tummy-tuck

“Tummy Tuck” refers to the procedure called an “Abdominoplasty/Tummy Tuck.” An abdominoplasty is an operation designed to remove excess skin and fat from the lower abdomen. It also is used to tighten the abdominal muscles which have become loose and weak with time. It can give you a tighter, flatter stomach and remove or reduce the appearance of stretch marks on your lower abdomen. The operation can remove folds of skin left behind after losing a lot of weight, and tighten stretched skin and muscles after pregnancy. Tummy tuck surgery is not a treatment for weight control or a
substitute for regular physical activity and a healthy, balanced diet. The results of a tummy tuck can be long lasting as long as you maintain a healthy weight after your operation.

An abdominoplasty/Tummy Tuck is a great option for those individuals who have gained an excess of fat and loose skin in the abdomen which cannot be treated with liposuction alone. Most patients are women who have had multiple children. In these cases, the muscles of the abdomen, which were weakened by pregnancy, can also be tightened. Many patients are also men who have had weight gain or weight fluctuations and would like to get rid of the excess skin and fat.

Techniques used for Tummy Tuck

  • Standard abdominoplasty with umbilical re-positioning
  • Standard Abdominoplasty with a “floated umbilicus”
  • Mini-abdominoplasty
  • Extended abdominoplasty
  • Circumferential abdominoplasty

Some patients may have relatively little excess skin and fat that may not be adequately treated by liposuction alone. In these cases, a “Mini” abdominoplasty/Tummy Tuck may be a good option. In this procedure, less skin and fat is removed and less dissection is performed. The same incision for a “Full” abdominoplasty/Tummy Tuck is used.

For those patients with a significant amount of skin and fat, a full abdominoplasty/Tummy Tuck is needed. This operation also facilitates tightening of the abdominal muscles. Most patients seeking this operation would benefit from a full abdominoplasty/Tummy Tuck.

The exact procedure for each individual is determined only after a full examination and consultation is completed.

4D-VASER Tummy Tuck

The 4D-VASER Lipo-abdominoplasty is simply VASER liposuction simultaneously coupled with an abdominoplasty. All the previously described techniques of standard and mini-abdominoplasty apply, with the addition that VASER liposuction is performed first.

Why use VASER liposuction if you are having the excess fat and skin removed anyway with an abdominoplasty? Here is the explanation: During an abdominoplasty, the abdominal skin is elevated off the abdominal muscles, pulled down and excess skin and fat is removed from the lower portion of the skin flap. There is more to it than this, but this is a simplified explanation. The remaining abdominal skin is just as thick with fat as it was prior to the surgery, there is just less of it. Better contours are achieved by eliminating the redundancy of skin, and thus giving a tighter appearance to the abdomen. However, by not thinning the remaining skin, there will not be any improvement in muscular definition. Unless your skin is very thin and your muscles well developed, an abdominoplasty alone will give you a substantial improvement in contours but will be limited by the fact that the appearance will be very two dimensional – kind of like a sheet pulled flat down till taut. If you have thin skin and a well developed musculature, then you will have more definition after an abdominoplasty naturally.

By performing 4D-VASER liposuction prior to abdominoplasty, the abdominal skin can be selectively thinned and shaped prior to abdominoplasty, leading to a more natural shape, with three dimensional contours, not just a flat panel of skin stretched down over the abdomen. In the vast majority of cases, VASER should be performed of the flanks as well, to give better contours to the trunk as an aesthetic unit of the body. Otherwise, the abdomen will look flat and sculpted with blunted, rounded borders where the flanks are unshaped. In some cases, adding VASER liposuction extended to the
flanks may even permit a standard abdominoplasty to give good results where otherwise an extended abdominoplasty (excising skin around the sides of the flanks) would be necessary.

Tummy tuck procedure steps

What happens during tummy tuck surgery?

Step 1 – Anesthesia

Medications are administered for your comfort during abdominoplasty surgery. The choices include intravenous sedation and general anesthesia.

Step 2 – The incision

A full tummy tuck procedure requires a horizontally-oriented incision in the area between the pubic hairline and navel. The shape and length of the incision will be determined by the degree of
correction necessary.

Through this incision, weakened abdominal muscles are repaired and sutured while excess fat, tissue and skin is removed.

A second incision around the navel may be necessary to remove excess skin in the upper abdomen.

Step 3 – Closing the incisions

Sutures, skin adhesives, tapes or clips close the skin incisions.

Step 4 – See the results

Your abdominoplasty procedure will result in a flatter, firmer abdominal contour that is more proportionate with your body type and weight.

The final results may be initially obscured by swelling and your inability to stand fully upright until internal healing is complete.

Within a week or two, you should be standing tall and confident about your new slimmer profile.

Tummy tuck recovery

Following your surgery, dressings or bandages may be applied to your incisions, and you may be wrapped in an elastic bandage or a compression garment to minimize swelling and to support your
abdomen as it heals.

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