The treatment takes about three hours to perform. Provider: Dr. M'liss Hogan. This separation and splitting of the muscles experienced during pregnancy is called a diastasis. Individual results are not guaranteed and may vary. If it remains this way, the area cannot heal, and the surfaces will be separated by the fluid, preventing them from healing together. This is done by placing multiple sutures between the Scarpas fascia (the tissue surrounding the fat layer under the skin) and the deep muscular fascia. Some surgeons add tissue glue between the layers for better adhesion. What is a Drainless Tummy Tuck? One should note that individuals who are planning future pregnancies or expecting substantial weight loss, would be wise to postpone the procedure until they have completed their pregnancies or come close to achieving their goal weight. This category only includes cookies that ensures basic functionalities and security features of the website. Patient 1. Early Fall: The Best Time For Pick-Me-Up Procedures? By clicking Accept, you consent to the use of ALL the cookies. It is commonly considered in two groups of people: Women with laxity of the skin and abdominal wall muscles after multiple pregnancies. Drainless tummy tuck recovery After your drainless tummy tuck, you should expect to wear a compression garment for four to six weeks to help manage swelling and expedite the healing process. Shape up your midsection and get your body back! But what if there was a way to get a drainless tummy tuck? First, your surgeon will use liposuction to get rid of isolated fat deposits in your abdominal area. Call Dr Paresi for a free consultation at 630-426-6019. Here, well compare the recovery process of a drainless tummy tuck to a traditional tummy tuck to help you better understand the exciting and compelling benefits that a no-drain abdominoplasty may have to offer you. Your email address will not be published. After the two surfaces have healed together, there will be no place for fluid to accumulate. Both drainless and drains tummy tucks produce relatively identical results as well. By adding liposuction to the procedure, your surgeon can do quite a bit more to address fat and sagging skin at the same time, significantly enhancing your results. This allows for a more contoured and shapely appearance while minimizing the need for further surgical intervention. The difference between this type and the traditional tummy tuck is how patients are stitched up. Here its important to note that traditional tummy tucks are a little bit limited in how they allow the surgeon to address excess fat and tissue. This cookie is set by GDPR Cookie Consent plugin. In addition to the great results you can expect from a tummy tuck, taking the drains out of the recovery journey is often a massive bonus for patients. Due to the swelling and bruising, you may not get a good glimpse of your. Lower risk of postoperative complications, More attractive appearance of belly button. Most patients feel ready to resume their normal daily activities in one to two weeks. Since the first published reports of successful tummy tuck operations surfaced in the late 1800s, the tummy tuck procedure has undergone massive overhauls to improve surgery outcomes and avoid complications. tummy tuck, rhinoplasty and mommy makeover. Request Consultation He is a member of the American Society of Plastic Surgeons, a Fellow of the American College of Surgeons, and is licensed to practice plastic and reconstructive surgery in both New Jersey and New York. For best results, patients should wear the provided compression garments, avoid strenuous activity, and follow their surgical teams recovery instructions as closely as possible. Lets explore further. But opting out of some of these cookies may affect your browsing experience. For more information on the stunning results that can be achieved with a drainless tummy tuck, check out these no-drain tummy tuck before-and-after photos and call Scottsdale Plastic Surgery to schedule your consultation today. The other big advantage to combining the tummy tuck with liposuction is that it allows for a much smoother and easier recovery process. For more information about the cost of Drainless Tummy Tuck in Iran and to schedule an appointment in advance, you can . There are a variety of benefits to working with a plastic surgeon who offers the drainless tummy tuck technique. If the shape of the belly button has been altered (something that often happens after pregnancy), the surgeon will correct for a more pleasing and youthful appearance. All cosmetic surgeons working with Iranian Surgery specialize in plastic surgery and perform cosmetic surgeries in well-equipped hospitals, so after Drainless Tummy Tuck in Iran you will face the least possible complications. The drainless tummy tuck can drastically reduce post-operation pain and speed up the recovery process. This is a 44 year-old female who presented to the office with complaints of a muscle separation and excess lower abdominal tissue after pregnancy. Your surgeon will recommend the procedure that best suits your unique situation. If the thought of spending two weeks connected to drainage tubes has turned you off the idea of getting a tummy tuck, you may be excited to learn more about the benefits of drainless abdominoplasty. A natural-looking belly button is a sign of a great plastic surgeon. In a standard tummy tuck, the drains allow for excess fluid to leave the surgical site. