Body > Tummy Tuck with Liposuction

Tummy Tuck with Liposuction

People who have loose abdominal skin and fat that is concentrated in the abdomen can benefit from abdominoplasty. Sometimes these conditions are inherited. In other instances, substantial weight loss may cause abdominal skin to become flaccid. Abdominoplasty also can tighten muscles that have been separated and weakened by pregnancy. The procedure may somewhat improve the appearance of stretch marks, especially those located below the navel.

» Understanding the procedure

Abdominoplasty, known more commonly as a "tummy tuck," is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen. But bear in mind, it does produce a permanent scar, which depending on the extent of the original problem and the surgery required to correct it, can extend from hip to hip.

Liposuction is simply a more aggressive version of liposuction where a minimum of 5 liters of fat and fluid has been removed. As with normal liposuction, it is a procedure in which localized deposits of fat are removed to recontour one or more areas of the body. Through a tiny incision, a narrow tube or cannula is inserted and used to vacuum the fat layer that lies deep beneath the skin. The cannula is pushed then pulled through the fat layer, breaking up the fat cells and suctioning them out. The suction action is provided by a vacuum pump or a large syringe. If many sites are being treated, we will then move on to the next area, working to keep the incisions as inconspicuous as possible.

Fluid is lost along with the fat, and it's crucial that this fluid be replaced during the procedure to prevent shock. For this reason, patients need to be carefully monitored and receive intravenous fluids during and immediately after surgery.

Are you a good candidate?

You may be a good candidate for abdominoplasty if you have one or more of the following conditions:

  • excess or sagging abdominal skin
  • an abdomen that protrudes and is out of proportion to the rest of your body
  • abdominal muscles that have been separated and weakened
  • excess fatty tissue that is concentrated in your abdomen

If you plan to become pregnant or lose weight in the future, you should discuss this with your plastic surgeon. Scarring from previous abdominal surgery may limit the results of your abdominoplasty.

Before and after photos


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Abdominoplasty photos


Abdominosplasty and Liposuction photos

Preparation / Anesthesia

Based on a review of the patient’s medical history, it may be necessary for the doctor to perform additional blood work and an E.K.G before continuing with the procedure. The procedure is done under general anesthetic performed by an anesthesiologist.

Incisions

Several small pencil eraser sized incisions are made ad the liposuctioned area. They are often finished with a single suture. The Tummy Tuck inscision runs parallel to the lower waist line.

Risks

Post-operative complications such as infection and blood clots are rare, but can occur. Infection can be treated with drainage and antibiotics, but will prolong your hospital stay. You can minimize the risk of blood clots by moving around as soon after the surgery as possible.

Poor healing, which results in conspicuous scars, may necessitate a second operation. Smokers should be advised to stop, as smoking may increase the risk of complications and delay healing.

Aftercare

For the first few days, your abdomen will probably be swollen and you're likely to feel some pain and discomfort which can be controlled by medication. Depending on the extent of the surgery, you may be released within a few hours or you may have to remain hospitalized for two to three days.

Your doctor will give you instructions for showering and changing your dressings. And though you may not be able to stand straight at first, you should start walking as soon as possible.

Surface stitches will be removed in five to seven days, and deeper sutures, with ends that protrude through the skin, will come out in two to three weeks. The dressing on your incision may be replaced by a support garment.

Recovery

Abdominoplasty is not minor surgery. It is recommended that you have at least two weeks of recovery time before you return to normal activities.

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