Tummy Tuck (Abdominoplasty)


The cosmetic surgery for removal of extra skin and fat from the abdomen is known as abdominoplasty.  Popularly known as “Tummy Tuck”, it is advised when the tummy looks protruding.

For whom and who gets the best result?

Abdominoplasty is good for the persons having extra loose skin and fat around the abdomen decreased elasticity of the underlying muscles. It is also good for those who reach a static point in weight reduction after adequate dieting and exercise.  It is good for women who do not regain their tummy after delivery despite doing good exercise and diet. Amount of fat excised can very from 4 kg  to 12 kg.

Who should not undergo it?

Those who still want to reduce the weight should undergo surgery only after weight reduction. If there is weight reduction after surgery, the result of surgery is spoiled.

Women planning to have pregnancy in future should not undergo abdominoplasty.

What is done in the operation?

The doctor examines the elasticity of your skin and underlying muscle during the first consultation.

  •  If there is excess of fat in the area above and bellow the belly button, a formal abdominoplasty is done. Here the surgeon removes extra skin and fat and separates skin from underlying muscles going high above the belly button. The belly button is repositioned. If the elasticity of the muscles is not good the doctor may take extra stitches to strengthen it.
  • If the excess of fat is in the area bellow the belly button, a procedure known as mini-abdominoplasty  is done. Here extra skin and fat is removed as before but the belly button and the skin and muscles above it are not disturbed. Sometimes this procedure is combined with liposuction in the skin above the belly button.
  • The operation is done under general anesthesia.
  • An incision is made from one waist to the other as low as possible. The skin above the incision is separated and one of the two procedure described above is completed.
  • Stitches are taken and in many cases a drain tube is brought out to remove collected blood.

What is the care after operation?

  • The patient can be allowed to move around after 24 hours. It is difficult to stand up initially but becomes easy once the movement is started. It is very important to start moving around after 24 hours.  The patient may be discharged after 8 to 48 hours, depending on the extent of the surgery. If the drain is placed,  care of the drain will be taught to the pateint and the attendent. Most of the patients can move around in the house in 1 -3 days.
  • The drain tube is removed between 2 to 7 days.
  • The dressing is changed every 4 days and stitches are removed around  7 to 10 days.
  • The doctor will advise you to put on special pressure garments after surgery.
  • The  incision line remains permanent. It may look red and elevated to begin with but starts looking better after 2 weeks and becomes invisible over a period of about 6-12 months.

What are the risks associated?

Most of the operations end up without any risks or complications. The procedure however carries as much risk of anesthesia as any other (non-cosmetic)  operation. Some complications specific to this operation are:

  • Bleeding
  • Infection
  • Collection of yellow colored fluid coming out from stitches.
  • Blackening of the skin around the incision: Such skin has to be removed. Those patients who delay the mobilization after surgery and those who have a habit of smoking tend to get complication more often.
  • Risks of Anesthesia

Tummy tuck,Liposuction,cosmetic surgery,advanced cosmetic surgery

WHAT IS A TUMMY TUCK?

Tummy tuck or abdominoplasty – a complex surgery, which is carried out to restore the aesthetic proportions of the abdomen.

Tummy tuck is aimed at cutting of excess skin and fat deposits, which are formed after childbirth or due to the peculiarities of the structure of the body. Typically, a large proportion of patients are postpartum women.

MEDICAL REASONS FOR TUMMY TUCK:

Skin folds on abdomen
Skin folds on abdomen
skin folds, skin and fat “apron”;
excess of skin and subcutaneous fat in the abdominal wall;
expressed stretch marks of the skin;
the discrepancy of rectus abdominis;
noticeable postoperative scars in the abdomen;
postnatal stretch marks of the skin;
excess skin in the umbilical area;
laxity and weakening of the abdominal muscles;
lack of aesthetic contour of waist;
stretched skin after rapid weight loss;
the excess skin and excess fat mass;
if there is fat in the abdominal wall, but is not possible to do liposuction due to reduced elasticity of the skin;
umbilical, inguinal, postoperative hernia;
Pregnancy after tummy tuck surgery photos
Pregnancy after tummy tuck surgery photos
Even people with normal body weight can have hanging skin on abdomen. The most common causes for this are:

pregnancy;
aging;
significant fluctuations in weight;
heredity;
undergone surgery.
And this, in turn, spoils the appearance of the person and brings a lot of discomfort and complexes. Thus, if a person has at least one of the above deviations, the doctor may advise a tummy tuck as a solution.

CONTRAINDICATIONS FOR TUMMY TUCK:

Before and after tummy tuck procedure
Before and after tummy tuck procedure
diabetes;
diseases of internal organs;
obesity;
a bleeding disorder;
catarrhal diseases;
pulmonary or cardiac failure;
arterial hypertension;
pregnancy planning in the next 12 months;
post-surgical scars, which are located above the navel;
acute infectious diseases;
severe somatic pathology;
cancer processes;
psychiatric disorders;
the patient’s age is less than 18 years;
skin disorders: dermatitis, fungal infections, psoriasis;
taking of certain medications;
allergy;
postoperative scar in the upper abdomen;
pregnancy and lactation;
inflammatory conditions in the area of surgical intervention.
Thus, if the patient has at least one of the above items, the tummy tuck is strictly prohibited. It is also worth noting that a similar surgery in any case can not be taken as a way to lose weight or treatment of obesity. Tummy tuck can have some of the risks associated with general anesthesia and local complications.

