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anyone had staples on incision after tt did it scar?

anyone had staples on incision after tt did it scar?

Postby nenee » Fri Oct 08, 2010 2:10 am

hi there

im seeing a few surgeons to see who i want for a tt..

i asked about a surgeon im seeing on tue how he stitches u the wound and she said someties he uses staples which mortified me as i thought this was the old way and this causes terrible scarring which looks like teeth marks plus im allergic to certain metals..

i thought they just stitched the incision and used glue on the top layer and tape?

has anyone had staples and why and how did it look?

cheers

nenee
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Re: anyone had staples on incision after tt did it scar?

Postby AnnieBeansprout » Fri Oct 08, 2010 9:29 am

Hi Nenee,

Gosh, I think I've only read of one or two people who had staples. It isn't standard with the TT, because I don't think the results are as good. I had staples after my C-sections, and my scar looked good once it was healed. No marks or anything. But it did not look as good as my TT scar by a long shot! But, then again my OB/GYN just wipped the staples in there and probably didn't take a lot of care...

Personally i would not use a doc who was stapling my incision together, and usually PS really work to perfection with their incisions. Take great time to make sure they are well done. To me, stapling sounds like a rush job.

But this is only my personal opinion, but sure don't hear of people having it done here...

I had internal stitches and steri strips over it. Many do use glue.
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Re: anyone had staples on incision after tt did it scar?

Postby AnnieBeansprout » Fri Oct 08, 2010 9:31 am

I think, way back when I first was lurking here, that I remember one of those people who had staples actually had internal sutures, but the doc put a few staples across to help hold things together. Instead of steri or glue, etc. But, they were removed after just 5 days to avoid scaring.

I could be wrong, but pretty sure I read that.
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Re: anyone had staples on incision after tt did it scar?

Postby nenee » Fri Oct 08, 2010 9:57 am

hi there

this isthe dilema im in, see what u think #-o

ok i live in the middle of no where and all the top surgeons except a few work in london which is about 2 1/2 hrs on the train and 4 hrs driving, so if i have an op there il have to travel back 1 week later tohave my stitches out etc and if i have issues in between il have to travel again so this is a worry,,, BUT i want hte best srugeon i can get as a big op

the surgeon i am seeing on tue whose nurse said he does staples, is a highly regarded top surgeon who was president of baaps in the uk been on tv and been around a while etc..

the nurse said he uses dissolvable stitches in 80 % of his patients but some have thin or poor skin quality and thats when he may use the clips and they take them out after 5 days so theres no scarring, she said he wouldnt use them on me as im allergic to metals anyway...

but im questioning his ability now,

he also does not do lipo on the sides when he does the tummy tuck as the norm he will look and see

theres another surgeon who uses glue etc and highly regarded but id have to travel and maybe stay over a week on my own save travelling back and to so the nurse can see to my dressings

i just dont know what to think

im going to go for the consultation and question him and see before and after photos(which he does not show on his webste as he says is misleading as everyone heals differently )

nenee
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Re: anyone had staples on incision after tt did it scar?

Postby AnnieBeansprout » Fri Oct 08, 2010 10:12 am

It kind of sounds like he uses the staples the same way that other gal had done that I mentioned. Internal stitches plus staples. I am not doc, but it just seems to me that an incision as big as the TT incision, and all the tension...that 5 days of nothing but staples would not be enough. Especially with someone with poor skin quality. Maybe for a C-section...but that's a smaller incision.

So maybe it is actually a positive thing? Like he's discovered how to deal with someone with the skin issues. I would want to know if the staples are all he uses or if he does both?

You can tell I don't really know the answer here...but it might not be as bad as you are thinking, if he does do them both.

JMO on that.

My doc doesn't automatically do lipo either. It is a case by case basis. Some people just don't need it. I remember in my consult with him, asking him about lipo and he said "we'll see after you change into your gown." I mean he needed to look first.
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Re: anyone had staples on incision after tt did it scar?

Postby kristin31 » Fri Oct 08, 2010 10:21 am

One of the PS I've seen uses staples (but yes as mentioned in addition to internal stitches) I saw some of his pics and the scars did not look worse than any other pics I've seen.

I'm not doing lipo either (well if I ever make my mind up on getting a TT)
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Re: anyone had staples on incision after tt did it scar?

Postby AnnieBeansprout » Fri Oct 08, 2010 10:32 am

Kristin, did you mean staples? Just clarifying. Or did you mean he does internal stitches as well as external stitches?
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Re: anyone had staples on incision after tt did it scar?

Postby kristin31 » Fri Oct 08, 2010 10:37 am

AnnieBeansprout wrote:Kristin, did you mean staples? Just clarifying. Or did you mean he does internal stitches as well as external stitches?


:P I meant staples. Man, I'm glad it's Friday. Need more caffiene apparently. He does staples / internal stitches.
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Re: anyone had staples on incision after tt did it scar?

Postby AnnieBeansprout » Fri Oct 08, 2010 10:38 am

I do that ALL the time. I goof up on a word, or typo...and it changes the entire meaning of the sentence.

I'll go ahead and edit the change.

This must be more common than I realized if you've met with a PS who does this too.
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Re: anyone had staples on incision after tt did it scar?

Postby kristin31 » Fri Oct 08, 2010 10:50 am

Hmm I should probably ask why staples over stitches? Kind of curious now. Prob won't change my decision if I go ahead with the TT but least would be good to know.
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Re: anyone had staples on incision after tt did it scar?

