TUMMY TUCK (LIPECTOMY)

What is a tummy tuck?

Also known as abdominoplasty, a tummy tuck removes excess skin and fat in the lower abdomen and tightens the abdominal muscles. This procedure improves the contour of the abdomen by flattening the protruding belly which develops from aging, obesity or after pregnancy. The best candidates are in relatively good shape but have excess fat, loose skin and flaccid muscles in the lower abdomen. For best results, patients who are somewhat overweight should attempt to lose weight prior to the procedure. An abdominoplasty may be particularly useful for patients who have lost abdominal tone after pregnancy. Also, this procedure is beneficial for patients who have lost large amounts of weight from dieting and exercising and are left with loose skin and muscles.
 

What can I expect before, during and after these procedures?

As with any surgery, a comprehensive pre-operative evaluation done by your doctor is crucial to the success of your operation. Any previous surgeries or will be investigated. Any concomitant medical condition, allergies, bleeding problems will be addressed and all medications being taken will be reviewed and recorded. Occasionally, you may need to consult with your cardiologist or anesthesiologist.

It is usually performed under epidural anesthesia or general anesthesia and often requires you to be admitted at the hospital. An incision is made above the pubic area in the “bikini line” and may extend laterally to the hip. A second incision is typically made around the belly button (umbilicus) to completely free the excess skin and fat so that it may be removed. The remaining skin is stretched down to flatten the abdomen. Then, the belly button is properly positioned. Muscle tightening is also performed by suturing prior to closure.

A “Mini-tummy tuck” may be used in patients with modest amount of abdominal laxity and excess skin. This procedure involves a smaller incision, may be done as an outpatient with shorter recovery time.

Postoperatively, an abdominal binder is worn for several days to weeks for support. Pain is controlled by medication and drainage tubes are removed several days after the procedure. Typically patients return to work in 2 to 3 weeks. Scars may take time to fade but are hidden by undergarments or a swimsuit.