Abdominoplasty or “tummy tuck” is a cosmetic surgery procedure used to make the abdomen more firm. The surgery involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscles and fascia of the abdominal wall.
This type of surgery is usually sought by patients with loose tissue after pregnancy or individuals with sagging skin after major weight loss.
Abdominoplasty operations vary in scope and are frequently subdivided into categories. Depending on the extent of the surgery, a complete abdominoplasty can take one to five hours. A partial abdominoplasty (Mini-Tuck Abdominoplasty) can be completed between one to two hours.
In general, a complete (or full) abdominoplasty follows these steps:
An incision is made from hip to hip just above the pubic area.
Another incision is made to free the navel from the surrounding skin.
The skin is detached from the abdominal wall to reveal the muscles and fascia to be tightened. The muscle fascia wall is tightened with sutures.
Liposuction is often used to refine the transition zones of the abdominal sculpture. A dressing and sometimes a compression garment are applied and any excess fluid from the site is drained.
Full abdominoplasty consisting of musculofascial plication, abdominal dermolipectomy, suction-assisted lipectomy of hips.
A smaller incision is made.
The skin and fat of the lower abdomen are detached in a more limited fashion from the muscle fascia. The skin is stretched down and excess skin removed.
Sometimes the belly button stalk is divided from the muscle below and the belly button slid down lower on the abdominal wall.
Sometimes a portion of the abdominal muscle fascia wall is tightened.
Liposuction is often used to contour the transition zone.
The flap is stitched back into place.
The “neo”-umbilicus (belly button) is reattached to a newly created hole.
An extended abdominoplasty is a complete abdominoplasty plus a lateral thigh lift. The resulting scar runs from the posterior axillary line (when placing your open hands on your hips, the thumbs lie along the posterior axillary line.) The operation does all of the abdominal contouring of a complete abdominoplasty plus allows further improvement of the flank (waist), as well as smoothing the contour of the upper lateral thigh.
High Lateral Tension Tummy Tuck
This is an advanced technique that takes a little more than four and half hours to perform. Conventional abdominoplasty tightens muscles in a vertical line. In this new method, known as high lateral tension abdominoplasty, in addition to vertical-line tightening, muscles are tightened horizontally. The final result with this technique is a dramatically flat abdomen with a significantly better-defined waistline.
A circumferential abdominoplasty is an extended abdominoplasty plus a buttock lift. The resulting scar runs all the way around the body, and the operation is also called a Belt Lipectomy or Body Lift. This operation is most appropriate for patients who have undergone massive weight loss.
An abdominoplasty is a component of a lower body lift and can be combined with liposuction contouring, breast reduction, breast lift, or occasionally hysterectomy, depending on the reason for the hysterectomy. A popular name for breast enhancement procedures performed in conjunction with an abdominoplasty is a “mommy makeover”. Recent literature in MEDLINE has noted the implementation of barbed sutures in these procedures.