Tummy Tuck / Abdominoplasty

Tummy Tuck / Abdominoplasty2021-05-06T16:07:41+02:00

What is abdominoplasty?

Abdominoplasty is a cosmetic procedure often referred to as a tummy tuck. This procedure is best known for reshaping and sculpting the tummy and waistline.

If you are struggling to achieve a flat tummy and narrow waist through exercise and diet this surgery may be the way to go. Nothing in the world of cosmetic surgery gives you such dramatic life-changing and shape-changing results as a well-performed tummy tuck.

The recent advances of fat excisions result in a narrower waist and a well-sculpted abdomen. And, with very acceptable scars hidden in the bikini line. This procedure can also improve your posture, and relieve some types of back pain since the tightened muscles give better support.

Hormonal changes during pregnancy and weight gain can cause the tummy muscles along the mid-line to move apart (diastasis). This allows the lower abdomen to distend with external and internal fat.

A tummy tuck can be combined with a breast lift and/or breast augmentation, plus liposuction for full-body reshaping. This combined surgery is popularly known as a Mommy Makeover.

A mini tummy tuck is less invasive and would be your best option if targeting only the lower abdomen.

A full abdominoplasty involves tightening abdominal muscles in the mid-line to narrow the waist. Excess skin and fat are removed to help re-sculpt the abdomen and even the pubic mound if necessary.

If the patient has an umbilical hernia or other hernias these can be repaired at the same time.

tummy tuck
after abdominoplasty

FAQ

How do I plan for abdominoplasty?2020-12-21T18:37:03+02:00

During the first consultation we will investigate whether this surgery is suitable for you.

The ideal candidate for a full abdominoplasty has completed their family (no further pregnancies planned), is a non-smoker, has attained near to their ideal weight, is motivated in keeping with lifestyle changes (healthy eating and exercising) and has no major medical conditions (heart disease, a history of thrombosis or uncontrolled diabetes).

Abdominoplasty is not a good operation for the obese. Like liposuction, abdominoplasty is indicated in those who have lost weight through diet and exercise have attained their ideal body weight but have a remaining “apron” of fat and lax skin. Similarly, it will not tackle the problem of intra-abdominal obesity.

A mini abdominoplasty is the only type of abdominoplasty that I am prepared to consider in smokers. This is due to a significant increase in the incidence of skin slough in these patients.

If you are a suitable candidate we will discuss your expectations so that you have a good understanding of what can be achieved and what the realistic expectations should be.

What is the procedure for abdominoplasty?2020-12-21T18:37:23+02:00

Under full anaesthetic incisions are made across the lower abdomen and another around the naval.

During a full abdominoplasty the rectus muscles in the midline are tightened and the waist is narrowed. The umbilicus is repositioned. The skin is re-draped and excess tissue is selectively removed. Liposuction is possible at the same time and is routinely performed to help sculpt the waist and mons pubis if necessary. Hernias are repaired at the same time if necessary.

A mini-abdominoplasty involves removing skin and fat excess from the lower abdomen without scars around the umbilicus. It does not address upper abdominal excess significantly.

How should I prepare for surgery?2020-12-30T20:07:26+02:00

Before your surgery, you may be asked to stop smoking for 2 – 4 weeks prior to the procedure. Nicotine retards the healing process, and quitting for as long as possible before surgery helps improve blood flow.

You might also have to have a blood test before surgery is performed.

You should stop taking certain medication, like aspirin and some anti-inflammatory drugs. You may need to stop taking some vitamins and supplements so be sure to disclose what you are taking. Let your surgeon know whatever medication you use since you may need to adjust these. Avoid recreational drugs.

Be sure to arrange for transport to and from the clinic, since you will not be able to drive yourself after the procedure.

What can I expect after a tummy tuck?2020-12-31T10:36:48+02:00

After the procedure you may be able to go home but sometimes it is recommended that you stay overnight. There will be 1 or 2 drains that will be removed when serous fluid drainage is minimal. These can stay anything from 3 days to weeks. You can go home with the drains and will be taught how to care for them.

There will be swelling, bruising and discomfort during the first week which is normal and will be controlled with prescribed pain medication. You will have a  dressing over the incision. You should keep the dressing dry for at least 48 hours and avoid baths, hot tubs or swimming for about 6 weeks.

There will be sutures along the incision line, which will dissolve on their own. During the first few days, you may not be able to stand up straight, but you should do some walking every day to get back to moving normally and try to move your legs and feet often.

During the recovery period you might need to wear an abdominal binder to support your abdomen and prevent fluid build-up.

The recovery period will depend on a number of factors including your age, health and body weight. Recovery is expected to take up to 6 weeks.

Avoid strenuous activities including heavy housework and exercise for at least 6 weeks and then take your time to build back up to your normal activities.

What are the risks of abdominoplasty?2020-12-21T18:38:27+02:00

With any surgery, there is a (low) risk of post-operative infection, bleeding and swelling. There can be an increased risk of complications if you have diabetes or poor circulation, if you smoke, or if you have heart, lung, or liver disease.

Risks that are specific include general risks related to anaesthesia, as well as loss of skin, fluid accumulation, wound separation, blood clotting, numbness, scarring and asymmetry.

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