
Tummy tuck/Abdominoplasty
Obesity, Significant weight fluctuations, aging, heredity, pregnancy and prior surgery are responsible for an abdomen that protrudes or is loose and sagging with skin excess. A flat and well-toned abdomen is something that all strive for through exercise and weight control. Sometimes these methods cannot achieve these goals.
Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. Abdominoplasty is the procedure of choice to improve abdomen contour. If large amount of fat is located in the abdomen or saddlebags, a liposuction can be combined.
Although the results of a tummy tuck are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight. If you plan to lose weight or get pregnant you should postpone surgery until you reach your goals.
Striae located inferior to the umbilicus may be removed as part of the abdominoplasty. Most striae above the umbilicus will not be removed and may become more prominent. It is not possible to remove the intra-abdominal fat (inside the belly) with the abdominoplasty.
Technical points
Scar pattern: around the umbilicus and in the abdomen inferiorly
The surgical procedure takes about 2H.
It can be performed under general anaesthesia or epidural.
It is performed in inpatient basis (1 to 2 night).
Postoperative care
Medication
- Acetaminophen or ibuprofen for routine pain control
- Enoxaparin for thrombosis prevention
- Prophylactic antibiotics (short course)
Compression garment
4 to 8 weeks
Drains
- Usually used and will be removed after drainage reduction
- Usually this happens 3 to 5 days after surgery
Activity
- Upright position not possible until 1 or 2 weeks
- Abdomen massage 3 weeks after surgery
- Light aerobic exercise or professional activity after 2 to 3 weeks
- Heavy lifting after 6 weeks
Complications and surgical risks
The main complications described are:
- Hematoma
- Seroma
- Infection
- Wound healing complications
- Unsatisfactory scarring, hypertrophic scar or keloid
- Asymmetric scar
- Loss or malposition of the umbilicus
- Thromboembolism