Complications After Extended Tummy Tuck and Breast Lift with Implants?

Question: What are some “MAJOR” complications that can/may “OCCUR” after having an Extended Tummy Tuck and Breast Lift with Implants?

I am going to have an Extended Tummy Tuck and Breast Lift with Implants in September. I need to know what are the most common and major complications that can occur after surgery (during the healing process)? Can/Should the Emergency Room assist if I have medical insurance? Is there a legal document that can be signed by my Plastic Surgeon (haven’t chosen one yet) if I did not RECEIVE what we discussed in the consultation? Is there additional insurance offered for post op issues?

Answer: Major complications are rare, but, can happen.

The main ‘major’ complication I discuss with my patient is a ‘pulmonary embolism.’ This is where a blood clot can form in the legs and travel to the lungs which can be life threatening. Surgeons generally take special precautions to prevent this. These methods include avoiding the breathing tube for anesthesia, using a special medication to lower the risk, getting the patient up and moving asap (even the first night), etc.

Other major complications include things like a hematoma, bad infection, anesthetic complications, etc. However, your surgeon should review all of these in detail at the ‘preop appointment’.

Any Suggestions for Pain Control After Mommy Makeover?

Question: I Am Allergic to Codeine. Any Suggestions for Pain Control After Mommy Makeover?

Answer: Many options

Pain control post-op is of great importance. The less pain, the more you are walking around which equates to less complications and a better overall sense of your recovery. Narcotics, like codeine, have issues. Still, most patients need something post-op.

In addition to narcotics, other meds can be used like muscle relaxers, gabapentin/Neurontin, Celebrex (if not sulfa allergic), etc. All are non-narcotic in nature. Another option which I have used for the past year is Exparel which is an injectable, long lasting (3-4 days), delayed release pain medicine (Marcaine) which is injected into the muscle layer. I found this works amazingly well for most patients.

Most Effective Pain Medication After Tummy Tuck?

Question: What is the most effective oral pain medication after Tummy Tuck/Mommy Makeover with Breast Augmentation? I’m about a month pre op and researching pain management. My surgeon does not offer a pain pump. What is the most effective oral pain medication after tummy tuck/mommy makeover with breast at?? Thank you, Timberel

Answer: Pain control after mommy makeover varies

Thanks for the question. Each surgeon will have their own specific protocol for postop pain management. Narcotics, like percoset, are common place. I Rx these for my patients. However, I also like to use a muscle relaxant (like soma or flexeril), Neurontin (gabapentin), and Celebrex. All are non narcotic and can go a long way to reducing the # of narcotics that you would need. Additionally, you should also research Exparel which is a long lasting type of pain medicine that I have found extremely helpful, especially after tummy tucks. This is injected into the muscle layer before completion of the tummy tuck and can last 3-4 days.

Web reference: http://www.exparel.com/index.shtml?gclid=CKry-9KCg8ICFZCVfgodJ0gAyQ

Is it Safe to Resume Boating and Fishing After TT and BA?

Question: My Husband and I enjoy fishing a lot. How soon after surgery can I resume boating/fishing. Also, since I would be exposed to the sun, I will be taking extreme measures to prevent any direct sun exposures to my incisions. Thankfully its Fall/Winter so swimming and tanning is out of the picture for me!. What would be a good/safe wait time to resume boating/fishing? Even if its just boat cruising around the bay?

Answer: 6-10 weeks

For my mommy makeover patients I like to suggest zero exercise, or anything that is going to stress the tummy muscles, for 1 month. Between 5-10 weeks I have the patients slowly increase their activity so that at 10 weeks they are unrestricted. Boating and fishing would be okay at about 6 weeks, but, no water skiing, etc, for 10 weeks. Again, this will vary widely between surgeons.