Are you worried about having:
- excess, baggy skin hanging around your tummy area?
- lax abdominal muscles after pregnancy?
- a protruding belly that lacks a feminine shape?
- a bulging ‘stomach apron’?
- stubborn fat and saggy skin tissue around what was once a more defined waistline?
- an indistinguishable waistline or protruding stomach that looks like you still might be about to give birth long after you last had a child?
Abdominoplasty or Tummy tuck is a cosmetic surgery procedure used to make the abdomen more firm. The surgery involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscle and fascia of the abdominal wall.
During Abdominoplasty, the fold of the skin is resected and the abdominal wall muscles are tightened. If there is excessive fat as well, liposuction is done along with the skin resection.
The procedure is usually done as day care but inpatient admission may be required for a day or two in selected cases. The procedure is performed under general anaesthesia .The amount of lax skin of the abdomen to be excised is pre-marked on the day of surgery.The skin is separated and lifted from the abdominal muscles all the way to rib cage. During this process of lifting the abdominal skin from the muscles, the umbilicus is separated on it’s stalk from the surrounding skin. The lax muscle is approximated in midline by using non absorbable suture. With the hips flexed the upper abdominal skin flap is then pulled downwards and then anchored to the lower flap with key sutures. A small hole is made in the skin overlying the umbilicus, which is then brought out through the hole and sutured all around.Two drains are placed on either side of the incision and the skin sutured in layers. Sutured incision is draped with plasters to keep the skin tight. These plasters are removed during the first post operative visit after two days.
Pre-operative Instructions :
- Patient is advised to see the anesthetist with investigation requested.
- Blood pressure has to be within normal limits. If high, medications will be started pre-operatively.
- Abdomen and back to be washed with half a cap of Betadine scrub solution (Instead of soap) the night before and on the day of surgery.
- Oral Antibiotic has to be taken previous day afternoon and night after food.
- No Jewels, body sprays or perfumes to be worn on the day of surgery.
- Patient is advised to stop oral intake from the previous night except for any specific medications.
- He or she has to report to our centre forty-five minutes before the scheduled procedure
Post-operative Instructions :
- Diet is resumed based on return of bowel movements, initially with liquids and then soft diet.
- Patient is mobilized with hips flexed and advisied to maintain same posture for a week. During sleep this posture is maintained by positioning two pillows under thighs.
- Oral Antibiotic and pain relief medications to be taken three times a day after food.
- Plasters and drains are removed during the outpatient visit on second post operative day.
- Alternate sutures are removed on the seventh post operative day and all sutures are removed by tenth day.
- The patient is restricted to sponge baths for about 10 days, and requested to wear snug panty hose or girdle for a few weeks to apply pressure over the abdomen.
- Social activity are limited for about 4 weeks following the surgery and strenuous activities including sports and games are to be limited for about 8 weeks following the surgery.
- Driving is to be avoided on the day of surgery and resumed after a couple of weeks based on patients comfort level.
Body contouring and body shaping surgeries, either on their own or incorporating liposuction, can sometimes be necessary to get a great tummy result after:
- weight fluctuations
- prior abdominal surgery that failed to repair stomach muscles or remove sufficient fat
- Bariatric surgery that has resulted in residual skin folds
Advantages of Tummy Tuck:
- flatter stomach contours
- smoother, tighter belly skin
- a curvier, natural looking waistline without sagging folds of skin
- a more attractive and natural-looking naval area
- more choices in swimwear, lingerie and other fashions
- body confidence
- a restored sense of femininity
- greater abdominal muscle control (which can help improve bladder weakness)
Our Surgeon’s regularly perform No Drain procedures for Tummy Tucks as well as Breast Lifts and other Body and Breast Contouring Surgeries.
Why Drain-Free procedures for Tummy Tucks
Drain free surgery procedures not only help with post-surgical healing and recovery processes, but avoid uncomfortable for patients. It is also a risk that drains themselves can be the source site for infections.
So where ever possible, No Drain procedures are used and our Team of Surgeons are experts at procedures to help you get the best surgical results from Abdominoplasty (including minimisation of scars using Fraxel).
- An abdominoplasty or ‘tummy tuck’ is a type of surgery performed to tighten loose muscles, remove fat and excess loose skin from the abdomen.
- Many surgeons recommend that abdominoplasty should be considered only after dieting and exercise have achieved the right body shape underneath.
- Having an abdominoplasty will not stop you gaining weight in the future.
- Talk with your surgeon about the risks and benefits of abdominoplasty, and what results you can expect.
Your surgeon may use one of several surgical techniques:
This operation is performed under a general anaesthetic and usually takes between 2 – 5 hours.
- Full abdominoplasty – is suitable if you have a lot of excess skin. Your surgeon will make a curved cut from one hip to the other. They will remove any excess skin and fat. Your surgeon will then cut under the skin above your umbilicus (belly button), pulling it downwards and tightening it. Sometimes they will need to reconstruct your umbilicus and tighten the muscles of the abdominal wall
- Mini abdominoplasty – is suitable if you only have a little excess skin. Your surgeon will only need to make a small cut just above the pubic area to remove the excess skin
- Endoscopic abdominoplasty – is suitable if you only need to have the muscles of your abdominal wall tightened. Your surgeon will make small cuts and use special surgical instruments to tighten the muscles.
After Tummy Tuck – Abdominoplasty Surgery
- The length of your hospital stay depends on which procedure is performed
- With a full abdominoplasty you should be able to go home after 2 – 3 days
- You may have dressings and drains (plastic tubes) coming out of both sides of your abdomen
- The drains area usually removed before you leave hospital
- You will be given post operative pain killers
- Most patients are mobile from day one and return to normal activities within 6 weeks
- You may be able to return to work in 2 weeks, providing your work isn’t too physically strenuous.
- You should wait at least 6 weeks before lifting anything heavy
- You should not have sex until 3 weeks after surgery (and then it should be gentle)
- Be sure and discuss your return to work with your surgeon
- The results of an abdominoplasty improve gradually over the first 6 months post surgery
- For the most successful outcomes you should keep to a healthy weight and exercise regularly.