Abdominoplasty (Tummy Tuck)
A tummy tuck is a cosmetic surgical procedure to improve the appearance of the abdomen.
During a tummy tuck — also known as abdominoplasty — excess skin and fat are removed from the abdomen. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well. The remaining skin is then repositioned to create a more toned look.
You might choose to have a tummy tuck if you have excess fat or skin around the area of your bellybutton or a weak lower abdominal wall. A tummy tuck can also boost your body image.
Why it's done
There are a number of reasons you might have excess fat, poor elasticity of the skin or weakened connective tissue in your abdomen. These include:
- Significant changes in weight
- Abdominal surgery, such as a C-section
- Your natural body type
A tummy tuck can remove loose, excess skin and fat, and tighten weak fascia. A tummy tuck can also remove stretch marks and excess skin in the lower abdomen below the bellybutton. However, a tummy tuck won't correct stretch marks outside of this area.
If you've previously had a C-section, your plastic surgeon might be able to incorporate your existing C-section scar into your tummy tuck scar.
A tummy tuck can also be done in combination with other body contouring cosmetic procedures, such as breast surgery. If you've had fat removed from your abdomen (liposuction), you may decide to have a tummy tuck because liposuction removes tissue just under the skin and fat but not any excess skin.
A tummy tuck isn't for everyone. Your doctor might caution against a tummy tuck if you:
- Plan to lose a significant amount of weight
- Might consider future pregnancy
- Have a severe chronic condition, such as heart disease or diabetes
- Have a body mass index that's greater than 30
- Are a smoker
- Had a previous abdominal surgery that caused significant scar tissue
By removing excess skin and fat and strengthening your abdominal wall, a tummy tuck can give your abdomen a more toned and slimmer appearance.
Tummy tuck results are usually long lasting if you maintain a stable weight.
How you Prepare
Review your medical history. Be prepared to answer questions about current and past medical conditions. Talk about any medications you're taking or you have taken recently, as well as any surgeries you've had.
Tell your doctor if you are allergic to any medications. If your desire for a tummy tuck is related to weight loss, your doctor will likely ask detailed questions about your weight gain and loss.
- Do a physical exam. To determine your treatment options, the doctor will examine your abdomen. The doctor might also take pictures of your abdomen for your medical record.
- Discuss your expectations. Explain why you want a tummy tuck, and what you're hoping for in terms of appearance after the procedure. Make sure you understand the benefits and risks, including scarring. Keep in mind that previous abdominal surgery might limit your results.
Before a tummy tuck you might also need to:
- Stop smoking. Smoking decreases blood flow in the skin and can slow the healing process. In addition, smoking increases the risk of tissue damage. If you smoke, your doctor will recommend that you stop smoking before surgery and during recovery.
- Avoid certain medications. You'll likely need to avoid taking aspirin, anti-inflammatory drugs and herbal supplements, which can increase bleeding.
- Maintain a stable weight. Ideally, you'll maintain a stable weight for at least 12 months before having a tummy tuck. If you're severely overweight, your doctor will recommend that you lose weight before the procedure. Significant weight loss after the procedure can diminish your results.
- Take medication to prevent complications. Shortly before your tummy tuck, you'll need to begin taking an anticoagulant to prevent blood clotting.
- Arrange for help during recovery. Make plans for someone to drive you home after you leave the hospital and stay with you for at least the first night of your recovery at home.
- Fluid accumulation beneath the skin (seroma). Drainage tubes left in place after surgery can help reduce the risk of excess fluid. Your doctor might also remove fluid after surgery using a needle and syringe.
- Poor wound healing. Sometimes areas along the incision line heal poorly or begin to separate. You might be given antibiotics during and after surgery to prevent an infection.
- Unexpected scarring. The incision scar from a tummy tuck is permanent, but is placed along the easily hidden bikini line. The length and visibility of the scar varies from person to person.
- Tissue damage or death. During a tummy tuck, fatty tissue deep within your skin in the abdominal area might get damaged or die. Smoking increases this risk. Depending on the size of the area, tissue might heal on its own or require a surgical touch-up procedure.
