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Abdominoplasty (Tummy Tuck)

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Please Visit Our Tummy Tuck Info Central Website For More Information

What Is Abdominoplasty or Tummy Tuck Surgery?
Abdominoplasty, also known as a Tummy Tuck or simply a TT, is the surgery of the abdomen to remove the excess skin and fat that may accumulate after pregnancy, obesity or age.  With a full abdominoplasty, benefits are also tightening of the abdominal muscles and fascia that may have become stretched out or lax over time.  Even a new belly button can be obtained as a result!   If you have an outtie or even an innie, the opposite can be acquired to go along with your new, taut yummy.  This procedure is not only open to women but is also sought out by many men as well.  Regardless of gender, this isn't a simple procedure and you should definitely be aware of the risks and post-operative care and attendance that will be needed.  

Indications For Tummy Tuck Surgery
For individuals who have excess skin or weakened abdominal muscles due to age, pregnancy or obesity.  Abdominal muscle diastasis (a separation of the vertical abdominal muscles) can be corrected with plication
[: the tightening of stretched or weakened bodily tissues or channels by folding the excess in tucks and suturing] of the rectus abdominus sheath / fascia.  Abdominoplasty surgery is beneficial in helping these individuals obtain a tauter, slimmer waist and flatter abdomen.

In some cases, a patient may only need liposuction to improve the fatty protuberance of the abdomen.  Another option may be endoscopic abdominoplasty for those who need a little more than just abdominal liposuction.

Am I A Candidate For Tummy Tuck Surgery?
You must be at a healthy weight and have no disorders which would cause complications regarding anesthesia and the actual surgery.  You must also have a good state of mental health which is imperative during the recovery period.  There are many factors that go into determining who is a good candidate for this procedure.  Having a tummy tuck takes commitment and patience, however most patients advise that having the surgery was the best thing they had ever done for themselves. 

Only a qualified plastic surgeon can determine if you are a good candidate for an abdominoplasty and only after reviewing your medical history and a physical examination.

Read more about the requirements on our Tummy Tuck Info Central website.

Your Consultation Appointment
Once you have researched several surgeons, you will make consultation appointments.  The consultation  appointment is ultimately designed to interview the surgeon and discuss, in his/her opinion, what your options are.  Not all surgeons are going to offer the same techniques, have the same opinions, nor have the same aesthetic preferences.  It is usually best to get at least 3 opinions.  Visit our TummyT uck website for a list of printable consultation questions.

Incision Placements, Types & Their Resulting Scars

  • Endoscopic Abdominoplasty: Endoscopic procedures are only reserved for patients who have general taut skin but loosened underlying fascia of the abdominal muscles.  Men are common candidates for this procedure as their skin is often thicker and bounces back better than women.  However, it is based upon the needs of the patient, regardless of gender.
     

  • Mini-Tummy Tuck; Modified Abdominoplasty:  This technique is reserved for those who do not need muscle repair and have very little lax skin to remove.  The incision sis smaller than the Full TT (below) and can be anywhere from 4-5 inches long, and well hidden under the bikini line.
     

  • Full Abdominoplasty (FTT) With Muscle Repair (MR):  This is a very common procedure for those who have been pregnant and those who have had bariatric surgery.  With the full abdominoplasty the incision is made to be hidden under a normal bikini line but may be higher depending upon your needs.  Muscle Repair is also performed.

  • Reverse Abdominoplasty: Although this technique is rarely used for most patients, it is designed to reduce the lax skin above the navel area.  A new navel can be made with the Reverse Abdominoplasty as well.  The incision is made  under the contour of the breast fold and across the lower sternum.
     

  • Vertical Scar Abdominoplasty  This technique is reserved for patients who have a great deal of skin to be excised, usually after having triplets or more, or bariatric surgery with a great deal of weight loss.  Muscle Repair (MR) is also commonly need for those who require a vertical technique.

Risks, Complications & Contraindications of Tummy Tuck Surgery
There are great benefits in getting a tummy tuck to those who need it, but everything comes with risks.  The risks increase with the amount of work that will need to be performed. 

  • Risks of Anesthesia

  • Hematoma

  • Seroma

  • Infection,

  • Necrosis

  • Numbness

  • Keloidal scarring

  • Hypertrophic scarring

  • Scar Asymmetry

  • Dog ears (pouches of skin at the outer edge of the incisions)


Abdominal Liposuction Only

Please visit our Liposuction Website for more information

Many patients who have not gained a significant amount of weight, nor had children (and some of those who have had children), may only need liposuction of the abdomen.  For those patients who have good skin elasticity and only stubborn pockets of fat in your lower abdomen and periumbilicus areas, liposuction can lessen the look of a protruding stomach.

Liposuction (aka lipoplasty, liposculpture and suction assisted body contouring, suction lipectomy) involves the use of a hollow titnium tube, known as a cannula, for removing unwanted fat from a specific area.  To thin the waist, liposuction can be performed on the abdomen area, the  flanks (love handles) fanning out to the back and the hips,  The techniques for liposuction include:

One must remember if they are considering a tummy tuck that it is not a substitution for a good diet and regular exercise.  Tummy Tuck surgery is used for those who have extra skin and stretched muscles that no matter how much they exercise, it will never tighten.  The only option is surgery.

 

 

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