G. Hunt Neurohr, M.D., F.A.C.S. Diplomate of the American Board of Plastic Surgery Abdominoplasty Information (Tummy Tuck) GENERAL: Aesthetic plastic surgery is an elective surgery you do not need, but want. The key to success is to have realistic expectations. During the consultation, you will discuss the issues that are of concern with Dr. Neurohr and he will inform you what procedure(s) he feels will help improve those areas of concern. WHY HAVE THIS OPERATION? It is important to have the surgery for yourself! Your surgery cannot satisfy other people’s desires or expectations. This is your body! You need to feel comfortable with the changes that will result from the surgery. WHAT WILL USUALLY BE HELPED BY AN ABDOMINOPLASTY: Excess skin removal Excess fat removal Abdominal muscle is tightened and separation repaired Incisional hernia may be repaired WHAT WILL NOT BE HELPED: “Stretch marks” Fat along the flanks Muscle will not be strengthened GOALS: Improve body contour Reduce abdominal bulge Improve appearance both in and out of clothing LIMITATIONS OF SURGERY: It will not eliminate stretch marks Generalized obesity cannot be corrected Muscle strength will not be improved, but the resting tone of the abdominal will can be improved HOW LONG WILL IT LAST? An abdominoplasty is usually a one (1) time surgery, however alterations in body contour may occur as a result of aging, weight gain or loss and pregnancy. ALTERNATIVES: 6120 Sherry Lane, Dallas, Texas 75225 Telephone: (214) 987-0585 Fax: (214) 987-0589 G. Hunt Neurohr, M.D., F.A.C.S. Diplomate of the American Board of Plastic Surgery No surgery (due to adverse consequences) Diet – may reduce fat, but excess skin and muscle laxity will still be a problem Exercise – muscles may be strengthened, but excess skin and fat will still a problem Suction lipectomy (liposuction) – fat excess will be improved, but skin excess and muscle laxity will still be a problem Dermolipectomy – the excess skin and fat are removed, but the abdominal muscle is not tightened SURGICAL TECHNIQUE/ANESTHESIA/FACILITY/RECOVERY: IV sedation vs general anesthesia Office OR/Outside Surgical Center/Hospital OR Incisions/muscle and fascia repair Dressings, support garments and drains Post-op hospitalization and proper bed positioning Physical restrictions and return to normal activity TRADE-OFFS: Temporary: Permanent: Discoloration/swelling Scars Discomfort (pain/sensitivity) Asymmetry Numbness Lumps/irregularities Restricted activity Fairly rapid resolution of most changes listed as temporary is expected within 2-6 weeks, but final contouring may not be complete for a minimum of six (6) months. RISKS/COMPLICATION: Bleeding/blood loss/transfusion** Skin loss Infection Pulmonary embolus Fat embolus Contour irregularities/depressions Sensory loss Fluid collections Ileus Poor umbilical contour or loss **All patients must be off all products containing aspirin, NSAIDS (Motrin, Advil, Naproxyn, etc) and blood thinning prescriptions (Coumadin, Plavix, etc) for 2 weeks before and 2 weeks after surgery. (Check all medications with the office staff: some medications/supplements affect clotting.) EVEN THOUGH THE RISKS AND COMPLICATIONS CITED ABOVE OCCUR INFREQUENTLY, THEY ARE THE ONES THAT ARE PECULIAR TO THE OPERATION OR OF GREATEST CONCERN. OTHER COMPLICATIONS AND RISKS CAN OCCAR BUT ARE EVEN MORE UNCOMMON. THE RISKS OF SURGERY ARE COMPARABLE TO THE RISKS YOU TAKE EVERYDAY WHEN DRIVING OR RIDING IN AN AUTOMOBILE. 6120 Sherry Lane, Dallas, Texas 75225 Telephone: (214) 987-0585 Fax: (214) 987-0589 G. Hunt Neurohr, M.D., F.A.C.S. Diplomate of the American Board of Plastic Surgery ANY AND ALL OF THE RISKS AND COMPLICATIONS CAN RESULT IN: Additional Surgery Time off Work Hospitalization Expense to You ON OCCASION, SURGICAL REVISIONS MAY BE INDICATED FOLLOWING THE ORIGINAL SURGERY. If planned or performed within one (1) year after the original surgery, there will be no charge for Dr. Neurohr’s fee but facility and anesthesia fees will be charged. NO GURANTEE – The practice of medicine and surgery is not an exact science; although good results are expected, there cannot be any guarantee, or warranty, expressed or implied, by anyone as to the results that may be obtained. INSURANCE USUALLY DOES NOT COVER AN ABDOMINOPLASTY PROCEDURE; TREATMENT OF COMPLICATIONS MAY OR MAY NOT BE COVERED BY INSURANCE. **DR. NEUROHR DOES NOT TAKE INSURANCE. WE CAN PROVIDE YOU WITH CODES THAT WILL ALLOW YOU TO FILE ON YOUR OWN. ANY MONEY WILL GO DIRECTLY TO YOU.** IF THERE IS ANY ITEM ON THIS INFORMATION SHEET THAT YOU DO NOT UNDERSTAND, MARK IT AND CALL THE OFFICE. AN EXPLANATION OR ADDITIONAL INFORMATION WILL BE PROVIDED. SHARE THE INFORMATION WE PROVIDE YOU WITH YOUR SPOUSE OR OTHER INTERESTED FAMILY MEMBERS OR FRIENDS. DR. NEUROHR WILL BE HAPPY TO MEET WITH THEM IF YOU WISH. I have read and understand the above information: ______________________________ Patient Signature Witness: _______________________________ Date: ____________________ 6120 Sherry Lane, Dallas, Texas 75225 Telephone: (214) 987-0585 Fax: (214) 987-0589
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