Tummy Tuck (Abdominoplasty)

A Tummy Tuck is a surgical procedure designed to flatten a protruding abdomen by tightening the muscles in the abdominal wall and removing excess fatty tissue and skin.  The procedure is a common one and can benefit men and women who are bothered by a protruding abdomen.

Patients whose weight had been stabilized in their weight loss program or who feel they are at their ideal weight are the best candidates for a tummy tuck.  Many patients combine their tummy tuck with other cosmetic procedures such as liposculpture, or breast augmentation.

Keep in mind while a tummy tuck will enhance your figure and your self-confidence, it’s not likely to change your life or the way people treat you.

The Procedure

There are three basic techniques used to flatten a protuberant abdomen.  The best technique for you will depend largely on your goals and your specific problem.  Liposculpture alone can produce a thin abdomen wall for some.  If your laxity and excess skin is below your naval, a mini tummy tuck may be right for you.  For those with severe laxity of their abdominal muscle or excessive skin, a full tummy tuck may be their only solution.

A tummy tuck is usually performed on an outpatient basis under general anesthesia with the patient asleep, or with spinal anesthesia.  A full tummy tuck involves an incision around the belly button and another incision that runs from hip to hip.  Your entire abdominal wall is tightened with permanent sutures, and the excess skin and fat is removed.

A mini tummy tuck is usually performed in conjunction with liposculpture of the upper abdomen and the flank areas.  With a mini tummy tuck, a smaller incision is made around your belly button.  Dr. Shumway will remove your excess skin and fat through this incision.  Permanent sutures will also be placed through this incision to tighten the muscles of the abdomen wall.

Regardless of which procedure you have, your incisions are closed with small sutures.  Small drains may also be inserted to eliminate fluid buildup.  Snug elastic bandages are then applied to the area.

Recovery

Bed rest is recommended for the first day.  Most patients experience some numbness in the area of their abdomen, which may last as long as a year.  Any pain or discomfort that follows surgery can be controlled with oral medication.  If drains are used, they may remain in place for three to seven days until discharge fluids decrease.  Sutures will be removed in 1-2 weeks; however, your bandages may remain a little longer.  A special abdomen support garment is often necessary for several weeks.  There will be some scarring that will fade significantly over time.  During your recovery, you must refrain from any strenuous activity or lifting.  Most patients are back to work within one to three weeks, depending on the degree of surgery.  Dr. Shumway will decide when you can resume normal activities.

Results can be quite dramatic, and patients love their slimmer, trimmer figures and flatter abdomens!