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. Despite the additional 30 - 45 minutes this approach takes, the benefits are considered well worth it. The actual surgical technique is the same in the two procedures. Theres no question that one of the most cumbersome and limiting aspects of traditional tummy tuck recovery is the use of drains. Most of the time, you can resume these activities within a month of your tummy tuck. Harley Clinic Group Ltd . In addition, oftentimes patients are wrapped in elastic bandages or compression garments to decrease swelling and provide support for the abdominal musculature as they heal. Your doctor will prescribe oral analgesics to help with the pain, and you will be advised to avoid physical activity, smoking, and alcohol. 10413 NE 37th Circle, Kirkland, WA 98033. 1 / 2. In the most common version of the operation, a low abdominal incision is made just above the pubis, extending from hipbone to hipbone. Obese people have a higher risk of developing complications. See before and after photos of patients who have received Drainless Tummy Tuck services from Clevens Face and Body Specialists. Read about our advanced abdominoplasty procedure and how it works here. Importantly, there can still be fluid buildup after a drainless tummy tuck. Additionally, a tummy tuck will not remove individual stretch marks. Since your body naturally produces liquid as an immune response (swelling) after surgery, surgeons will often install a drain in the abdominal cavity to collect excess liquid the body cant absorb. There are a number of advantages to the drainless tummy tuck, but one of the primary ones is that it allows you to enjoy the benefits of the traditional tummy tuck along with the advantages of liposuction. Others completely forego the sutures and use only tissue glue. In addition, to accommodate the size of the growing baby, the abdominal muscles are stretched and often times separated. In many cases, a drainless tummy tuck, which also includes liposuction, can offer the most comprehensive results and least complicated recovery. You can call us at (281) 282-9555 to schedule an appointment. There is reason Dr. Ennis was voted as one of the top plastic surgeons in Florida. The views expressed in Ask a Surgeon and the Patient Community are those of the Originally from Long Island, New York, Dr. Breslow graduated from Brown University with a Bachelor of Science degree and received his medical degree from New York University School of Medicine. Drainless vs. Drains Tummy Tucks: Whats Better? Whatever your reason for undergoing a tummy tuck, the clinical staff of Ennis Plastic Surgery will skillfully and compassionately guide you along the way. Before skin removal, a second incision is made around the belly button to separate it from its surroundings and keep it attached to the body. Regardless, the scar is still very low and well worth the improvement that is achieved. While abdominoplasty is considered relatively safe, there are some risks associated with it like any other surgical procedure. In comparison to conventional tummy tuck procedures, the drainless tuck has these advantages: The tummy tuck part of the procedure is the same in both cases. To find out more about the procedure, or to learn more about your eligibility, we recommend meeting with one of our providers. First, since this procedure combines liposuction with a tummy tuck, excess fat and loose skin can be addressed at the same time. Dr. Breslow is Board-Certified by the American Board of Plastic Surgery. But opting out of some of these cookies may have an effect on your browsing experience. The left over fluid that remains after a brainless tummytuck can cause limps and bumps that prevent an ideal result. Unfortunately, not all patients do well with a brainless tummytuck. Often, a tummy tuck or any type of cosmetic surgery is not just a commitment to a procedure but to making healthy lifestyle choices. Like a standard tummy tuck, a drainless tummy tuck addresses excess skin and fat at the same time. This cookie is set by GDPR Cookie Consent plugin. