Important Benefits to Tummy Tuck, Using No Drains

Important Benefits to Tummy Tuck, Using No Drains

Five years experience in performing this better method

Portsmouth, NH – Until recently abdominoplasty has required the use of suction drains to prevent accumulation of fluidunder the flap of tissue created in a tummy tuck procedure. Drains, in the form of plastic tubing, were sutured to the skin causing discomfort and limiting the patient’s mobility after surgery. Drains could become dislodged, cause pain and irritation. Patients were not even allowed to shower while the drains were still in place. Now, tummy tuck surgery and the additional use of liposuction can be performed without using drains. Dr. Lawrence Gray and Dr. Brannon Claytor have been performing this new method of tummy tuck without drains surgery for 5 years.

In traditional tummy tuck, space is left between the fat and the muscle, which is where fluid can collect, so typically 2 or 3 drain was placed there to remove any fluid that collected. This collection of fluid is referred to as a seroma. The seroma could remain for one to several weeks. The drain is a tube that is brought out through the skin. The patient would have to empty the collection bottle at the end of the drain several times a day recording the amount removed. If fluid collected after the drain was removed, then the surgeon has to remove the fluid using a needle every two or three days until no more fluid collected. Drains used to be in place for weeks. They were uncomfortable and a potential site of infection. Drains can be difficult for patients to manage, are uncomfortable, and must heal after removal.

The new method of tummy tuck surgery uses no drains and eliminates the space for fluid to accumulate. This method removes excess skin and fat by liposuction from the abdomen and then tightens the muscle of the abdominal wall and the skin of the abdomen. Muscle is tightened from the breast bone to the pubic bone and extra skin and fat are removed. The remaining skin is sewn together, closing the space and leaving no room for fluid to accumulate. Progressive tension sutures hold the tissue together controlling abdominal movement during the healing process.

This procedure has important benefits: It gives surgeons a technique to avoid the use of drains when performing a tummy tuck. Tummy tucks, no drains with liposuction at the same time can improve the contours and shape of the abdomen and overall body proportion. Patients are up and about in just a few days. Patients are much more comfortable without drains being attached and having to empty them or have the surgeon withdraw fluid. This method also results in less pain after surgery, and provides a quicker recovery, of critical importance to patients.

Dr. Lawrence Gray and Dr. Brannon Claytor presented their method of “Tummy Tuck with Liposuction: No Drains Needed” at the annual meeting of the American Society of Aesthetic Plastic Surgery in New York City, held April 11th to 16th and will be presenting this same method again at the annual meeting of the Northeastern Society of Plastic Surgeons to be held in Washington, DC from September 18th to the 21st, 2013. Visit our website at to read more on tummy tuck, no drains or for more information, call Atlantic Plastic surgery Center at 1-800-633-6860.

About Atlantic Plastic Surgery Center:

Atlantic Plastic Surgery Center is the practice of New Hampshire plastic surgeon, Dr. Lawrence Gray, since 1985. Dr. Gray is nationally and internationally recognized as the inventor of the scarless breast reduction, a revolutionary procedure that eliminates scars associated with the older, traditional method of breast reduction. He has a large following of satisfied patients from across New Hampshire, the United States and a number of foreign countries, who have sought him out for breast augmentation and scarless breast reduction. Dr. Gray has taught at educational conferences for the American Society for Aesthetic Plastic Surgeons and is the only member of the International Society of Plastic Surgeons from New Hampshire. Dr. Mark Ballentyne is a highly skilled physician who has been Director of Medical Aesthetics at the Skin Wellness Center since 2003. Dr. Ballentyne is board-certified by the American Academy of Family Practice Physicians, is licensed to practice in New Hampshire and will be fully certified by the Board of Aesthetic Medicine in September 2011. He has established a strong reputation for his talent in administering dermal fillers, BOTOX® Cosmetic and Dysport injections, and Fraxel laser treatments. He is a national trainer for Allergan™. Dr. Brannon Claytoris board certified in plastic and reconstructive surgery, as well as in hand surgery. Dr. Claytor is a fellow of the American College of Surgeons, offering patients a high level of skill, outstanding training and commitment to excellence in cosmetic, reconstructive and hand surgery. He completed an additional year of training in breast microsurgery, oncologic reconstruction and hand microsurgery at Washington University in St. Louis, Missouri and was on the teaching faculty of the Lahey Clinic Medical Center.