TUMMY TUCK COMPLICATIONS:

Bad blood circulation along the incision in pubic area
Bad blood circulation along the incision in pubic area
lymphorrhea
suppuration of wound
hematoma formation
numbness or other changes in skin sensation (temporary or permanent)
bleeding
major wound separation
fluid accumulation
asymmetry
skin loss
visible scar
recurrent looseness of skin
Tummy tuck bleeding
Tummy tuck bleeding
skin discoloration
swelling
prolonged swelling
pigmentation of the skin
seroma
persistent swelling in the legs
possibility of revisional surgery
hematoma (may occur in 5% of cases)
pain (may persist for a long time)
poor wound healing
Inflammation of the tummy tuck wound
Inflammation of the tummy tuck wound
suture rupture
nerve damage
anesthesia complications
fatty tissue found deep in the skin might die (fat necrosis)
pain, which may persist
keloid (heavy scar)
death
TUMMY TUCK SURGERY

Before surgery will require not only a thorough medical examination and pass all the tests, but also adhere to certain guidelines. For example, 10 days before the tummy tuck is necessary to stop the use of drugs containing aspirin, stop smoking and drinking alcoholic beverages. For a couple of days before surgery, you need to follow only a liquid diet. The surgical intervention itself is performed on an empty stomach.

PREPARING FOR TUMMY TUCK

Compression garments after tummy tuck surgery
Compression garments after tummy tuck surgery
You will need to have a blood test (general analysis and verification functions of blood clotting). If necessary, additional tests will be scheduled.
Need to stop taking aspirin, refrain from smoking and alcohol for two weeks prior to surgery.
You will need to buy a special compression garment (bandage), which you will need to wear for a month after surgery.
Take care of painkillers: tablets or drops (if you are not allergic to this medication)
On the morning of the day of surgery, you should take a shower and thoroughly (at least twice) wash the stomach area water with soap.
Six hours prior surgery is prohibited to eat and drink. You can use chewing gum.
It is recommended to wear comfortable clothes and shoes.
THE DURATION OF TUMMY TUCK

Tummy tuck lasts an average of 1.5 – 2.5 hours. In some complex cases, surgery can last from 2 to 5 hours

PROCEDURE OF TUMMY TUCK

Removed skin after tummy tuck
Removed skin tummy tuck
Abdominoplasty lasts an average of 1.5 – 2.5 hours. Surgery can made by men or women. Before the operation is performed marking of incisions on the skin. Tummy tuck is carried out using a general anesthetic or epidural anesthesia. The skin is cut with sublunary incisions in the area iliac-inguinal folds, as well as over the symphysis pubis and in subcutaneous adipose fiber to the aponeurosis.

Plastic surgeon cuts the skin and fat flap, allocates navel on its “leg”. Then, surgeon sets integrity of the rectus abdominis on the midline using a continuous seam between the navel and the xiphoid process and lower to the symphysis pubis. Physician removes excess skin and fat flap. Then, the doctor makes a plastic of navel: he outputs navel to anterior abdominal wall through a newly created incision. Layered seams are superimposed on the wound.

Necessary to realize that to achieve a flat toned tummy only through tummy tuck impossible, but seeing photos of “before and after”, you can make sure that this procedure is very effective. If desired, after abdominoplasty, you can further adjust the figure by means of exercise and proper nutrition, and get a great result!

Belly button tummy tuck
Belly button tummy tuck
Plastic surgeon makes two punctures in the womb; drains are derived from them for active aspiration. Bandage is applied to the wound. Principle of tummy tuck is simple: excised the excess skin and subcutaneous fat, made a new skin tension.

This operation must be produced by a plastic surgeon who knows the anatomy and physiology of the soft tissues, the mechanism of their blood supply, as well as that have a sense of harmony, symmetry and aesthetics.

TUMMY TUCK POST
At the end of surgery, you will be transferred to the recovery room to recover from the anesthesia. You will be under the supervision a few hours. The medical staff will monitor the state of your consciousness, respiration, blood pressure and oxygen, pulse rate and other indicators.

8 days tummy tuck post op. Drains removed. Extremely swollen
8 days tummy tuck post op. Drains removed. Extremely swollen
After waking up from the anesthesia you will feel discomfort and tension in the abdominal area. As directed by the anesthesiologist, you will receive pain medication. If the dose is insufficient, it will be increased.

The operated area will look like after a severe trauma: on skin will be bruises and blemishes. A few weeks later, these phenomena will disappear. However, only after a few months it will be possible to judge the final outcome of the tummy tuck. Discharge from the hospital performed the next day after surgery.

TUMMY TUCKS RECOVERY

Compression garment abdominoplasty
Tummy tuck Compression garment tummy tuck
There is a feeling of mild discomfort in the abdomen in the postoperative period in patients during the first two weeks. After the surgery is recommended for 1.5 months to wear a special compression garment, as well as limit the overall physical activity for a month and physical stress on the abdominal area – for 3 months.

During the discharge from the hospital you will receive instructions on how to empty containers with daily fluid, deducible by drains, and to measure its quantity. You have to go to the doctor: the first time – to retrieve one drainage and again (a week after the surgery) – to retrieve the second.

It is recommended to take a shower on the next day after surgery.

Tummy tuck drains
Tummy tuck drains
If you have pain, you can take painkillers. In the early days you should take painkillers before the pain will become too strong. It is recommended to take Analgesic (tablets or drops) every six hours. If you feel intense pain until six hours, you can additionally take a pill. Do not take medicines that contain aspirin and non-steroidal anti-inflammatory drugs (NSAID). These drugs cause bleeding in the operated area.

Immediately contact to attending staff at the department of plastic surgery, if you have one of the following symptoms:

Temperature of 38 ° C (100.4 ° F) and above Significant redness on the surgery area
Shortness of breath
Rays of the sun should not shine on the scar the first 5 months. After about 7 – 8 weeks after surgery, you can resume again exercises. In the postoperative period it is recommended not to drink alcohol and do not smoke. Sauna and a steam bath are not recommended for a few months after surgery.