obesity, infection and nutrition. The complete
mechanisms of wound healing are not yet fully understood. Thus, the
factors that may lead to formation of a conspicuous scar are not yet
known.

Very heavy (hypertrophic) scars or keloids (scars which escape the
confines of the original wound) are uncommon. They are found most
frequently on the front of the chest, abdomen, and shoulder area.
Dark skinned peoples (for example those of African, Asian or
Mediterranean descent) are more susceptible to the development of
hypertrophic scars. Methods of treatment for unsightly scars include
local pressure, cortisone injection, topical creams, and surgical
revision.

Sun exposure of a new scar should be avoided for the first year
following your operation. An immature scar exposed to sun may
become more visible and pigmented.

This operation requires the use of external compression and the tape
and dressings used to do this may cause blistering of the skin.

A subsequent pregnancy or significant weight loss or weight
gain will impair whatever improvement the abdominoplasty
yields.

Blood clots
in the legs (venous thrombosis) and lungs (pulmonary
embolism): These complications, though rare, are among the most
serious from this type of surgery. Conditions predisposing a patient to
these complications would include obesity, smoking, and a history of
cardiac and pulmonary disease or blood clotting disorders, length of
surgery and prolonged post operative immobility.

The following complications are extremely rare in healthy
individuals:

Myocardial infarction (heart attack)
Pneumonia
Stroke
Death

Some of the complications of these operations can result in the need
for further surgery. Some of the complications can cause prolonged
illness, poorly healing wounds, scarring and permanent disability.

There are some other risk factors which significantly affect wound
healing in a negative fashion, for example, smoking, obesity, poor
nutrition and certain chronic medical conditions.
Possible Complications
WindsorTummyTuck © 2008
Call us at 519-971 0971
for your free
consultation
<<back      next>>
Abdominoplasty for you.  Fit into your clothes.  Feel beautiful again.