Abdominoplasty – (The iTuck ®)
The iTuck® abdominoplasty (tummy tuck) operation combines three advances in surgical technology to create an outpatient procedure that achieves the contour improvements of standard abdominoplasty while minimizing pain and recovery time.
The iTuck® involves removing excess skin and fat and tightening the abdominal wall muscles. It also includes liposuction of the hips and flanks, extending as far as possible with the patient lying on their back, all as a standard part of the procedure without additional charge. The iTuck® incorporates three technical innovations:
No Drains:
Progressive Tension Sutures are placed internally to secure the skin to the muscle wall, eliminating the need for drain tubes. This technique maximizes skin removal and significantly reduces, if not eliminates, seroma formation (fluid collection under the skin flap). Since adopting this technique in 2010, Dr. Kirn has not encountered any seromas.
Pain Control:
In the operating room, a long-acting numbing medicine, Exparel® (www.exparel.com), is applied to the muscle wall, the perimeter of the dissection zone, and the incisions. This reduces immediate post-operative pain and decreases the need for narcotic pain medication. Exparel® lasts approximately 72 hours, allowing patients to return home or to a local hotel comfortably after surgery. By the time it wears off, natural soreness typically subsides, enabling patients to manage most of their pain without narcotics.
ENHANCED RECOVERY:
A Pulsed Electromagnetic Field (PEMF) device is used outside the surgical dressings for the first-week post-surgery. These devices create a low-strength pulsed electromagnetic field that reduces post-surgical inflammation, resulting in less pain and potentially improved healing. The SofPulse® system, for example, has been scientifically shown to decrease inflammatory body chemicals (Plast. Reconstr. Surg. 2010 Jun;125(6):1630-1. & Aesth. Plast Surg. 2008).
Schedule Your Abdominoplasty Procedure
Nearly all iTuck® procedures are performed at the Surgery Center as outpatient surgeries. A comfortable patient will recover better at home, and avoiding the hospital reduces the risk of exposure to hospital-associated bacteria.
Most patients can expect soreness for the first few days post-operation and should remain in a flexed position to reduce tension on the incision for the initial two to three days. Patients with low-activity jobs can usually return to work within a week. Heavy lifting (>20 lbs.) should be avoided for six weeks after surgery.
In summary, the iTuck®, offered by both Dr. Kirn and Dr. Al Bayati, enhances the patient experience by combining multiple established technologies to maximize results and ease recovery.
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Dr. Kirn and Dr. Al Bayati are Plastic Surgeons devoted to advanced techniques in Cosmetic Surgery of the Face, Breast, and Body.

Abdominoplasty
Frequently Asked Questions
What is the difference between the iTuck® operation and a standard tummy tuck?
- Exparel®: A long-acting numbing medication is placed into the muscle layer to significantly reduce post-operative pain.
- Progressive Tension Sutures: These sutures are used to secure the skin to the underlying muscle, eliminating the need for drains.
- Pulsed Electromagnetic Field (PEMF) Device: This device is used after surgery to decrease inflammation and pain, promoting faster recovery.
These enhancements help ensure a more comfortable and efficient recovery process while delivering excellent contouring results.
How long will I need to be off work after an iTuck®?
When can I exercise after an iTuck®?
When can I drive after an iTuck®?
When can I lift my children after an iTuck®?
Will I have drains with an iTuck®?
What is the size of the scar with an iTuck®?
What weight should I be for an iTuck®?
Will I lose weight with an iTuck®?
Will my hip contour be improved with the iTuck®?
Should I have a mini tummy tuck or a standard one?
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Meet Dr. David Kirn
Dr. David Kirn is an American Board of Plastic Surgery Certified Plastic Surgeon who is devoted to advanced techniques in Cosmetic Surgery of the Face, Breast, and Body. In private practice since 1998, he is located in a state-of-the-art facility which includes a full service skin care center. The practice is focused on personalized patient care and attention to detail. Where possible, Dr. Kirn utilizes minimally invasive procedures.
Meet Dr. Ahmed Al Bayati
Having completed his training in plastic surgery and serving as Chief Resident at the University of Kentucky, Dr. Al Bayati brings a wealth of expertise and dedication to his practice. His commitment to advancing patient care and achieving exceptional outcomes reflects his unwavering passion for plastic surgery.
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