This procedure takes longer as patients are turned from side to side during surgery, however, the results are worth it. Gutowski believes that including liposuction all the way around the truck (360 degrees) gives a better and more natural result. Liposuction should be part of almost every tummy tuck but not all surgeons include it as part of a tummy tuck “package”. The anesthetic is placed exactly where the nerves are so pain signals to the brain are blocked. Learn more from Dr Gutowski’s lecture on this topic here.Įxample of ultrasound guided TAP block for long-lasting pain reduction. Gutowski’s patients can move around and walk with much less discomfort.Įarly Walking: By using these rapid recovery techniques, patients do not stay in bed and are less likely to have problems once they are ready to resume light activity. No Drains: Drains can be painful and prevent early activity after surgery. Multi-Modality Analgesia: By using a combination of pain-relieving medications that work in different ways to block pain, patients need less, or sometimes no narcotic medications after the procedure. Gutowski, injects a long-acting dilute local anesthetic into the areas of liposuction which relieves pain and allows for a more comfortable recovery. Tumescent Analgesia: In addition to the abdominal block, Dr. By blocking the pain before the surgery starts, patients need less anesthetic and narcotic medications during and after the procedure, allowing for a more comfortable, safer, and faster recovery. This is called a Transverse Abdominus Plane (TAP) block or a Rectus Sheath (RS) Block and is included in all of Dr. Gutowski uses these techniques as part of his procedure:Ībdominal Anesthetic Block: The anesthesiologist will use an ultrasound machine to inject a long-acting local anesthetic around the abdominal nerves to block pain for 24 to 36 hours. To reduce the discomfort after a tummy tuck and allow for an earlier return to activity, Dr.
DRAINLESS TUMMY TUCK RECOVERY TIMELINE SKIN
During a tummy tuck in Glenview, most of the discomfort comes from the muscle tightening, and not from the skin incisions. _ What is a Rapid Recovery & Enhanced Recovery Tummy Tuck?įear of pain after surgery is normal.
Gutowski’s technique of using internal absorbable barbed sutures to eliminate drains as part of the No-Drain Tummy Tuck Learn more about the evidence supporting No-Drain Tummy Tucks here. He published his technique in 2009 and has been asked to lecture on his technique to teach other plastic surgeons.
Gutowski developed a modification to the drainless tummy tuck in Glenview by using new sutures which allowed him to do the procedure faster than before. While the drains are in, most patients have less mobility and difficulty walking due to the pain associated with drains. However, these drains may stay in place for 1 to 2 weeks, causing discomfort, pain, scars, and infection. Traditionally, plastic tubes called drains, are placed under the skin during a tummy tuck to drain fluid and prevent a seroma (fluid collection under the skin). Muscle Tightening (Rectus Diastasis Repair) with Mesh Support if Needed.High Volume Liposuction for Obese Patients.Gutowski does that is Different from most Tummy Tucks Hyperpigmentation, Sun Damage, and Dark Spots.
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