Abdominoplasty: Tummy Tuck for a Flatter Abdomen

Abdominoplasty, more commonly known as a “tummy tuck”, is the surgical removal of excess skin and fat from the abdomen and waist.

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  • Procedure Time : 2-3 hours
  • Shower : after 5-7 Days
  • Anaesthesia : General
  • Age Restriction : 18+
  • Recovery Time : Around 6 Weeks
  • Time Off Work : 1-2 Weeks
  • Hospital Stay : Day case
  • Recovery : 4-6 weeks

A tummy tuck, or abdominoplasty, is a surgical procedure designed to remove excess skin and tighten the abdominal area. Depending on your goals, alternative procedures may better align with your specific needs.

This procedure typically involves removing loose skin from the lower abdomen and, in some cases, repairing the abdominal muscles by stitching them back together. The primary objective is often to create a slimmer, more toned midsection.

Many individuals choose to undergo a tummy tuck after significant weight loss, whether due to pregnancy, lifestyle changes, or other factors. Excess skin in the abdominal area can be difficult to eliminate without surgical assistance.

Here’s a closer look at this procedure, including how it’s performed, what the recovery process entails, and the potential risks involved.

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    Why People Opt for a Tummy Tuck

    A tummy tuck is often chosen for aesthetic purposes, such as:

    • Tightening loose or stretched skin
    • Smoothing and flattening the lower abdominal area

    This procedure can be especially beneficial when diet and exercise alone are not enough to restore skin elasticity or muscle tone. After significant weight loss or pregnancy, the skin and muscles may lose their ability to return to their original shape naturally.

    In addition to cosmetic improvements, a tummy tuck may offer certain health benefits, such as:

    • Reducing the risk of skin irritation, rashes, or infections caused by folds of excess skin
    • Boosting self-confidence by enhancing physical appearance

    However, in cases of more severe excess skin, a different surgical procedure called a panniculectomy may be necessary. (We’ll cover this in more detail later.)

    Types of Tummy Tucks

    There are several variations of the traditional tummy tuck procedure, each tailored to address specific needs:

    • Extended Tummy Tuck: This procedure involves an incision that stretches from the hips and may extend toward the back, tightening the entire waistline. Unlike the standard tummy tuck, which focuses on the area between the hips, this approach provides more extensive contouring.
    • Mini Tummy Tuck: Also known as a partial tummy tuck, this technique uses smaller incisions in the lower abdominal area. The procedure targets a smaller section below the belly button, making it less invasive than a full tummy tuck.
    • Reverse Tummy Tuck: Unlike traditional tummy tucks, which primarily address the area below the belly button, reverse tummy tucks focus on the upper abdomen. Excess skin is removed from above the belly button to achieve a tighter, more contoured look.

     

    What to Expect During a Tummy Tuck

    A tummy tuck is typically performed in a hospital operating room under general anesthesia, ensuring you remain asleep and pain-free throughout the procedure.

    Here’s what generally happens during the surgery:

    • Incision and Removal of Excess Tissue:

    The surgeon makes an incision across the lower abdomen, just above the pubic bone.

    Excess fat and stretched skin are removed from the lower and middle sections of your abdomen.

    • Muscle Tightening:

    If necessary, the surgeon will tighten the abdominal muscles using sutures to create a firmer core.

    • Extended Procedures:

    In cases requiring more extensive correction, fat and skin may also be removed from the sides of the abdomen.

    • Closure and Drainage:

    The incision is closed with stitches, and drainage tubes may be placed to remove any excess fluid from the area during recovery.

    • Bandaging:

    A large bandage is applied to protect the treated area and support healing.

    For less extensive procedures, an endoscope (a small camera) may be used to perform the surgery through a smaller incision. This method focuses on tightening the muscles beneath the skin and is better suited for individuals with minimal excess skin. However, it may not be as effective for those with significant loose skin.

    Preparing for Surgery

    Before your tummy tuck, you will likely need to:

    On the day of your surgery, you will be instructed to fast for several hours prior to the procedure. Your surgeon will provide you with specific guidelines regarding when to stop eating and drinking.

    Since the surgery involves general anesthesia, arrange for someone to drive you to and from the clinic, as you will not be able to drive yourself immediately after the procedure.

    Recovery Time

    In most cases, you will be able to return home on the same day as your tummy tuck surgery. However, some pain and discomfort are common during the initial recovery period. Your medical team will prescribe pain medications to help manage these symptoms.

    During recovery, it’s important to get plenty of rest. To alleviate pressure on your wounds, it may be helpful to lie down with your hips and legs bent.

    Your surgeon will assist you in wearing an elastic compression garment, similar to a girdle, which helps manage swelling and supports the healing process. Swelling can take up to six months to fully subside.

    In some cases, drainage tubes may be inserted, and you will need to empty and monitor them regularly. Your surgeon will provide you with a specific timeline for how long these tubes need to stay in place, which typically ranges from a few days to a few weeks.

    Follow-up visits to your surgeon will be necessary to remove bandages, stitches, and drainage tubes, ensuring your recovery is progressing well.

