Abdominoplasty- more commonly known as a Tummy Tuck- is a very successful way for people at a stabilized weight to achieve the appearance they have been unable to achieve on their own through diet and exercise alone. It is a common procedure for women who have had children or people (men or women) who’ve lost a significant amount of weight. This weight loss can be from diet and exercise or from bariatric surgery (lap banding, gastric sleeves, or Roux en Y bypass).
Abdominoplasty is a procedure in which the excess skin and fat in the mid-section is removed and the muscles of the abdomen are tightened. The operation often starts with liposuction of the upper abdomen to thin out the fat layer that is not going to be removed. Once the liposuction is completed, a low incision inside or near the pubic mound is made. The skin and fat above this incision are then elevated off of the underlying muscles. The belly button is left attached to the muscles but is separated from the skin around it. The skin and fat are then elevated the rest of the way up to the level of the lowest ribs. Laxity in the muscles of the abdomen is then addressed with sutures to tighten the muscles. When the muscles of the abdomen become loose or separated with weight gain or pregnancy, the abdominal wall can stick out, but once they have been sutured closer together, this helps the abdomen lies flat.
The patient is then flexed in the middle and the excess skin and fat are removed. The skin and fat up to the hole where the umbilicus (belly button) was attached is usually removed. Sometimes we can’t remove all the way up to the hole so the skin and fat is removed as far up as is possible. If this is the case, then the hole is closed as a little vertical incision just above the main incision. The upper skin edge is then pulled down to the lower incision and sutured closed. The skin that has been stretched over the belly button then has a small hole made in it and the belly button is sewn back into place at its original level.
Abdominoplasty may be done in conjunction with other procedures such as Liposuction, Breast Lift, Breast Augmentation, Brazilian Butt Lift, or Thigh Lift. If you are ready to discuss your options for a more finely contoured waist and abdomen, contact our office to schedule your confidential consultation.
The flat stomach you’ve always desired is attainable. Feel free to peruse our Before and After Abdominoplasty Gallery to let the results speak for themselves!