A classic Abdominoplasty or Tummy Tuck is a surgical procedure designed to remove loose abdominal skin and the underlying fat. This procedure is particularly helpful to women who through multiple pregnancies have stretched their abdomen so far that it does not return to its normal shape and individuals who have lost significant amounts of weight through diet and exercise or Gastric Bypass surgery.
The best candidates for an Abdominoplasty are men or women in good health and relatively good shape, but are bothered by loose abdominal skin, a bulging abdomen and excess fatty deposits that won’t respond to exercise.
My approach is different from the classic Abdominoplasty. I refer to my procedure as a LipoAbdominoplasty. What is the difference you ask? In a LipoAbdominoplasty, I use extensive liposuction to create a more pleasing contour. A tummy tuck is a surgical procedure in which excess skin and the underlying fat are removed from the abdomen and on occasion the muscles of the abdominal wall are tightened. With a LipoAbdominoplasty I am able to remove excess fatty deposits throughout the whole abdomen and the sides including the hip area and sometimes the back region. This approach offers maximal contouring.
The LipoAbdominoplasty surgery is most commonly performed on an outpatient basis allowing you to retire to the comfort of your own home. A general anesthetic is required. The morning of the surgery a horizontal incision is designed just above the pubic region extending laterally. The length of the incision depends on the amount of skin to be removed but generally extends from one hip to the other. If there is loose skin above the navel a second incision is needed around the navel to permit tightening of this skin. I try to keep the incision hidden in the swimsuit line. Working through this incision the extensive liposuction is performed and the underlying muscles are tightened by pulling them together with sutures. The redundant skin and underlying fat is pulled downward and the excess is trimmed. The stretch marks included in this excess will be permanently removed. A new opening for the navel will made at the same location but the shape will be pleasingly altered.
On occasion a rubber suction drainage tube is placed and sutured to the skin where it exits. All the incisions are closed and covered with a dressing. An adjustable Velcro binder is applied for compression, comfort and support. After surgery, you should position yourself in bed or recliner so that there is no tension on the incision. 48 hours after surgery the binder and underlying dressings can be removed so that you can shower.
The first postoperative visit in my office is scheduled when the drain is ready to be removed. This is when there is less than 25cc of drainage for a full 24 hour period. After the LipoAbdominoplasty the skin and abdominal wall will feel tight. Initially, ambulation will be in a bent over position until the tissues relax usually around one to two weeks. Most patients can return to work after two weeks if there is no heavy lifting required. No strenuous exercise is allowed for five weeks.
As with any surgical procedure there are risks involved. Some of these risks include; bleeding, infection, scarring, loss of sensation of the skin, unevenness, contour irregularities, loss or delayed healing of the skin near the pubic incision, fluid collections, emboli, and secondary liposuction to improve contouring. These concerns will be discussed in greater detail during your consultation.
The shape of your body will be more pleasing, allowing you to wear clothing with greater confidence and comfort. Your self-esteem will brighten building your confidence.