- Changes in skin sensation. During a tummy tuck, the repositioning of your abdominal tissues can affect the nerves in the abdominal area, and infrequently, in the upper thighs. You'll likely feel some reduced sensation or numbness. This usually diminishes in the months after the procedure.
Before the surgery
There are a number of different procedures for a tummy tuck, depending on the extent of change you would like to see. During the typical tummy tuck, your plastic surgeon makes incisions to remove most of the skin and fat between your bellybutton and pubic hair in a horizontal oval or elliptical shape. Connective tissue (fascia) that lies over the abdominal muscles is then tightened with permanent sutures.
Your plastic surgeon will then reposition the skin around your bellybutton. Your bellybutton will be brought out through a small incision and sutured in its normal position. The incision from hip to hip above the pubic hair will be stitched together and will leave a scar that falls along the natural crease within the bikini line.
During the procedure you might be given an antibiotic to prevent infection.
The procedure typically takes about two to three hours.
After the surgery
After a tummy tuck, your abdominal incision and bellybutton will likely be covered with surgical dressing. Small tubes might be placed along the incision site to drain any excess blood or fluid.
Members of your health care team will help you walk as early as the first day after a tummy tuck to help prevent the formation of blood clots.
You'll likely feel moderate pain, which will be controlled by pain medication. It's normal to have swelling in the surgical area.
Drains might be left in place for several days after surgery. Your doctor or another member of your health care team will show you how to empty and care for your drains. You might need to continue taking an antibiotic as long as the drains are in place.
Your surgeon might also prescribe a blood-thinning medication for a short time after your tummy tuck.
You'll wear a supportive abdominal garment (abdominal binder) for about six weeks after your tummy tuck. This helps prevent fluid buildup and provides abdominal support while you heal. Your doctor will explain how to care for your scar.
For the first six weeks after a tummy tuck, you'll need to be careful when moving around. You'll also need to avoid positions that strain your incision line — such as quickly bending at the waist — to prevent the reopening of the wound.
You'll need to schedule regular follow-up visits. Ask your doctor how often you need to be seen.
Before - After
Frequently Asked Questions
What If I Get Pregnant After My Tummy Tuck?
There will be no repercussions to you or your baby if you get pregnant after having a tummy tuck. You may end up with excess skin and damaged abdominal muscles again, requiring you to undergo the procedure once more.
What Can I Expect From the Initial Consultation?
Your initial abdominoplasty consultation involves discussing the results you want to achieve with your surgery. We will also examine you. You will have the opportunity to look through before and after photos and even bring in pictures to show your expectations. The surgeon will let you know whether your expectations are realistic or not.
What Results Can I Expect?
A tummy tuck will leave you with a tighter, flatter stomach and may also eliminate some other issues. It is important to note, however, that this is not a weight loss surgery. Your new, youthful body contour will last for many years. However, time cannot be stopped forever, so you may want to have a second procedure done eventually after the first.
Am I a Good Candidate?
Frequently asked questions (FAQ) or Questions and Answers (Q&A), are listed questions and answers, all supposed to be commonly asked in some context, and pertaining to a particular topic.
DOES ABDOMINOPLASTY LEAVE A SCAR?
All surgery leaves scars, and abdominoplasty is no different. The length of the scar depends on the amount of skin being removed. However, the length of the scar is less of a concern because the abdominoplasty scar is in a very favorable location. It is located very low on the abdomen so that it will be concealed under most types of underwear and bikini bottoms.
IS ABDOMINOPLASTY SAFE?
Yes, but the procedure is not without risk. The great majority of abdominoplasty patients experience no complications whatsoever. Abdominoplasty is able to achieve some of the most dramatic results in plastic surgery, but its transformative power is balanced by a significant level of risk. However, careful planning and proper technique can significantly minimize these risks. During your consultation, Tampa cosmetic surgeon, Dr. Gayoso will talk to you about how he works to reduce risk, including his use of the advanced technique lipoabdominoplasty.