Abdominoplasty (Tummy Tuck)

Abdominoplasty or tummy tuck is an operation that is designed to reshape the abdomen that has stretched beyond its ability to return to normal. This stretching can occur through pregnancies or weight gain and loss. The abdominoplasty procedure removes excess skin (usually creating a new belly button) and fat while the underlying muscles are tightened.

The actual placement of incisions and design of the abdominal incisions vary depending on the looseness of the skin, the amount of fat to be removed, and the condition of the overlying skin and prior scars.

For those women where the sagging skin is mainly in the lower part of the abdomen, the mini-abdominoplasty is an additional option. This procedure is not as extensive due to a smaller incision that is easily hidden under a two piece bathing suit. The abdominoplasty procedure is done as an outpatient.

The procedure is combined with liposuction of the waist to provide a shape with improved curves.

Who is a Candidate?

• Women with loose or sagging abdominal skin.
• Women with abnormal relaxation of the abdominal wall muscles due to weight gain or loss, pregnancies, or prior surgery.

Intended Results

• A smoother flatter abdomen and a smaller waisline.

Procedure Description

• The procedure is performed at an accredited outpatient facility.
• Anesthetic options include local anesthesia with conscious sedation or general anesthesia.
• Mini-abdominoplasty can usually be performed under conscious sedation on an outpatient basis.
• Standard abdominoplasty tightens all of the abdominal wall skin leaving a standard scar in the lower abdomen.
• Mini-abdominoplasty tightens the lower abdominal wall skin only leaving a shorter scar.
• One small suction drain is inserted in full abdominoplasty procedures.

Recuperation and Healing

• Discomfort is usually controlled with oral medications.
• Recovery will be at home with a responsible adult caregiver.
• Drains are removed in 2-3 days.
• Sutures resorb spontaneously.
• A compression garment with dressings over the incision sites is used.
• Light activity may be resumed in 7-21 days. Sports will probably not be comfortable for about 6 weeks.
• An abdominal binder (compression garment) is usually worn for 4-6 weeks.