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Tummy tuck can be performed in conjunction with liposuction to create a flatter stomach.

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Tummy Tuck

What is a tummy tuck?

Abdominoplasty, or “tummy tuck,” is a cosmetic surgery procedure that smooths all or part of the abdomen. Abdominoplasty may include:

  • Removal of loose abdominal skin
  • Removal of excess fat tissue in the region
  • Tightening weak or separated abdominal muscles, possibly from pregnancies

Who is a candidate for tummy tuck?

Tummy tuck is specifically intended to contract a protruding abdominal region. The patient should be in reasonably good shape, not in need of overall weight loss. Generally, a woman should not have abdominoplasty performed if she intends to have further pregnancies. In addition, candidates who have scars from previous abdominal surgeries should consider that abdominoplasty leaves a scar as well.

If the patient is sufficiently healthy and aware of the procedure’s limitations, a tummy tuck may offer an effective means of correcting unattractive features. Those interested in a tummy tuck should consult a tummy tuck surgeon to determine if the procedure is right for them.

How is tummy tuck surgery performed?

The abdominoplasty surgical process begins a few weeks before the date of the procedure. The patient consults with the abdominoplasty surgeon to determine if the procedure is right and what parts of the abdomen require surgery. There are two versions of the tummy tuck, one of which will usually fit the patient’s needs. During the consultation, the surgeon will usually advise the patient to quit smoking and refrain for a few weeks afterwards. The patient will also likely be told to avoid the sun. It is also inadvisable to diet heavily in the weeks approaching surgery. And a cold or infection could be cause for postponement of the procedure.

The most extensive version of the tummy tuck is called a complete abdominoplasty. It is usually performed under general anesthesia, and takes anywhere from two to five hours. An incision is made at the base of the abdomen, near the pubic region, and another is made surrounding the navel. The skin is pulled away from the muscles and other tissue of the abdomen. Fat may be removed from the area, and the muscles of the abdomen are usually pulled inward from the sides and fastened with sutures. Then, the skin is pulled down toward the pelvis and the excess is trimmed. A new hole is created for the navel and all of the incisions are stitched.

There is also a less complicated procedure, called a mini tummy tuck or partial abdominoplasty, that only corrects protrusion below the navel. In this procedure, only one incision is made, near the public region. The skin is separated from the abdominal wall up to the navel. Fat is then removed from this lower region. Typically, a local anesthetic in conjunction with a sedative will be used, and the procedure is usually completed in less than two hours. It can usually be done on an outpatient basis.

What is recovery like?

Immediately following abdominoplasty, most patients experience swelling, discomfort, and bruising in the area. Most of this will disappear over a few weeks; however, some swelling may remain for about six months, preventing the patient from seeing the surgery’s full effects. There may also be some numbness in the area, though feeling should return over the course of a few weeks or months.

Standing and walking is usually recommended, though patients should take time before returning to vigorous exercise. The surgeon will probably have the stitches pulled from the incisions in seven to ten days, and the sutures should usually be pulled within two or three weeks. The patient may be given a garment support during this period.

Complications from a tummy tuck are usually mild. Possibilities include:

  • Fluid accumulation – Removing accumulated fluid is usually painless.
  • Bleeding
  • Blood clots – These can be dangerous if they migrate to vital areas of the body. The surgeon may prescribe an anticoagulant if clotting should arise.
  • Infections
  • Reactions to anesthesia
  • Poor healing – Most commonly attributable to smoking or diabetes. Poor healing may require a secondary procedure.
 

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