William Callaghan. MD (abdominoplasty Surgery)
Abdominoplasty (Tummy Tuck)
Abdominoplasty (tummy tuck) is a cosmetic surgery procedure to achieve a flatter, firmer abdomen. The procedure involves removing excess skin and fat from the stomach and tightening the abdominal muscles with sutures.
Who is a Good Candidate?
Abdominoplasty is not an operation designed for weight loss, but rather for those who are at or near their ideal body weight but have excess, sagging skin and fat in their abdomen that does not respond to diet and exercise.
The causes of excess skin are:
- Pregnancy and childbirth
- Skin inelasticity resulting from the aging process
The operation may be performed on its own or in combination with other body-shaping procedures, such as liposuction, to improve the contour and shape of the patient. It is often combined with breast lift and other procedures in women who have had children and wish to regain their pre-pregnancy figure. This treatment combination is known as mommy makeover.
During your consultation, your surgeon will determine whether you are a good candidate by performing a thorough history and physical examination as well as your ultimate goals.
Procedure in Detail
Abdominoplasty is typically performed under general anesthesia, though intravenous sedation combined with a local anesthetic may be an option (for milder skin resection).
An incision from hip to hip just above your pubic area is made. An incision around your navel also may be required.
The skin is disconnect your from the underlying tissues, the abdominal muscles are tightened with sutures and the excess skin and fat are excised. Liposuction may be used to remove fat deposits. The incision is then closed. A drainage tube will likely be inserted to prevent the buildup of fluids beneath the skin.
Following the surgery, bandages and dressings are applied and an elastic garment is applied to help your skin adhere to the underlying tissues. Regular daily activities are resumed fairly soon, generally between 5-10 post-operative day, but you will need to avoid heavy lifting or vigorous exercise for at least four to six weeks.
Risks include infection, bleeding and anesthesia-related complications (including death). Other risks include blood clots that can travel to the lung (pulmonary embolism), tissue loss, insufficient wound healing and dissatisfaction with the cosmetic results. The best candidates, as with any surgery, are ones who don’t smoke, eat well and have a “healthy” attitude to life.