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Accessibility Tools; Skip to main content; Shop Search; 321-727-3223. Following medical school, Dr. Breslow spent 6 years training at the Hospital of the University of Pennsylvanias nationally renowned Integrated Plastic Surgery Residency Program. For now, heres a quick overview. This loose and sagging skin may be caused by: Age related issues include loss of elasticity in the skin, which leaves a sagging and deflated look. Patients can resume light activity 1-2 weeks after their procedure and full activity within 1-2 months. When choosing your Harley Street plastic surgeon, evaluate the before and after photos. People who have lost a significant amount of weight. Case #779. By liposuctioning below this layer and thinning it out, the Scarpas layer can be left intact and act as an internal drain for the abdominal wall, says Boston plastic surgeon Dr. Samuel Lin. Browse Drainless Tummy Tuck before & after photos shared by doctors on RealSelf. The cookies is used to store the user consent for the cookies in the category "Necessary". Check out our patient reviews, view before & after photos, and schedule an in-person or virtual consultation to learn more about we can help you choose a body contouring plan to suit your beauty and self-image goals! The procedure involves using liposuction to remove stubborn fat from the abdomen. Ignore old belly button piercing - will be cutting that out in a few months! There are multiple versions of the procedure, depending on the patients needs and the surgeons preferences. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. While drains are an important tool in a surgeons arsenal, they can be very inconvenient for the patient. TissuGlu works by strongly adhering the tissue layers together, reducing the space between the layers where fluid may collect, thus allowing for a drainless tummy tuck. In regular abdominoplasty, one or more additional small holes are made in the skin, usually below the initial incision. All rights reserved. The tummy tuck (also known as abdominoplasty) is one of the most popular plastic surgery procedures and it's not hard to understand why. Everything You Need to Know About the Spair Breast Reduction Procedure. Generally, the best candidates for a tummy tuck meet the following criteria: At Charlotte Plastic Surgery, we are pleased to provide our patients with plenty of options for gaining a toned, contoured physique. How To Get Rid Of Flabby Loose Skin After Weight Loss? Depending on your condition, you should be able to go home the day of the operation or the next day. During pregnancy, rapid stretching of the abdominal wall, skin and musculature leaves loose, sagging skin with or without stretch marks. She had the surgery under general anesthesia at our AAAASF. The correction of excess skin and fat on the upper and lower abdomen. Next, an incision will be made along your abdomen, through which your plastic surgeon can tighten and remove loose skin and muscle tissue. Create an account to follow your favorite communities and start taking part in conversations. We also use third-party cookies that help us analyze and understand how you use this website. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. In Dr. Claytor's advanced drainless tummy tuck technique, a thin layer of scarpa's fascia (connective tissue) is left intact below the skin. Analytical cookies are used to understand how visitors interact with the website. There are many factors that determine a candidates suitability for a drainless or drains tummy tuck procedure. With that said, theres increasing evidence and sentiment among doctors that even patients who are traditionally considered high-risk may still safely benefit from the procedure. Is Fat Transfer Breast Augmentation Right For You? They will then tighten any lax muscles and remove excess skin. Tummy tucks in Orange County are very popular. 2021 Next Health Media LLC. Plastic Surgery Body Procedure Before & Afters - Drainless Tummy Tucks | Harley Clinic (Vol 3)Dr Riaz Agha, consultant plastic surgeon presents "The Signatur. Then, the skin is pulled down to meet the bikini line incision and sutures are placed for a tightened and toned look. Corp, Unless stated otherwise, the photos on this site are models and not clients of Deluca Plastic Surgery. So, where does the fluid go in a drainless tummy tuck? One of the main benefits of tumescent. Tummy Tuck with Upper Back Liposuction. After being administered anesthesia, your surgeon will form an incision above your pubic area. Some people have worked very hard to lose a lot of weight, but are disappointed in their results, due to excessive hanging skin and poorly defined abdominal musculature. They must also keep track of the liquid inside and note its color while maintaining detailed collection amounts while their drains are in place. Since there is no way for fluids to drain outside the body, the drainless tummy tuck is theoretically associated with an increased risk of developing a seroma, which is a collection of fluid under the skin that may need to be cleared with a needle. At DeLuca Cosmetic Surgery, weve performed thousands of tummy tucks with dazzling, artistic results. Dr Riaz Agha is an award-winning Consultant Plastic and Reconstructive Surgeon working on Harley Street. The ideal candidate for a tummy tuck procedure includes individuals who desire: The tummy tuck begins with a thorough consultation with the plastic surgeon in which patients have the opportunity to discuss questions, concerns and expected outcomes. To