Tummy Tuck or AbdominoplastyAbdominoplasty or Tummy Tuck
is a Cosmetic Plastic Surgery
procedure to remove excess skin from the
lower abdomen after pregnancy or
significant weight loss. This procedure can dramatically
reduce the appearance of a protruding abdomen. This procedure can
also be used to remove significant amounts of lower
abdominal fat, and to thin the
upper abdominal fat by elevating and
redistributing it. Stretch marks
below the level of the belly
button are removed along with full
thickness skin and fat down to the abdominal muscles. The
abdominal muscles are sewn tightly together in the
midline to strengthen the abdominal wall and accent
the waist line before
sharing the remaining upper
abdominal skin to resurface the entire
abdomen. The belly button is saved
and brought through the remaining skin at the
appropriate level, recontouring
the abdomen in exchange for a
low abdominal scar which will hide in underwear
or a bathing suit , and will fade with
time. This surgery always requires placement of
temporary rubber drains to
prevent fluid accumulation
post-op, and is usually
performed as an outpatient
under general
anesthesia. Down-time is
about 10-14 days for light
work, and 3-5 weeks before full
exercise can be
resumed. Abdominal
Liposuction is not advisable at the
time of full Abdominoplasty,
but other areas such as the
hips and thighs can safely
be treated at the same time.
Representative patient photos are shown
below. Before and after operation Before and after operation Best candidates for abdominoplastyThe best candidates for abdominoplasty are women or men who are in
relatively good shape but are bothered by a large fat deposit and or
loose abdominal skin that will not respond to diet nor exercise. The
surgery is particularly helpful to women who, through the stretching of
multiple pregnancies, have abdominal muscles and skin that will no
longer return to normal. Lost skin elasticity in older patients, which
frequently occurs with slight obesity, can also be improved. Women
planning future pregnancies should consider waiting. The muscles
tightened during abdominoplasty can separate again during pregnancy.
Skin restretched may again not return to normal proportions. Previous
abdominal scars need to be evaluated during an in office examination to
see if they might effect possible surgery. Prominent abdominal contour
scars like those sometimes seen after Caesarian delivery and other
surgery can be improved during this abdominal sculpting. Before and after operation Before and after operation Weight loss and tummy tuck.If you are planning to lose a lot of weight, abdominoplasty is best after the weight is stabilized. The skin and flesh are then sculpted to your new form. Massive weight loss after abdominoplasty may leave the skin loose again about the belly. One of the major fat storage areas of the body is the apron of fat around the intestines (omentum). This fat is located behind the abdominal wall and is not treatable with either liposuction or abdominoplasty. This surgery is for sculpture, not weight loss. Weight loss better done with controlled diet and improved eating exercise habits. If you maintain a positive caloric balance after surgery, you will regain your weight. The surgeryThis surgery is designed to remove and redrape redundant lower and middle abdominal wall skin and fat. An incision above the pubic region and extending towards the hips places the scar where it can hidden by most clothing. Skin and fat are separated from the underlying fascia (layer covering the muscles of the abdominal wall). In the standard operation this dissection continues up to the ribs exposing the vertical muscles (rectus muscles). The skin around the belly button (navel or umbilicus) is divided so the redundant tissue of the upper abdomen can be pulled down. This hole will frequently be pulled far enough down to be removed with the excess tissue. When less tissue needs to be removed, this hole may become a short vertical component of the lower scar. In a "mini tummy tuck" there is a more limited region dissected and the bellybutton either left in place or repositioned with other techniques. When the navel is left tethered and enough tissue tightening performed, there may be distortion and an unnatural shape to the belly button. The abdominal wall muscles are then drawn together in the midline narrowing the waistline. This stitching firms the abdominal wall and removes some bulging. Before and after operation The skin flap is then stretched down and the extra skin removed. A new hole is cut for the navel and contoured to create its shape. The tissues are now sewn into place. Some of the sutures are deeper and will dissolve over time. More superficial sutures are removed in office after surgery. Special tape strips may further align the skin. Temporary drain tube(s) may be placed to remove fluid from under the flap. If present, you will be shown how to record the output from these drains. Dressings applied usually include one around the new navel and possibly one over the main incision. Complete abdominoplasty usually takes two to three hours, depending on the extent of work required. Partial abdominoplasty (mini tummy tuck) may take only an hour or two of operating room time. | |
Kiev Regional Plastic Surgery Clinic 2003-2008 Ukraine >>Kiev Aesthetic Surgery of the Face, Rhytidectomy, Eyelid surgery, Ear surgery Aesthetic Surgery Clinic Plastic surgery Rhytidectomy Aesthetic Surgery of the Face Eyelid Surgery Ear Surgery Endoscopic surgery of face, forehead and breast Rejuvenation Surgery Surgery of nose, ears, and lips Mammary surgery Liposuction Tummy tuck Lipofilling Augumentation by gels Nasal Surgery septoplasty rhinoplasty Chin Augmentation Genioplasty Breast augmentation Breast reduction breast lift AbdominoplastyKiev, Ukraine Kiev Regional Plastic Surgery Clinic treatment individual plastic surgery cosmetics: preventive maintenance and treatment of premature and natural ageing, correction of defects of cosmetic character, the Advanced methods of treatment in aesthetic and plastic surgery, high proffesional doctors, presence of the advanced equipment allows to solve all kinds of plastic, reconstructive, aesthetic problems |
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