Tummy tuck or abdominoplasty, is procedure to remove excess skin and fat from the tummy to give it a flat and toned look.
Many undesirable changes happen to your body as you age. A flat and sculpted tummy of your youth is lost after important life events like pregnancies or weight fluctuations. No matter how hard someone tries it is sometimes impossible to achieve the pre pregnancy body. All components of the abdominal wall viz. skin, fat and muscles change so much beyond the control of mere exercise or diet.
Tummy Tuck procedure helps you to reshape your body by addressing all those components.
It is hence important first to know what the problems are to understand what solution will work for you.
Childbirths and ageing gives a loose and flabby tummy. It is an outcome of weakening and stretching of all elements of the abdominal wall. All these 5 elements need to be addressed to give you a complete solution for a flat, contoured and pleasing tummy.
1 . Skin stretch of the pregnant tummy is enormous. It leaves behind a flabby pouch when your baby leaves your body. If unattended, the skin will further roll into folds which soon become irreversible.
Abdominoplasty will cut most of that apron of excess skin and fat,below the level of belly button.
2 . Stretch marks, of pregnancy can be minimised but are unavoidable . Mostly distributed over the lower tummy , they gradually grow as pregnancy grows to become shiny, pearly white scars.
Almost all stretch marks form the lower tummy can be removed with the skin apron. Those on the upper half become less obvious once the skin is closed tight . Stretch marks on the flanks and upper thighs cannot be addressed with a tummy tuck.
3 . Vertical muscles in the middle of the abdomen will spread away from the midline. The fascia covering them also gets attenuated and weak causing them to bulge. .Its very hard to restore the lost muscle tone.
Very strong permanent sutures are used to tighten the muscles in the midline. This narrows the wider waistline and restores an hourglass figure to some extent.
4. Belly button ( umbilicus) pouts out loosing its youthful vertical shape. The flabby skin around the belly button is removed and the umbilicus is repositioned in a new location that is higher and more pleasing.
5. Hips and inner thighs attract unwanted fat deposition. The waistline widens and clothes don’t fit unless they are oversized.
Liposuction is always combined with a properly done tummy tuck. This excess fat is sucked away to sculpt the contours of the flanks and hips.
The Aim is to create a
|Surgical time||2-3 hrs|
|Hospital||Day procedure under General anaesthesia|
|Back to work||2 wks on average|
|Final outcome||around 6-9 mnts|
|Cost||it depends on which type of tummy tuck you want / need. We can give you a no obligatory photo quote.|
Upload 5 photos –
1. Front view
2. Right oblique view
3. Left oblique view
4. Right side view and 5. Left side view.
Our practice will get back to you in 24 hrs with a quote.
We recommend a consultation before the procedure to discuss your concerns and finalise the quote.
The answer for this question lies in your own answers for the following questions.
If your answer is a ‘ YES’ for any of them, then you certainly qualify for a tummy tuck procedure.
The consultation lasts for around 40 mins and involves physical examination, understanding your desires and customising a surgical plan that is tailored to your needs. Before seeing your surgeon we recommend you to go through the FAQs for the procedure in question. This saves time and helps you focus on questions more relevant to you.
It is easier if you bring a written list of your questions so you don’t forget anything.We want you to be comfortable and confident before signing for any surgery.
We strongly advocate to stop smoking 4 wks before and 6 weeks after surgery
We want our patients to be happy , so we educate and empower them to choose nothing less than the best.
Secrets learnt from years of experience need to be passed on if they guarantee people and surgeons a good job.
No matter whom you choose, we recommend that you should ask your surgeon about the 6 essentials of a Tummy Tuck operation that give you unmatched results.
After the cut out of the apron of skin and fat , the areas on the flanks and the upper thighs need to be slimmed for a better result. Thise areas cannot be reached with a knife. Liposuction therefore needs to be an integral part of a properly done tummy tuck.
The muscles of the belly go out of tone to become flabby. They have to be tightened from the chest to the pubis with permanent sutures. If you have to get your waist tucked line in, midline muscle plication is a must.
A flat tummy with a floppy mons does not look good. A good tummy tuck involves a properly performed monsplasty.
Mons plasty involves thinning and re suspension of the fatty mons pubis to match the new flat tummy. Liposuction and wedge excision does the trick
Uneven scar that is too long, is unsightly. It defeats a good outcome no matter how better the sculpting is. More time spent at stitching , fine suturing skills are important for a great outcome.
Long scars with a knob of fat on either end is not uncommon after a tummy tuck. There knobs are called ‘dog ears’. Patients hate them and often need revision to get rid of them.
A technique called ‘ cheating the edges’ if applied in the first place eliminates this issue of dog ears and unwanted revision surgeries.
An ideal belly button is a vertical narrow slit slightly tethered to the deeper tissue. After tummy tuck, a large belly button, lying at the same level of surrounding skin gives a ‘pouting belly button” look.
The surgeon needs to take anchoring sutures in the deeper planes to give an aesthetically pleasing belly button.