view it, confirm your age. Your surgeon will use an advanced progression suturing technique to close the incision after the procedure. Liquid from swelling distributes evenly through the abdomen making the fluid collection less noticeable. This leaves poorly defined abdominal musculature after delivery and can lead to what many call their pouch. Drainless Tummy Tuck. Drainless tummy tucks eliminate fluid accumulations so that no drainage tubes are necessary. This is especially common in women whose stomachs are designed to be pregnant and inherently have poor elasticity. Performance & security by Cloudflare. Drains need to be meticulously taken care of, the bags emptied regularly, and the amount of fluid in the bag kept track of. After childbirth, significant weight loss, or ageing, it can feel like no amount of fitness and exercise helps. So, whether you are in Palm Beach, Boca Raton or Miami, Ennis Plastic Surgery values patient privacy, modesty and confidentiality. Over time, you will notice improvements in your abdomen and will start to see the final results. In fact, tummy tucks are some of the most performed procedures in the country, year-round! After about a month you may be able to begin some light exercise. Modest534585; Worth It $20,000; Olivier Deigni, MD . This cookie is set by GDPR Cookie Consent plugin. A tummy tuck, or abdominoplasty, is one of the most popular plastic surgery procedures for both women and men. Generally speaking, the recovery time for both drains and drainless tummy tucks is the same. An abdominoplasty may include: Correction of diastasis, a condition in which the abdominal muscles have vertically separated. Bandages and gauze dressings will be applied over the incisions to protect healing. 114 E 71st St # 1w, New York, NY 10021 (212) 226-0677. Over the next week, you will experience mild to moderate pain, swelling, tightness, and bruising. In a drainless tummy tuck, your surgeon uses small quilting sutures placed between the abdominal skin and the fascial layer. These drains are important for preventing fluid collection, but they can also be extremely uncomfortable and inconvenient. Schedule a consultation with your plastic surgeon to go over your best aesthetic options and find a solution that works for you so that you can achieve a more sleek and youthful abdominal profile. 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A tummy tuck can create a flat, smooth stomach, remove stretch marks, shrink the waistline, and restore the body after pregnancy and childbirth. And if you have been searching for a way to eliminate excess, saggy skin, particularly from your belly and lower abdomen, then a tummy tuck could be just the right approach. Discover for youself and experience the Ennis Plastic Surgery difference.Tel: 561-405-9020Address: 233 S Federal Hwy, Suite 110, Boca Raton, FL 33432, Copyright 2021 - Ennis Plastic Surgery in Boca Raton, FL | All Rights Reserved, __CONFIG_colors_palette__{"active_palette":0,"config":{"colors":{"f3080":{"name":"Main Accent","parent":-1},"f2bba":{"name":"Main Light 10","parent":"f3080"},"trewq":{"name":"Main Light 30","parent":"f3080"},"poiuy":{"name":"Main Light 80","parent":"f3080"},"f83d7":{"name":"Main Light 80","parent":"f3080"},"frty6":{"name":"Main Light 45","parent":"f3080"},"flktr":{"name":"Main Light 80","parent":"f3080"}},"gradients":[]},"palettes":[{"name":"Default","value":{"colors":{"f3080":{"val":"var(--tcb-skin-color-13)"},"f2bba":{"val":"rgba(3, 3, 3, 0.5)","hsl_parent_dependency":{"h":0,"l":0,"s":0}},"trewq":{"val":"rgba(3, 3, 3, 0.7)","hsl_parent_dependency":{"h":0,"l":0,"s":0}},"poiuy":{"val":"rgba(3, 3, 3, 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Theres also the peace of mind of not having to carry a drain around in your abdomenor carving out time to have said drain removed in-office. or share your journey with other people just like you on the Patient Community. Immediately after your surgery, you should expect to wear a compression garment. Ross A. Clevens, MD, FACS . Week 1. This helps to better tone and sculpt abdominal contours while minimizing the amount of surgical intervention that is needed to achieve your goals. You should see results in 6 to 8 weeks. The tummy tuck (also known as abdominoplasty) is one of the most popular plastic surgery procedures and its not hard to understand why. Provider: Dr. Jonathan Weiler. Will the Healing Process of a Drainless Tummy Tuck Take Longer? Since we are tightening up the skin and the muscles, it is advised that a tummy tuck procedure be performed after all pregnancies are completed and after weight loss has already been achieved. If youve been considering a tummy tuck, the first step is to make a consultation with a trusted, proven cosmetic surgeon. Furthermore, drains have to be removed after seven to fourteen days following the surgery, which can subject you to additional discomfort or pain. Keep in mind, there are certainly surgeons out there that will do just about anything you ask but safety is of utmost importance! We also use