Choosing a Safe Facility

By Dr. Lawrence N. Gray Atlantic Plastic Surgery Center Portsmouth, New Hampshire

Having an aesthetic procedure is an important personal decision. Most people are very careful to choose the best surgeon for their procedure—the surgeon who has the best credentials, the best reputation, many years in practice and a long list of very happy patients. There is another critical item to examine: Is your surgeon’s facility as safe as it should be? Is it current in all licensure and certifications? Does the facility strive for the highest level of certifications?

There are many components to a safe facility in which to trust your care:

First, Standards of safety have already been established by many states, such as New Hampshire. Those rules and regulations are re-investigated, yearly. A facility that does not meet those requirements will be put on notice and may even be shut down. Ask to see your surgical facility’s licensure and certification before even considering having your procedure done. These certifications are normally displayed proudly. Anyone performing procedures of any level without the proper licensures and certifications is putting you at risk. Board certified plastic surgeons are required to operate in certified facilities.

At Atlantic Plastic Surgery Center, your medical safety is our primary concern. Yes, we want our patients to be very happy with their outcome, but nothing, absolutely nothing is more important than standards of safety being in place and strictly adhered to. Patients come to us to make aesthetic improvements. However, if a situation is not up to our standards of safety, which meet or exceed those of New England’s best hospitals, then we do not take it on. We refuse cases where the patient hasn’t been truthful or followed through fully on pre-operative requirements or if we believe the patient will be at risk. Patients are carefully evaluated before surgery and all high risk patients have their procedure performed at a local hospital by myself. The patient?s safety and successful results are our goal and only acceptable outcome.

Second, there are national organizations that establish standards for certification. The most common one for plastic surgeons is AAAASF, the American Association for Accreditation of Ambulatory Surgery Facilities. The American Society of Plastic and Reconstructive Surgeons and the American Society for Aesthetic Plastic Surgery state that “any outpatient facility where liposuction is performed should have proper accreditation by the AAAASF or an equivalent agency.” Atlantic Plastic Surgery Center is a state-of-the-art plastic surgery facility and is certified at the highest level by the AAAASF accreditation. We meet and exceed the strictest standards of safety and equipment met by hospitals. We use only board certified anesthesiologists and are able to offer IV sedation or general anesthesia, for which separate and additional levels of certification have also been met. Surgeons are required to obtain certification for their facility even if the procedure is done under local anesthesia.

Third, Global Certification exists for facilities which have international patients. Patients now commonly travel great distances to find the best surgeon for their procedure. The International Society of Aesthetic Plastic Surgeons, or ISAPS, has instituted standards of safety for patients who travel internationally to see their chosen surgeons. Atlantic Plastic surgery Center has had patients from Canada, Egypt, Turkey, the Bahamas, Bermuda and Taiwan. Because we have Global Certification, we are known to have the highest standards for patients who travel internationally.

I have set my own personal standards of excellence for my facility and staff, which are not required. I opened Atlantic Plastic Surgery Center in 1998 and obtained all licensure and certifications immediately. Investigators for the State of New Hampshire have reported my facility, Atlantic Plastic Surgery Center is used as a standard for other facilities around the state as it is well maintained and run exactly according to code. The registered nurses assigned to our operating room are certified in advanced cardiac care and life support. Our recovery room nurses remain with the patient for his or her entire experience. Our warm and knowledgeable staff is dedicated to making sure your experience is pleasant and that you feel as reassured and relaxed as possible. Our nursing staff members belong to the American Society of Plastic and Reconstructive Nurses, and our Skin Wellness Center nurse is a member of the Society of Plastic Surgical Skin Care Specialists. Our registered nurses are also Certified Plastic Surgical Nurses by the Plastic Surgery Nursing Certification Board

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