Stop blood thinning medications (10 days ) and smoking ( 4 wks) before your surgery.
Do not take , anti inflammatory drugs, green tea before surgery.
Procedure types – There are 3 different types of Tummy tuck depending on your anatomy and desires.
|Drains||They are temporarily placed under your tummy to remove excess fluid and blood . Drains usually come out before you go home or till day 5 when we get u back to check you|
|Dressings||on the suture line stays intact and dry for 1 week before our nurse sees you for a check.|
|Bent position||Your bed will keep you in a bent position for a few days. This helps a better wound healing and reduces pain.|
|Stitches||All stitches at the horizontal incision are dissolving and don’t need to come out. Belly button stitches come out when our nurse sees you|
|Pain, Discomfort and Swelling||is normal for a week which we try to minimise with pain relief.|
|Walking||may be uncomfortable for a week, but we encourage you to walk slowly with support. This helps your overall recovery. You will need a support person who stays with you for help for 3 wks|
|Food||Plenty of water and small portions of meals|
|Sleep||Strictly on the back with 2 pillow under your knees for 2 wks|
|Normal work||after 4 wks|
No surgical procedure is without risk. You should choose your surgery after understanding the risk-benefit ratio. A good surgeon can reduce this risk, upto some extent. General risks of any operation are infection , hematoma, blood clots in legs and chest infection.
Specific risks – for a tummy tuck procedure may include but not limited to, infection, bleeding, haematoma
Very rarely, serious complications may occur including allergic reactions, severe illness, cardiac and pulmonary issues and potentially life threatening conditions.
Well you have got a point. A flat tummy with an ugly scar defeats the purpose of the procedure.
‘Attention to detail ‘ is important for every craftsman, be it a Plastic surgeon. We like to spend a good amount of time in fine suturing this part for excellent results
Yes, a nicely performed tummy tuck is the only way to permanently remove 80- 85 % of stretch marks over the lower half of your tummy below the belly button.
The marks in the upper abdomen that cannot be removed, look better when the skin gets tightened.Overall improvement in the shape is worth the surgery irrespective of some stretch marks that remain.
Liposuction alone does not help here.
Answer to this lies in understanding this :
We often combine liposuction with tummy tuck to achieve a much desired effect especially over the upper abdomen, flanks and hips that are less reachable by surgery.
Some women however like to try liposuction alone first to see how the skin re drapes / shrinks in 2-3 mnts.
If performed meticulously tummy tuck ( abdominoplasty ) is a clean procedure ,with blood loss less than 30- 40 ml.
Yes, Certainly. Well you are an ideal patient for this procedure then because there are no other options for you. We mostly try to use the same scar to achieve a best result for u.
Becoming pregnant after abdominoplasty plastic surgery will not cause any problems during pregnancy but the skin tissues may stretch again reducing the benefits of your procedure.
We would always advocate to ensure that you don’t want any more kids before going for a tummy tuck.
Mini Abdominoplasty – If your skin looseness and sagging is restricted to lower part of your tummy , a smaller procedure of mini abdominoplasty helps you . Lesser down time and lesser cost
Liposuction – If the muscles do not need tightening and skin is not much loose, liposuction is enough.
Every patient heals differently. For an average sized patient with full Abdominoplasty the recovery times are as under
The beds are designed to bend in the middle so there is less tension on the stitchline for the first few days. We offer a very strong 3 layered repair , but anything to reduce tension is advisable, especially to reduce discomfort.
However, we advocate to start short walks with support on day 2 and gentle exercises day 4.
The amount of swelling depends on 3 factors.
80- 85 % of the swelling settles in 3 mnts and the remainder take further 9 mnts to settle.
This is very important factor for sound healing and better results. The cut lymphatics cause the tummy skin to swell quite a lot. Compression garments help to siphon the fluid upwards, help reduce seromas and swellings and support the scar.
We recommend to use them for 6 wks for full tummy tuck and 4 wks for Mini tummy tuck
It is a body contouring procedure to achieve a flat tummy and a narrow waist line and not for weight loss. Although you will benefit from a weight loss equal to the weight of the tissue removed ( can be measured by ur surgeon ) its not much.
The satisfaction is from your “pant size not the weighing scale”
The level of physical activity at sex varies for each individual. We don’t recommend any sexual activity for the first 2-3 wks.
Till 6 weeks you can have only a passive role during sex without any strain. No restrictions after that.
Silicon sheet – Applied from 3 wks post surgery for about 6 mnts . Silicon keeps the scar hydrated during the remodeling phase of scar maturation.
Sun screens – Prevent scars from darkening.
Fractionated Lasers – help the scars to blend with the background.
Certain darker skin types have an inherent tendency for hypertrophic scars which can be discussed at your consultation.
The results are very satisfying and also long lasting. You need to keep a steady weight and no more pregnancies for long lasting outcomes.
There is reasonable evidence to suggest that reducing body weight and tightening the abdominal muscles is beneficial for back pain.
However, we do not advocate this procedure as a sure shot remedy for back pain.
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