Tummy Tuck (Abdominoplasty)
After pregnancy or significant weight loss, the skin across the abdomen may become loose or excessive. When this happens a surgical procedure called abdominoplasty can be done to improve body image and self-esteem. Tightening loose muscles and removing excess skin and fat are integral parts of abdominoplasty.
While abdominoplasty usually is an elective procedure, the condition is so extreme in some cases that the skin hangs down over the beltline or pubic area (pubis), causing severe skin irritation or even skin breakdown.
In abdominoplasty, the surgeon makes a horizontal incision low on the abdomen, just above the pubis, separating the excessive skin from the underlying muscle layer of the abdominal wall. This allows the surgeon to examine the muscles and their covering layer and to repair any weaknesses or hernias.
Achieving a flat abdomen usually requires repairing this muscle layer. Next, the surgeon pulls down the abdominal skin and removes the extra portion. The surgeon inserts small drain tubes to remove any blood or fluid that collects after surgery, and these remain for three to five days. While you are still asleep, you will be placed in a special garment to provide gentle, even pressure. This helps prevent fluid accumulation in the surgical area and protects the deeper muscle repair. In some cases where laxity is not extensive a more limited procedure known as mini-abdominoplasty may be more appropriate.
Three to five days after surgery, you will return to the office for removal of the drains. You will continue to wear the garment for three weeks except to bathe. While you should avoid strenuous exercises or athletics during this time, we will encourage you to walk. Walking will decrease the risk of complications. Within seven to ten days, most patients will be comfortable enough to resume light activities. The return to a normal level of activity will take about three weeks.
The incisions from abdominoplasty are easily concealed, even by underclothing or swimsuits.
Complications from abdominoplasty are uncommon. There are rare instances of skin damage that can extend the healing period.