Postby tlc4me » Fri Oct 08, 2010 9:12 pm

I had staples for my tummy tuck, upper back lift, and also a few in my breast lift as well. Staple marks all disappeared by three months. There were internal stitches also, of course, but I was glad to have staples in these high tension areas, as I have a fear of incisions opening, or widening.

Here is my doctor's explanation of his preference for using staples for certain procedures:

Why I like to use staples on body contour surgery
1- There has not been published in any serious plastic surgery journal any scientific evidence that healing or scarring is worst with metal staples than with other suturing devices.
2- In surgery there are different methods to achieve the same results. That is why different surgeons use different techniques for the same procedure achieving good results. An important rule we are taught is: “perform the technique that in your hands gives you the best results and lower complication rates”.
3- From about 10 thousand plastic surgeons members of the ASPS you can find hundreds who can say they don’t like to use metal staples and you can find hundreds who would say they prefer metal staples.
4- I use a combination of internal absorbable sutures and stainless steel staples externally. This will allow me to remove the staples earlier.
5- On body contour surgery (tummy tucks, arms and thighs lift, breast lift, etc., I like to remove as much skin as possible, leaving the wound tight, trying to achieve the slimmest results possible. The metal staples are strong enough to hold the tissues in place. If I did not use staples, I would have to be more conservative and remove less tissue.
6- The human body doesn’t react to Stainless Steel as it may do to synthetic material, even the modern absorbable sutures or staples.
7- With the combination I use of dissolvable internal sutures and external Stainless Steel staples, I am allowed to use less internal synthetic material, and at the same time I can remove the staples earlier than the average recommended. We usually start removing staples 3-5 days after surgery.
8- Currently metal staples are the strongest material that can hold skin and tissues together. This allows us to safely tighten more of the tissues, and achieve better and more long lasting results. It also allow us to instruct the patients to start moving and walking earlier in the recovery period, helping us to avoid complications like DVT (deep venous thrombosis) and pulmonary embolism. In the last 15 years since we used metal staples our rate of DVT is 0.03% and pulmonary embolism has been ZERO.
9- Another advantage is that it takes less operative time using staples than internal sutures only. This means less general anesthesia time and less risk of anesthesia complication, along with the less risk of DVT and pulmonary embolism.
10- The scars can be improved with creams, gels, gel sheeting, corticoid injections and even revised in the future. But in my opinion the patient’s health and safety is most important. Having a flatter and slimmer contour is better. There has not been any scientific study demonstrating that wounds sutured with metal staples heal worse than with other methods. What you can find is anecdotal points of view of different physicians.

If you prefer for me to use only internal dissolvable sutures I will do it if you are willing to accept the following issues:
- I will have to be more conservative on skin an tissue, resulting in a less than best result.
- The anesthesia time is going to be longer increasing the risk of anesthesia complications.
- You must have minimum physical activity for the first 7 days.
- The risk of DVT and pulmonary embolism is higher.


Hope that helps.

Terri
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Re: anyone had staples on incision after tt did it scar?

Postby AnnieBeansprout » Sat Oct 09, 2010 9:33 am

Very interesting Terri. Thanks for posting that.
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Re: anyone had staples on incision after tt did it scar?

Postby nenee » Sat Oct 09, 2010 11:36 am

hi terri

thank you so much for that info, you really have answered my concerns, more than a surgeon has in fact!!

you see the surgeon im seeing is a highly qualifeid respected registered surgeon and hes been on tv re- doing botched plastic surgery by other surgeons, and the only thing that put me off was the staples cause i thought it was old school and caused scarring and he didnt do before and after phots as he feels this is misleading as my body is not the same as someone elses but they were going to get a patient to speak to me about the tummy tuck and he will show me photos to if i want to..

im going to see him tue and see what he says..

my concern now is that the nurse says shes not sure if i have enough skin for a tt so im hoping he says otherwise..

QUESTION: did your scar heal thin,flat and nice, did u have marks where the clips had been put in i,e: holes above and below the scar or is it just a line now, and did he take them out on day3 or 5?

thank you so much for your help and everyone else too :)

nenee
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Re: anyone had staples on incision after tt did it scar?

Postby cyndykaye37 » Mon Oct 11, 2010 10:48 am

I had a tt and ba on 12/28/09 and staples were used for my tt incision. My ps used both internal stitches and the staples and I could not be happier with my results. My scar has healed wonderfully and I honestly can't imagine it could be any better. The staples left no mark once removed and once I was healed. I trust my surgeon and his judgment completely or I would have never let him perform my procedures. If he believed that staples were the way to go then I trust he was right and performed my procedures according to his years of experience and in a way that was best suited for my needs as his patient. Just my 2 cents ; )

Good luck to you!!
Surgery Date: December 28, 2009
FTT w/ lipo /BA
, arm lipo
pre-sx: 36C
330cc Natrelle Saline overs filled to 340 and 370
post-sx: 34dd
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Re: anyone had staples on incision after tt did it scar?

Postby nenee » Mon Oct 11, 2010 12:03 pm

hi ya

thank you so much for putting my mind at rest, i thought it was old school technique when the nurse mentioned stapels in fact i freaked thought id end up like frankenstien :?

but after asking questions etc i realise its good practice as better for wound tension and pts health etc, my surgeon a highky respected highly qualified ps whose been on tv etc so i got to trust him, to be honest im a worrier no matter what, im totally sick of my tummy and want it gone i just want to make sure iv asked all the questions and that im fully aware before i have the op what im in for so not a big shock after..

seeing my ps tom so hopefully he will have good news for me

cheers
nenee
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