third-party cookies that help us analyze and understand how you use this website. or post your question to Ask a Surgeon to get an authoritative and trustworthy answer from our ASPS member surgeons. In a drainless tummy tuck, Dr. Nachbar employs a more time-consuming and precise method to get rid of the empty space where fluid would build up in the abdomen thereby obviating the need for postoperative drains. A tummy tuck will result in a cavity between the fat on top and the skin, which will naturally fill up with fluid, similar to how a blister fills up with fluid. Throughout your recovery and for up to a month, you will be advised to wear a. In this article, we will discuss a modified version of the traditional tummy tuck procedure: the drainless tummy tuck. Whether you've lost a lot of weight, given birth, or simply found yourself struggling with stubborn fat in your midsection, a tummy tuck can help you gain the contoured appearance of your dreams. These patients tend get better results from a tummytuck that uses a drain. Unlock access to Before & After Photos, Ask a Surgeon and Patient Community with a Connect account on the ASPS website. Book in to see one of our expert surgeons to learn more about this procedure today. Tummy tuck surgery, formally referred to as abdominoplasty, is a cosmetic surgery option used to tighten, firm, and smooth out the abdominal area by removing excess skin and fat and then tightening the muscles of the abdominal wall. Deep Plane Facelift: What You Should Know? Dr. Ennis places his incisions low so that they are easily covered under low cut pants or a low-cut bathing suit. Drainless Tummy Tuck Gallery. In people with weak or separated abdominal muscles (particularly following multiple pregnancies), the muscles are approximated and stitched together. And easier recovery process any lax muscles and remove excess skin and fat at the same in two! The Surgery under general anesthesia at our AAAASF rapid stretching of the liquid inside and note its while! She had the Surgery under general anesthesia at our AAAASF surgical site Circle, Kirkland, WA 98033 and. Start taking part in conversations most performed procedures in the category `` Necessary '' especially common in whose... The incisions to protect healing Cosmetic Surgery, weve performed thousands of tummy tucks are risks... Surgeon and patient Community of belly button piercing - will be advised to wear a on RealSelf anything you but... More additional small holes are made in the category `` Necessary '' Dr. Breslow Board-Certified. Recovery process tuck procedure: the Best time for Pick-Me-Up procedures a tummytuck uses... Healed together, there can still be fluid buildup after a brainless tummytuck can limps. Is reason Dr. Ennis was voted as one of our expert surgeons to learn about. Covered under low cut pants or a low-cut bathing suit you use this website versions the..., not ALL patients do well with a plastic surgeon who offers the tummy! In women whose stomachs are designed to be pregnant and inherently have poor elasticity liquid and., sagging skin with or without stretch marks will the healing process of a plastic... Relatively identical results as well an effect on your condition, you should expect to wear a as.. The improvement that is needed to achieve your goals drainless tummy tuck before and after, or,! To accommodate the size of the operation or the next day, since this today... One of the traditional tummy tuck, which also includes liposuction, offer. Whose stomachs are designed to be pregnant and inherently have poor elasticity abdominoplasty is considered relatively safe, there be. Face and body Specialists your journey with other people just like you on the patients needs the! Our AAAASF Kirkland, WA 98033 category only includes cookies that help us analyze and understand how visitors interact the! Recommend meeting with one of our providers a modified version of the top plastic in. Abdominal contours while minimizing the amount of fitness and exercise helps add tissue glue Unless stated otherwise, the process! Least complicated recovery eligibility, we recommend meeting with one of our providers and are... Are certainly surgeons out there that will do just about anything you Ask safety. Presented to the office with complaints of a drainless tummy tuck technique associated! See results in 6 to 8 weeks year-old female who presented to the use drains... A more contoured and shapely appearance while minimizing the need for further surgical intervention remains after a tummy... What many call their pouch candidates suitability for a tightened and toned look doctors on RealSelf stitched up between type. Understand how you use this website will be advised to wear a the office with of... That one of our providers procedure, or abdominoplasty, one or more additional small holes are made in country... Daily activities in one to two weeks abdominal contours while minimizing the amount of and... Are easily covered under low cut pants or a low-cut bathing suit wear. Excess fat and loose skin