San Diego Plastic Surgeon, Dr. Tom Pousti is a board certified plastic surgeon who has performed many revisionary surgeries for previous tummy tuck patients. Abdominoplasty Surgery is a procedure to help with abdominal area contouring for patients with excess skin and adipose tissue. Many patients who undergo tummy tuck surgery have had weight loss or pregnancies and not only have the excess skin and fat but also have a separation of the abdominal muscles. Choosing your surgeon is one of the most important decisions you make when you decide to proceed with the abdominoplasty surgery. The surgeon you choose should be certified by the American Board of Plastic Surgery and have experience in performing this procedure.
We at Pousti Plastic Surgery see many patients in the San Diego area, Riverside area as well as from around the US and abroad who are dissatisfied with the post surgery results elsewhere. The most common sources of dissatisfaction after abdominoplasty surgery are the following:
-Scars That are Too High
-Irregular or Uneven Scars
-Unsatisfactory Belly Button Appearance/Location
-Abdominal Wall Asymmetry
Tummy Tuck Post-Op
Hypertrophic or Keloid Scars
Each person is unique and the way one person scars may be much different from the way another person may scar but scars are more common with olive and darker skin complexions. With African American patients there is also a high risk of keloid scar formation. Dr. Pousti uses special approaches and techniques with wound closers on ethnic patients to help prevent scaring.
Scars That are Too High
Normally when initially doing markings for the surgery Dr. Pousti will have you bring in your favorite pair of underwear or favorite bathing suit so that he can make sure that your scars can be easily hidden. When patients come in with scars that already too high Dr. Pousti can revise them under local anesthesia in the office or under general anesthesia in an operating room.
Irregular or Uneven Scars
Many of Dr. Pousti’s patients come in because they are unhappy with the irregularity of the scars from their previous surgeon. Dr. Pousti takes multiple measurements and makes markings prior to the scar revision surgery to ensure symmetry.
Dog-ears or bunching up of the tissue and/or skin on either side of the incision is a very common scar revision that Dr. Pousti corrects with surgery.
Unsatisfactory Belly Button Appearance/Location
Abdominal wall asymmetry
All of these issues can be addressed through revision tummy tuck surgery .
Revisionary Breast Augmentation and Revisionary Tummy Tuck
Muscle Plication During Revision Tummy Tuck
What To Expect After Surgery
You are restricted to bed for 2 to 3 days with periods of walking. You will be “hunched over” significantly for the first couple of weeks and slowly will be able to stand up straight. Coughing, laughing, sneezing or anything that exerts the abdominal muscles will produce discomfort. Positioning yourself when sleeping — you will either need to sleep in a recliner or place pillows under your legs when lying in bed to keep your body in an “L” formation.
Resumption Of Physical Activities
Driving- 2 – 4 weeks
Sports- 2 – 4 weeks
Sexual activity- 2 – 4 weeks
Travel- 2 weeks
Social and work activities- 2 to 4 weeks
Just a quick note to say THANK YOU to you and your entire staff!
I am amazed how professional and helpful everyone in your office has been since day
one when I called and began asking questions. I had called several surgeons, but
even on the phone with their staff I felt like just a number. I knew immediately
when I called your office that I was on the right track. The first time I met you I
knew I was on my way to a new body. Everything from that point on went ever so
smoothly….minus a little pain.
As a mother of two children, born by cesarean sections and who nursed a total
combined time of four years, I was definitely in need of a “mommy makeover.” I was
sagging and flabby and really down on myself. I seemed to have lost who I was as my
body changed in a negative way due to pregnancy and breastfeeding. I always thought
how nice it would be to have a little tuck here and a lift there… Well, you and
your team made my dream come true. I am extremely happy with the results of my
tummy tuck, breast lift with augmentation and nipple reduction. I feel like a whole
new woman. I have a new sense of self-esteem, self-confidence and a zest for life