Tummy Tuck, also known as Abdominoplasty, is an operation that is designed to remove excess skin and fat from the mid and lower abdomen and at the same time, tightening the abdominal muscles. Unlike liposuction surgery which just removes fat, this operation addresses all three tissue components of a protruding abdomen: skin, fat, and muscle. For this reason, it is more extensive than liposuction. The best candidates are those in relatively good shape but are bothered by a large fat deposit, excess abdominal skin, and loose muscles that won’t respond to diet or exercise. The surgery is particularly helpful to women who have stretched their abdominal muscles and skin beyond the point where they can return to normal after pregnancy. Since the excess sagging and stretch-marked skin is removed, there is also improvement in skin quality. The overall result is a flatter, smoother, tighter mid-section.
Dr. Anh-Tuan Truong is a board-certified surgeon with extensive training in cosmetic and reconstructive surgery of the body. During your consultation, we will discuss with you your desires and expectations regarding your body enhancement. Our doctors will evaluate your overall medical condition and discuss with you the nature of the procedures available along with the risks and possible complications. Once you are deemed a good candidate for a abdominoplasty, we will work with you and together you will tailor an operation to that will be specifically suitable for your body and your expectations.
Description of Procedure
Tummy tuck surgery is performed under general anesthesia at an accredited state-of-the-art surgery center. Prior to your surgery, the amount of skin that is to be removed is carefully marked. After you are asleep, an incision is made in the bikini line. The excess skin and fatty tissue between this incision and the belly button is removed according to the marked design. The abdominal muscles are then tightened, forming an internal corset which creates a firmer contour and well-defined waistline. The upper abdominal skin is then pulled downward and inward to re-drape the newly flattened abdominal contour. The incision is carefully closed with several layers of suture. In most cases, the belly button will have an incision around it in a circular fashion because it is re-positioned on the newly re-draped skin to complete the abdominal rejuvenation. In some cases, a temporary drain is left in place to remove excess fluid and allow for better healing.
In select cases, conservative liposuction can be done in conjunction with the tummy tuck. This is generally done in the upper abdominal and flank areas to better define those areas and compliment the tummy tuck for even more dramatic results.
The surgery lasts anywhere from two to four hours, depending on the amount of tissue to be removed. For the vast majority healthy patients, the procedure is considered an outpatient procedure and you will typically be able to go home within a few hours after your surgery.
Mini-Tummy Tuck is an option for a select group of patients who are close to their ideal body weight but have a small bulge of excess skin below the belly button that does not respond to exercise. It differs from the full tummy tuck in that the incision is shorter and there is no scar around the belly button because it does not need to be repositioned. Mini-Tummy Tuck can be done in conjunction with liposculpture to further refine the abdominal contour.
Following surgery, a compressive girdle is worn for a few weeks. Drains may be kept in place for approximately one week to help prevent the accumulation of fluid. There may be considerable discomfort for several days following surgery which is effectively controlled with oral pain medication. Most patients resume limited activity like walking in 1 to 3 days, and are back to normal activity within a month. However, it may take six months to a year for the body to completely adapt to the newly tightened abdomen. Patients must understand that the scar is a necessary part of the procedure and that the scar will continue to change and fade over time, depending on the patient™s own wound-healing tendencies. Because the abdominal muscles are tightened surgically, you will not need to, and in fact are discouraged from, doing sit-ups for up to a year. With proper diet and exercise the striking results of the surgery can last a lifetime.