Abdominoplasty Surgery is a procedure done to shape the tummy which is sagging and has lost the muscle tone (firmness). A combination liposuction and tummy tuck may be necessary for those with excessive fat with extra skin laxity.
What do we assess during your personal consultation?
During consultation we would like to know what your expectations from the surgery are. After thorough history and examination, we will be able to determine whether these goals can be achieved.
Does Abdominoplaty Surgery helps to Overcome Tummy Sag?
The tummy, sags due to many reasons. The most commonest is after pregnancy. The next most common cause for sagging is obesity, significant weight loss. Another cause could be that the person has lax muscles due to dietary deficiencies and lack of exercise.
What is Abdominoplaty Surgery/Tummy Tuck?
Abdominoplasty involves taking care of all the layers that were under pressure or stretch or weakened. These layers are the skin, muscles and rectus sheath. The abdominoplasty can help give a flat tummy by cutting the excess skin and tightening the inner layers. An incision( cut) is taken over the skin crease in the bikini line ( to hide the hair line Scar). A flap is raised above and below named as upper and lower flaps. The upper flap is to be raised upto the costal margin, remembering to leave the umbilicus in place. When one cuts the excess skin, there is a high chance that the umbilicus ( navel) comes to a lower position making it look very awkward. Hence, the skin around the navel is cut and the same( navel) is positioned in a new place ensuring the the umbilicus ( navel) is central in position, maintaining normal anatomy. Considering the laxity of the muscles and the sheath, depending on the degree of laxity, a decision is taken whether a mesh is required or not along with muscle tightening to get a taut look of the tummy.
The tightening of the muscles and sheath is done in one or two layers. This decision is taken by the surgeon during surgery, depending on the laxity and the requirement. In some cases, the muscles are not only weak and thinned out, but also get separated. This in medical terms is called divarication of rectii. In these cases, just dealing with the muscles is not enough, a supporting mesh is required . the mesh is of an adequate size covering the entire tummy and is fixed to the underlying sheath with non absorbable sutures. This mesh acts as a shield giving strength to the abdominal wall, thus giving a flat tummy. Once this is done, the skin is stretched and with necessary markings and calculation, the excess skin is excised. After excising the excess skin, the umbilicus is then placed in a proper position and fixed with absorbable sutures. The upper and lower flaps of the skin are stitched together using subcuticular stitches ( under the skin). Hence the scar is a fine line and is cosmetic.
It is preferable to place a drian under the abdominal wall so that there is no collection of serosanguinous fluid which in turn can lead to infection. This drain can be removed as soon as the secretion decreases. The only care one needs to take is to wear an abdominal corset to give an additional touch to enhance the look and healing of the new flat tummy. One can get back to work within a week and the corset needs to be worn for 6 to 8 weeks.
In some, who have a little bit of excess fat around the hips ( love handles) or upper abdomen, it would be wise to combine the procedure of abdominoplasty with liposuction of the excess fat in those areas. However there could be a temporary loss of sensation over the flaps which returns over a few months
To conclude, abdominoplasty surgery/ tummy tuck is a procedure that is safe and it can give you the desired flat tummy.