You may be a candidate for a tummy tuck (abdominoplasty) if you have loose or sagging abdominal wall skin that is frequently associated with abnormal relaxation of the anterior abdominal wall muscles (often secondary to multiple pregnancies or prior surgery). You may also desire a tummy tuck if you are unable to tighten your abdominal wall skin with exercise.
An abdominoplasty is intended to give the patient a smoother, flatter abdomen.
In abdominoplasty, an incision is usually made across
the pubic area and around the navel. Skin in the shaded
area is separated from the abdominal wall.
Abdominoplasty is usually performed under general anesthesia either within the hospital or in an outpatient setting. (Mini-abdominoplasties can be performed under sedation and local anesthesia.)
- Mini-abdominoplasty tightens the lower abdominal wall skin only (shortest scar).
- Standard abdominoplasty tightens all of the abdominal wall skin (standard scar).
- Extended abdominoplasty tightens the abdomen and the flanks or sides (longest scar extending around the flanks onto lower back.)
To tighten the abdominal wall, the surgeon brings loose
underlying tissue and muscle together with sutures.
Abdominoplasty is one of the more uncomfortable plastic surgery procedures. One to three days of hospitalization or skilled nursing care is usually indicated. Light activity is comfortable in 10-20 days. Sports will not be comfortable for about 6 weeks.
Abdominal skin is drawn downward, and the excess is removed.
A small opening is made to bring the navel through.
Additional procedures that may enhance the result of a tummy tuck are Liposuction, Breast Procedures, or a Thigh Lift.
The postoperative tummy tuck patient shown with resultant scars.
Occasionally, if the abdominoplasty is being performed for medical reasons, the procedure may be partially covered by insurance. Usually, the patient is responsible for payment.
The specific risks and the suitability of abdominoplasty for a given individual can be determined only at the time of consultation. All surgical procedures have some degree of risk. Minor complications that do not affect the outcome occur occasionally. Major complications are unusual.
Illustrations courtesy the American Society for Aesthetic Plastic Surgery.
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