Service: Body Contouring Procedures
An abdominalplasty other wise known as a Tummy Tuck, will flatten a protruding belly by tightening the muscles of the abdominal wall. It also removes the skin and excess fat making the abdomen flat and tight. This is a very satisfying surgery. Everyone wants a flat, youthful abdomen. There are variations of a tummy tuck depending on the degree of excess skin, fat and protrusion of the belly. The procedure is done in the office surgery suit either under general anesthesia or local anesthesia depending on exactly what was needed.
This surgical procedure can be performed in two ways: a full tummy tuck (complete tummy tuck) or a mini-tummy tuck (partial tummy tuck). This, of course, depends on your condition. Even if you are committed to a good diet and regular exercise, the excess fat that can accumulate in the abdominal area may just sit there and drive you crazy. The type of patients who most commonly undergo tummy tuck surgery are women left with a protruding belly after having multiple pregnancies.
Complete Abdominoplasty (Full Tummy Tuck):
- An incision is made from hip to hip just about the pubic area
- Another incision is made to free the navel from the surrounding skin
- The skin is detached from the abdomin wall to reveal the muscle and tissue to be tightened. Then the muscle fascia wall is tightened with sutures
- Liposuction is often used to refine the transition zones of the abdominal sculpture
- A dressing or sometimes a compression garment are applied and any excess fluid from the site is drained.
Partial Abdominoplasty (Mini Tummy Tuck)
- A smaller incision is made
- The skin and fat of the lower abdomen are detached in more limited fashion. The skin is streched down and excess skin removed
- Liposuctions is often used to contour the transition zone
- The flap is stiched back into place
If the storage of excess fat is predominantly in your lower abdomen, a mini-tummy tuck may work out best with improving the appearance of loose, stretched-out skin. This technique is often done on an outpatient basis allowing for a quicker recovery period than with a full tummy tuck. Because a small, horizontal incision is made just above the pubic region, the discreetly-placed scar can be covered with clothing. To lose your pouch in the lower abdomen, the excess skin is cut and removed while the remainder is stitched back together for a firmer look and feel.
As compared to a fully tummy tuck, this minimal technique allows the navel to remain intact. A mini-tummy tuck can take about one to two hours, while complete abdominoplasty may take about two to five hours.
For both the mini and full techniques, you may receive general anesthesia or local anesthesia with a sedative. Dr. Hochstein commonly performs liposuction in conjunction with your tummy tuck technique in order to remove extra fat; this will help to contribute to a smoother abdominal profile. For more information about your options with abdominoplasty, please call our office to make an appointment for an initial consultation.
Who is a good candidate for a tummy tuck?
- People close to their ideal body weight (within 30%)
- Is in good health and relatively good shape, but still has a large fat deposit or loose abdonminal skin that is diet and excercise resistant
- Weight has been stable for about 6 months or more
- Has good skin tone and elasticity
- Need to be in an emotionally stable state of mind
- Understands the risk that come along with surgury
- Helpful to women who have experienced pregnancy and they are having a hard time returning to normal shape through exercise and diet
- Men & women who have lost a great deal of weight but seem to still pocess a great deal of excess skin