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The surgery takes place at Marin Cosmetic Surgery Center, Dr. Delgado’s private surgery suite, located in his Marin County office on the Sutter Marin County Community Hospital campus. This allows Dr. Delgado to offer his patients private, concierge medical care, while providing the extra measure of safety and reassurance afforded by the surgery center’s contiguous location to the hospital.
Before anesthesia is given, a surgical marking pen is used to draw a detailed “map” on the abdominal area. This architectural diagram enables the doctor to make accurate adjustments to accommodate the gravitational changes that occur as the body moves from a standing to a lying position.
After anesthesia is given, a horizontal incision is made below or at the pubic hairline towards the hip bone. The incision is strategically placed. Today, fashion has evolved to low-rise pants and dipping swimsuit lines, but Dr. Delgado can customize the placement of the incision to accommodate a patient’s lifestyle and clothing preferences. Through this incision, the fibrous component of the abdominal muscle wall (the aponeurosis) can be tightened by lacing it centrally to achieve a flatter abdomen, much like lacing up a shoe will pull in and flatten the tongue of the shoe. A Tummy Tuck is essentially the application of a surgically installed corset. If Tummy Tuck waist enhancement is desired, Dr. Delgado will also tighten the external oblique musculature, as this procedure will pull in the waist and accentuate that contour. Then, superficially, the skin is pulled downward and after the excess skin excised, the skin is sutured into position. The navel (belly button or umbilicus) maintains its vascularity, but is excised around the perimeter. It is then pulled through the skin to the new location. The umbilical position is unchanged in relation to the abdomen itself. Skin with stretch marks may be completely or partially excised depending on the location of the stretch mark scarring. Liposuction is used to improve the abdominal and waist contour. The abdomen is closed with two drains in place. Local anesthetic is injected through the drain tubing into the surgery site and this will facilitate pain relief for three to four hours. The installed On-Q™ pain pump system will deliver local pain medication to the surgery site for four to five days following surgery. A multiple-layer suture closure is performed. Insorb™ (internal, absorbable) staples are placed. (Note: Insorb™ staples, a recent innovation, distribute tension evenly along the incision line, ultimately resulting in neater healing than was possible prior to this invention.) Large cotton pads, with Vaseline™ (petroleum jelly) and 2.5% hydrocortisone cream applied to the skin side, are placed over the abdomen and these are secured with an abdominal compression garment with Velcro closure.
General anesthesia is used for Tummy Tucks. It is performed at a hospital or an outpatient surgery center. At Marin Cosmetic Surgery Center, an accredited outpatient surgery center, general anesthesia is provided by a board certified anesthesiologist. (See credentials for Randy Gaynor, MD on our website.) The anesthesiologist calls the patient the night before surgery to review his/her medical history, confirm last minute instructions and answer any questions he/she may have related to the anesthesia.
Please take the time to contact us by phone at: (415) 898-4161 or by filling out the form below:
SAN FRANCISCO OFFICE
450 Sutter Suite 2433
San Francisco, CA 94108
165 Rowland Way Suite 300
Novato, CA 94945