Smart choices in Abdominoplasty (Tummy Tuck) Tummy Tuck Basics Here are some tummy tuck facts*: Tummy

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  • Smart choices in Abdominoplasty (Tummy Tuck)

    A Practical Guide

    Available electronically at https://mychicagoplasticsurgeons.com/e-books/

  • TABLE OF CONTENTS

    Tummy Tuck Basics…….……………………....3 How do I get started?...........................4 Are all Tummy Tucks the same?………....5 Abdominoplasty....................................7 Recovery….............................................8 Questions to Ask Your Plastic Surgeon……………..….………..9 Am I Ready? ……………………….……….……12 What is ASPS? …………………………..…....13 Meet the Doctor……………………………….14 Meet Our Staff………………………………….15 Contact Information……………………..….17

  • Tummy Tuck Basics Here are some tummy tuck facts*:

     Tummy tucks may be performed in a hospital or

    outpatient facility, depending on the extent of

    the procedure and the individual patient.

     Surgery normally lasts 3-4 hours.

     Patients can return to work after 10-14 days

    depending on their particular surgery.

     Patients should wait 4-6 weeks or more to

    resume strenuous activities and workouts.

     Scars will fade and flatten in three (3) months to

    two (2) years.

     Obese patients who plan to lose weight should

    postpone surgery until they reach their ideal

    weight.

     Most people will lose weight after surgery due

    to muscle tightness.

    *Source: American Society of Plastic Surgeons (ASPS)

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    Who gets a tummy tuck?

    • People with loose or excess skin in their abdomen that

    does not respond to diet or exercise.

    • Women with slack muscles and skin due to pregnancies

    or fluctuating weight.

    • Women or men that want to improve the look and/or

    shape of their body.

  • How Do I Get Started? Come in! The best way to get started is to come in for a

    personal consultation! The consultation for

    abdominoplasty in our offices is

    complimentary.

    The consultation takes about 30 minutes and

    includes a full medical history and an exam.

    During your exam, Dr. Szczerba will be taking

    your measurements and asking questions to

    see what outcome you desire. Then a

    custom surgical plan is developed so you

    achieve an optimal outcome.

    Page 4

  • Are all Tummy Tucks the same? All Tummy Tucks are not the same because not all tummies are the same. Here are some

    variables we are checking for during your exam:

    • The amount of loose skin

    • Surgical scars from other surgeries

    • Stretch marks

    • Lax abdominal muscles

    • Hernias such as in the umbilicus or along the midline

    • Extra unwanted pockets of fat on the front, sides or back of the torso

    • Whether or not the tummy tuck needs to be combined with another procedure such as

    liposuction

    Page 5

  • Are all Tummy Tucks the same? There are three general types of Tummy

    Tucks:

    1. Simple skin excision- just small amount

    of loose skin usually removed below the

    bikini line usually but not always over a

    C- section scar.

    2. Mini Tummy Tuck- this surgery is done

    through a low, small incision just above

    the pubic area and allows muscle

    tightening and removal of some excess

    lower abdominal skin.

    3. Full Tummy tuck- this surgery is done

    through full length incision below the

    bikini line and around the belly button.

    The maximum amount of skin is

    removed and allows maximum muscle

    tightening.

    3. Full Tummy Tuck:

    4. Combining liposuction- areas of

    excess fat pockets that are outside

    the area that is being removed is

    addressed with liposuction. The flank

    areas are the most common. Back fat

    and upper abdominal fat can be

    treated usually the same day.

    Occasionally patients come back after

    healing fully, and have the entire

    torso liposuctioned to further safely

    sculpt their waist area.

    5. Combining hernia repair. Umbilical

    and midline hernias are easily fixed

    during these surgeries. Only certain

    hernias need to be dealt with a later

    surgery.

    Page 6

  • Abdominoplasty Full Abdominoplasty with lipo

    54 year old female shown before her Tummy Tuck and 10 months after her surgery.

    Page 7 Patient Consent on file.

  • Recovery: We focus on Rapid Recovery!

    We focus on rapid recovery techniques during and after surgery so you are back to your normal routine

    as soon as you feel comfortable. We have found that most women can return to work in about 10-14

    days however each patient is different and some have gone to back to work sooner.

    Due to the long acting pain medications we inject during the procedure, patients report more pressure

    than actual pain for the first day, then mild soreness or discomfort for several days after surgery. The

    combination of prescribed medications has been consistently reported by out patients to be more than

    enough to get you through the recovery. A comfortable chair to recover in, plenty of rest and healthy

    food options are recommended while you are healing. We’ll give you the instructions for caring for the

    surgical incisions during your preoperative visit. As well as before and after surgery care and answer

    any and all questions.

    Dr. Szczerba has a very structured follow-up schedule after abdominoplasty and advances your exercise

    activity and your garments for abdominal support based on how the surgery went and how the patient

    is healing.

    Page 8

    Page 18Page

  • Questions to Ask Your Plastic Surgeon] What are your credentials and training experience?

    Always look for board certification and the ASPS symbol.

    How many procedure of this type have your performed?

    Dr. Stefan Szczerba has performed hundreds of abdominoplasty cases and has been in practice since 2005. We at CASI

    perform tummy tucks on a regular basis and usually perform your surgery on a day that allows a scheduled follow up

    visit later in the week.

    Where and how will you perform my procedure?

    Your procedure will usually take place at Chicago Aesthetic Surgery Institute where we have JACHO accredited surgical

    suites. Surgery at a hospital in the area is also an option however, recent studies show that office based surgery has

    less complications than surgery at a hospital.*

    How long of a recovery period can I expect? What kind of help will I need during my recovery?

    Although most of our patients take off about two weeks from work, many have told us that they felt well enough to go

    back to work 10-14 days after surgery. Since pain medications are required for about two days, some help may be

    required until you are off pain medications. Please do not drive if you are taking narcotics. You should also hold off

    from heavy lifting and exercise for 4-6 weeks. After two weeks, Dr. Szczerba will advance your routine with each

    follow-up visit.

    *Is Office-Based Surgery Safe? Comparing 184,914 Aesthetic Surgery Procedures Across Different Types of Accredited Facilities. Gupta, V., Parikh R. et al. Aesthet Surg J. (2016) 37

    (2):226-235.

    Page 9

  • Will my recovery keep me from my usual daily activities such as work?

    After your operation, you can move your legs in the normal range of motion and can even go out for short walks

    but hold off from any strenuous activity that would raise your heart rate.

    Depending on the job – most patients return to work 10-14 days post-surgery.

    What do I need to do to prepare for surgery?

    Since anesthesia requirements are based on age and medical history, our office will provide you with all the

    information you will need to get ready for surgery. A formal preoperative physical exam with your primary is

    never discouraged! We ask that you have any required testing completed and results available during your pre-op

    appointment which is usually two weeks before surgery.

    A formal medical history and physical exam (H&P) stratifying your risks from anesthesia is called an H&P clearance

    and is generally recommended somewhere between 35-40 years of age. However, depending on your risk factors,

    health and lifestyle, a series of tests like an EKG, CBC, PT/PTT, blood chemistry panel as well as a mammogram for

    the appropriate patient may be recommended by your primary physician.

    Page 10

    Questions to Ask Your Plastic Surgeon](Cont.)

  • What are the risks?

    As with all surgeries, the risks cannot be eliminated altogether.

    Here are some risks:

    Anesthesia risks, bleeding, infection, seroma, poor wound healing (increased with smokers), skin loss, numbing

    sen