Health First - Abdominoplasty (Tummy Tucks)

Abdominoplasty involves the surgical removal of excess fat and loose skin on the abdomen. Weight gain and loss of muscle tone may result from an inactive lifestyle. Multiple pregnancies can stretch muscle and skin beyond the point where they can return to normal. Loss of skin elasticity caused by ageing can make the stomach appear flabby and fat. Diet and exercise can help, but something more may be needed to achieve the desired look.

A tummy tuck (also called abdominoplasty) may be the answer. It removes excess skin and tightens stomach muscles to provide a flatter, firmer tummy and smaller waist.

A complete tummy tuck usually takes 2 to 5 hours. A long incision is made from hipbone to hipbone, just above the pubic area. Another incision is made around the navel to free it from surrounding skin. The large skin flap is then separated from the abdominal wall and lifted all the way up to the ribs to reveal the muscles. The muscles are pulled close and sewn together to tighten and narrow the waistline. The skin flap is then stretched down and the excess skin is trimmed away. A new hole for the navel is made since the old opening is now too low. Incisions are then closed and an elastic dressing is put in place.

If flabby skin is limited to below the navel, a partial tummy tuck is sometimes performed. This mini-tummy tuck takes only an hour or two. For this surgery, the skin is tightened from the pubic area to the navel.

Depending upon the extent of the surgery, a patient may be released within a few hours or remain hospitalized for 2 to 3 days. The outer stitches are usually removed in 5 to 7 days. Light activity after surgery is encouraged. Vigorous exercise should be avoided until the surgeon approves it. Support garments may be worn for several months. Scarring is usually minimal, but permanent. Within nine months, the scars flatten and lighten in color. If the patient adheres to a reasonable diet and regular exercise, the results of a tummy tuck can be long lasting.

When considering cosmetic surgery, it is important to remember that there are always risks involved. Research is important in order to make well-informed decisions and have realistic expectations.

Article #4351