A tummy tuck, medically known as abdominoplasty, is a surgical procedure that removes excess skin and fat from the abdominal area and tightens the abdominal wall. This procedure is particularly preferred for correcting deformations in the abdominal area after weight loss or pregnancy. However, like any surgical procedure, a tummy tuck carries certain risks and complications. In this article, I will discuss these risks in detail.
1. General Surgical Risks
As with any surgical procedure, a tummy tuck is performed under general anesthesia. Therefore, anesthesia-related risks may occur. Patients with heart, lung, or other systemic diseases may face increased anesthesia risks. A detailed evaluation should be conducted before the surgery to determine if the patient is suitable for anesthesia.
2. Risk of Infection
Infection is one of the most significant complications of any surgical procedure. Postoperative infections can occur at the wound site after a tummy tuck. To reduce this risk, the use of antibiotics before and after the surgery, maintaining a sterile environment, and the patient’s attention to personal hygiene are crucial. Symptoms of infection include redness, swelling, fever, and pain. If these symptoms occur, you should consult your doctor immediately.
3. Bleeding and Hematoma
Bleeding may occur during or after the surgery. This is more common in patients using blood-thinning medications. Postoperative hematoma (blood accumulation) can cause swelling and bruising in the area. Severe bleeding, although rare, may require a second surgical intervention.
4. Wound Healing Problems
Wound healing after a tummy tuck may sometimes take longer than expected. In particular, smokers may experience delayed wound healing and wound separation. Therefore, quitting smoking before the surgery is highly important. Additionally, patients with chronic conditions such as diabetes may also experience slower wound healing.
5. Scar Formation
After a tummy tuck, a scar will form in the abdominal area. This scar is usually located near the groin crease and fades over time. However, in some patients, the scar tissue may thicken or become more prominent. This depends on the patient’s skin type and genetic factors. To minimize scar formation, you should regularly use the creams recommended by your doctor.
6. Numbness and Loss of Sensation
Temporary numbness or loss of sensation may occur in the abdominal area after the surgery. This is due to the nerves being affected during the procedure. It usually resolves on its own within a few months but can rarely be permanent.
7. Risk of Thromboembolism (Blood Clots)
After a tummy tuck, serious complications such as blood clots in the legs (deep vein thrombosis) and the clot traveling to the lungs (pulmonary embolism) can occur. Early mobilization (movement) after the surgery is crucial to reduce this risk. Additionally, your doctor may recommend blood-thinning medications or compression stockings.
8. Asymmetry and Aesthetic Dissatisfaction
Asymmetry or an unexpected appearance may occur in the abdominal area after the surgery. This may result from a mismatch between the patient’s expectations and the surgical outcomes. It is important to discuss your expectations in detail with your doctor before the surgery and set realistic goals.
9. Necrosis (Tissue Death)
Necrosis, a rare complication, occurs when the blood supply to the abdominal tissue is compromised. This is more common in smokers or patients with circulation problems. If necrosis develops, additional surgical interventions may be required.
10. Long-Term Results and Need for Revision Surgery
In the long term, sagging or deformation may reoccur in the abdominal area after a tummy tuck. This can be triggered by factors such as weight gain or pregnancy. Some patients may require a second surgery to improve aesthetic outcomes.
A tummy tuck is a highly successful procedure when performed on the right patient by an experienced surgeon. However, like any surgical procedure, it carries certain risks and complications. A detailed evaluation should be conducted before the surgery to identify the patient’s risk factors and minimize these risks. Following your doctor’s recommendations and attending follow-up appointments are crucial for the early diagnosis and treatment of potential complications.
Wishing you healthy and beautiful days.
Dr. Ahmet Kaplan
