Tummy Tuck (Abdominoplasty)
An abdominoplasty is a procedure in which the lower abdomen is rejuvenated after pregnancy, weight loss, or other lifestyle changes that result in laxity of the abdominal wall and skin redundancy of the abdomen.
During the procedure, an incision is made over the lower abdomen in order to gain access to the abdominal wall in order to tighten stretched out muscles and fascia, The deep tissues are repaired utilizing sutures to create a corseting effect, re-establishing and enhancing the normal anatomical relationships present in youth prior to pregnancy and weight gain.
For many women both the dynamic and static components of the abdominal wall are affected by pregnancy and it is almost impossible to make a complete recovery without surgery. This is owed to the lost elasticity after pregnancy, weakening of the abdominal fascia, and thinning of the musculature. Even thin women who have little or no extra skin demonstrate the same abdominal wall laxity after pregnancy. These women may be candidates for mini abdominoplasty through a shorter scar.
In addition to the changes seen in the abdominal skin and musculature, many women develop fatty accumulation on the brassier roll, hips, outer thighs, lateral buttock, and inner thighs. During a tummy tuck, rejuvenation of all of these areas may be added to further enhance the result.
Lipo-abdominoplasty refers to a procedure incorporating extensive liposuction of the entire abdomen with abdominoplasty. It can be distinguished from a conventional abdominoplasty by the amount of liposuction performed on the tissues of the upper abdomen and is appropriate for a number of women.
The amount of skin removed during abdominoplasty is dependent on the excess present preoperatively and varies from patient to patient. The extent of skin redundancy determines the length of the scar. In some cases, the belly button may be floated downward with the abdominal skin and no scar around the perimeter of the belly button is required. For women with more skin redundancy, the belly button remains static and the abdominal tissues are moved around it. In these instances, a scar around the new belly button is required.
Ideally, following abdominoplasty, the abdominal wall is transformed and the skin is improved, creating a lengthening of the abdominal torso: The scar is placed very low, below a C-section scar extending to the sides at the interval where the thigh joins the abdomen. Ideally, the resulting scar should be in the same location where a thong panty would lie in order to give the most aesthetic result.
For more information about tummy tuck procedures, please call our office today. A consultation will provide the opportunity to discuss your unique situation and consider the wide variety of options available to you.