Tummy Tuck

Abdominoplasty

Tummy tuck surgery, also known as abdominoplasty, removes excess fat and hanging skin from the lower abdomen. In most cases, the separated rectus abdominis muscles (known as diastasis of the recti) is also repaired at the same time. This restores the abdominal musculature that has weakened as a result of pregnancies thereby improving the shape as well as the function of the abdomen.

Why do a Tummy Tuck?

Tummy tuck is an effective procedure to correct a lower abdomen pannus that protrudes or is loose and sagging. The most common causes of this include: aging, pregnancy, prior surgery and significant weight gain or loss In many patients, particularly in female patients with previous pregnancies, the abdominal muscle (rectus abdominis) separates (called diastasis of recti), resulting in an area of weakness in the central abdomen that bulges when the patient strains or exerts. This bulge is a type of hernia (called ventral hernia) and may be associated with symptoms such as pain in the central abdomen or back pain, poor posture, pelvic floor problems and bloating. The diastasis of the recti may be repaired during the tummy tuck, effectively relieving these symptoms.

How is the tummy tuck done?

A horizontally-oriented incision just above the pubic hairline is required. It is made in the location of the lower abdominal C-section scar if present and extends laterally. The shape and length of the incision will be determined by the amount of excess skin.

The abdominal skin and fat is lifted of the abdominal musculature and the underlying weakened abdominal muscles are repaired.

The upper abdominal skin is pulled down like a window shade. The excess skin is trimmed and the remaining skin is sutured together. A new opening for the belly button is created. The belly button is popped through to the surface and sutured into position.

Liposuction is commonly performed with the tummy tuck to remove excess fat from the upper abdomen and flanks to give a better shape to the abdomen and enhance the results of the tummy tuck.

Some patients may also have some other areas of concerns that they would like to have addressed at the same time as the tummy tuck. Procedures such as breast augmentation with implants, breast lift or liposuction of the arms, thighs and back may be safely performed at the same time as the tummy tuck procedure.

Recovery from a Tummy Tuck

You will need to take at least two weeks off from work for the recovery following a tummy tuck surgery. While you recover, you’ll need to stop physical activity for about one month after surgery. Mild pain may be experienced and would be adequately treated with oral painkiller to for the first few days after surgery. You should also avoid heavy lifting for 2 months after the surgery.

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