Pre-operatively patients usually need routine blood
tests to be sure they are not anemic or pregnant. Photographs are
taken to assess progress.
Patients should not smoke within three weeks of the
operation. Of course, smoking is never a good idea and patients should
quit smoking early and permanently.
No aspirin, ibuprofen, or similar drugs should be
taken within two weeks of surgery. These medications can cause serious
excess bleeding during, and after, the operation. If you have any
questions about drugs you are taking, including over the counter
preparations and natural herbs, please call the office.
Please shower the night before surgery and do not EAT or DRINK
anything after midnight of the night before your surgery. This
prohibition includes coffee and juice in the morning. Oral medications
can be taken with a sip of water.
You should be at the office surgicenter or hospital
at least 90 minutes prior to your scheduled surgical start time.
At some point before the surgery, you will be
brought to a private area and asked to stand with your gown off. Marks
will be placed on the areas to be cut as guides to properly
"tailor" the surgery. You will then be given anesthesia and
the operation will begin. In most cases an incision is made at the
upper aspect of the pubic hairline and carried toward each side. The
incisions will later be hidden by the underwear or bikini you wear.
The skin is lifted off the abdominal muscles all the way up to the
ribs. The underlying muscles, which have loosened after pregnancy or
weight changes, are tightened with permanent stitches. The skin is
pulled down like a window shade and the extra is cut off. In a
standard abdominoplasty, a new hole is made for your umbilicus
(belly-button), while in a mini-abdominoplasty the umbilicus is left
intact since it is not pulled as far downward.