    Recovery times vary depending on factors such as age, overall health, and the type of tummy tuck performed. However, most individuals can expect to return to their usual activities within 8 weeks.

    The American Board of Plastic Surgery recommends the following post-operative guidelines:

    Over the course of the following year, your scars will gradually fade. To avoid making them worse, it’s essential to protect them from sun exposure. If you need to be in the sun, applying sunscreen is strongly advised.

    Frequently Asked Questions

    What Will The Tummy Tuck Procedure Involve?

    A tummy tuck requires general anaesthesia. The approach to a tummy tuck procedure will vary depending on your cosmetic goals. A tummy tuck can combine surgical methods such as liposuction, skin removal, and muscle tightening. Your skin quality, amount of fat, and muscle strength will determine this.

    If the procedure involves repairing abdominal wall, the surgeon will pay more attention to the skin and muscle, and the surgeon may repair them with internal sutures. The surgeon will then trim the skin and re-drape it, closing the incision with sutures.

    You may be required to stay overnight depending on the severity of your operation. Following the surgery, we may recommend you wear surgical drains for a few days.

    Who Is The Tummy Tuck Procedure Suitable For?

    Those who have lost weight rapidly

    After losing weight rapidly, the skin on the stomach can sag and become crepey. Despite your best exercise efforts, you may have difficulty shifting the excess skin. In this circumstance, a tummy tuck can lift and tighten the skin.

    Those who are looking to restore their pre-pregnancy figure

    A tummy tuck is a common post-pregnancy procedure that we often combine other procedures like breast augmentation and lift in what’s known as a ‘mummy makeover’.

    When Can Results of Tummy Tuck Be Seen?

    The results of a tummy tuck are immediate, but you can expect to experience some swelling that resolves with time. You may start to get an indication of the overall results after around two months. The final outcome will start to be visible after around six months.

    How Long Is Recovery of Tummy Tuck?

    Patients should be prepared to take up to 3 weeks off work. You will be unable to drive for a few weeks after your operation. You should avoid strenuous activity for up to 6 weeks. Initial recovery takes around six weeks. You will start to see your results after 2-3 months which will progressively improve.

    How Long Does The Tummy Tuck Procedure Take?

    The duration of the operation varies from case to case. It can be from 1-5 hours.

    What Are The Risks of Tummy Tuck?

    Your surgeon will discuss the risks with you during your consultation. They include:

    • Adverse reaction to anaesthesia
    • Bleeding
    • Infection
    • Swelling
    • Necrosis
    • Numbness
    • Skin discolouration
    • Fluid accumulation
    • Poor wound healing
    • Blood clot
    • Pain
    How Long Will Results of Tummy Tuck Last?

    The results are permanent; however, your results may change if you decide to have more children or put on weight. If you wish to maintain your results, it’s ideal to wait until you have completed your family and can ensure you keep a stable weight without significant fluctuations.

    Will There Be Scarring?

    The severity of scarring will depend on the extent of your tummy tuck procedure. Generally, the surgeon will conceal the incision within the underwear line. It can take up to a year for the scar to begin to fade.

    If you have good skin laxity and don’t require much removal of excess skin or fat, a mini tummy tuck might be the best approach. A full tummy tuck might involve some muscle tightening, removal of excess skin and liposuction. Therefore, the operation is more invasive and would leave a more significant scar.

    Will My Belly Button Be Removed?

    The surgeon may reposition the belly button during a tummy tuck depending on whether it’s necessary.

    Do I Require Liposuction Or A Tummy Tuck?

    A patient who has less elasticity within their skin and whose skin is therefore sagging will be a more suitable candidate for a tummy tuck. If you’re able to ‘pinch an inch’ of fat in the selected area, you may be a suitable candidate for liposuction. Liposuction targets excess fat, whereas a tummy tuck focuses more on the surrounding muscle and skin. A suitable candidate for liposuction would have good skin tone and elasticity. Combining the two procedures often gives the best results.

    Can A Tummy Tuck Repair Diastasis?

    Diastasis refers to when there is a defined gap of around 2-3 fingers between the abdominal muscles. This condition occurs when the muscles can become separated due to excessive pressure put on them, such as pregnancy. The separation creates a protrusion or bulge between the middle of the ab muscles.

    When the abdominal skin and muscles have stretched beyond the point where they can return to their natural state, you may wish to consider a tummy tuck. There’s a lot of contradictory theories surrounding whether you can repair these muscles with exercise. Most surgeons would agree that no exercise regime will be enough to repair the damage to the fascia and muscles, and exercise won’t address sagging skin. Surgery is a definitive way to correct this problem. With the proper rehabilitation exercises, the stomach can become flatter, but the success is often limited, partly due to misunderstanding how the muscles repair in this area.

    Unfortunately, diastasis is often coupled with loose and sagging skin. For optimal results, many women opt for a tummy tuck which specifically targets weakened muscles and skin, closing the separated muscles and restoring a firmer and flatter stomach.

    Before & After

    Tummy Tuck

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