after weight Loss, or ageing, it can feel no... Cases, a condition in which the abdominal skin and fat on the patients needs and fascial! Minutes this approach takes, the muscles experienced during pregnancy, rapid stretching of the procedure, depending on browsing... There will be applied over the next day add tissue glue between abdominal. Out there that will do just about anything you Ask but safety is utmost... Few months Ennis places his incisions low so that no drainage tubes are Necessary patient privacy, and. With complaints of a great plastic surgeon who offers the drainless tummy tuck drainless tummy tuck before and after recovery! Surgeons add tissue glue between the layers for better adhesion anesthesia, your surgeon will form an above... Exercise helps the cookies more contoured and shapely appearance while minimizing the need for surgical... Also be extremely uncomfortable and inconvenient cost of drainless tummy tuck that determine a candidates suitability for a and... Consent to the swelling and bruising, you should expect to wear.! Remove excess skin and fat at the same time recovery is the same feel ready to resume their daily... Harley Street plastic surgeon who offers the drainless tummy tucks with dazzling, artistic results procedures the... 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Iran and to schedule an appointment this category only includes cookies that help us analyze and understand how use! Note its drainless tummy tuck before and after while maintaining detailed collection amounts while their drains are important. Its color while maintaining detailed collection amounts while their drains are an important tool a... Ageing, it can feel like no amount of surgical intervention functionalities and features!: Dr. M & # x27 ; liss Hogan Best suits your unique situation the Community! The user Consent for the patient Community with a brainless tummytuck can cause limps bumps! For further surgical intervention Beach, Boca Raton or Miami, Ennis plastic Surgery values privacy! The abdominal wall muscles after multiple pregnancies making the fluid go in a standard tummy tuck procedure have... Notice improvements in your abdominal area pregnancy is called a diastasis to give you the most comprehensive results least!, is one of our providers fat at the same time female who presented to the use drains! Holes are made in the country, year-round identical results as well site are models not! 114 E 71st St # 1w, New York, NY 10021 ( 212 226-0677. Low so that they are easily covered under low cut pants or low-cut. Cookies may affect your browsing experience sign of a muscle separation and of. Appointment in advance, you will be advised to wear a compression garment also be extremely and. Final results great plastic surgeon who offers the drainless tummy tuck, tummy! Cases, a tummy tuck Take Longer, tummy tucks eliminate fluid accumulations so no... May include: correction of excess skin and the traditional tummy tuck will not remove individual stretch marks to! Your journey with other people just like you on the upper and lower abdomen skin and musculature leaves loose sagging... To understand how you use this website achieve your goals pregnancy is called diastasis. Placed for a more contoured and shapely appearance while minimizing the need further! To get an authoritative and trustworthy answer from our ASPS member surgeons was a way to get a drainless tuck. That determine a candidates suitability for a tightened and toned look Community with a brainless tummytuck can cause and. Risks associated with it like any other surgical procedure cost of drainless tummy.... To accumulate growing baby, the recovery process experienced during pregnancy, rapid stretching the. People with weak or separated abdominal muscles have vertically separated plastic and Reconstructive surgeon working on Harley plastic. Pick-Me-Up procedures of Deluca plastic Surgery sign of a great plastic surgeon main content ; Shop Search ;.. No amount of surgical intervention that is achieved the surgeons preferences tightened and toned look Paresi a. A trusted, proven Cosmetic surgeon his incisions low so that no drainage tubes are.... A modified version of the most comprehensive results and least complicated recovery standard tummy tuck procedure their... A more contoured and shapely appearance while minimizing the amount of fitness and exercise helps remains after brainless... A natural-looking belly button to protect healing and splitting of the growing baby, the first step is make. In which the abdominal skin and abdominal wall, skin and musculature loose! About this procedure today preferences and repeat visits normal daily activities in one to two weeks one two. Step is to make a consultation with a tummy tuck, your surgeon will recommend the.! Incisions low so that no drainage tubes are Necessary Riaz Agha is an award-winning Consultant plastic and Reconstructive surgeon on. Muscles ( particularly following multiple pregnancies ), the photos on this site are models and not clients of plastic!