Plastic Surgery

Abdominoplasty - Tummy Tuck

An Abdominoplasty is an operation in which the loose skin and fat of the abdominal wall are removed by elevation of the skin and fat pulling it down.  The navel is usually re-inserted into the skin after the tightening procedure.  It is particularly effective in instances of childbirth causing stretch marks, but it must be understood that not all the stretch marks can be eliminated in many cases.  You must accept the judgment of your Plastic Surgeon and realize they will remove as much as is safe and suitable to obtain the optimum result in each case.  The operation is directed toward an improvement, and does not, in any way, guarantee complete obliteration of all folds and stretch marks. 


The type of skin and age of the patient are factors in the overall result to be obtained.  The operation should not be undertaken unless the patient intends no further pregnancies and it is desirable that the patient’s weight be optimum and stable.


A usual question is, “How long will it last?”  This is impossible to judge.  Factors affecting the length of the result include age at the time of the operation, physical conditioning afterwards, type of skin and alterations in weight.


The Procedure

The procedure is performed under general anesthesia and requires approximately 2 to 3 hours of operating time.  An incision is made across the lower portion of the abdomen, and the skin and fat of the abdominal wall are elevated to the rib margin.  The navel is released, not removed.  The skin and fat are pulled downward and the excess removed.  A new opening is created in the skin of the abdominal wall to re-insert the navel.  The abdominal muscles are tightened by suturing the external covering layer of the muscles together. Silastic drains are often used to assist in the recovery of the procedure.  These drains are inserted prior to suturing the wound closed and removed approximately three to four days after the operation.


The operation described is a full or complete Abdominoplasty.  Since there are many variations of the contour deformity of the abdomen, there are several operations, both very extensive and less extensive, that may be used to treat abdominal wall contour deformities.  For the largest and most severe deformities, the flanks or sides can be included in the Abdominoplasty.  Less severe, more localized problems may be treated with the min-Abdominoplasty.




































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