Tummy tuck surgery, also known as abdominoplasty, removes excess fat and skin and, in most cases, restores weakened or separated muscles creating an abdominal profile that is smoother and firmer.
Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging.
The most common causes of this include aging, heredity, pregnancy, bariatric surgery and significant fluctuations in weight.
A tummy tuck is not a substitute for weight loss or an appropriate exercise program.
Although the results of a tummy tuck are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight. For this reason, individuals who are planning substantial weight loss or women who may be considering future pregnancies would be advised to postpone a tummy tuck.
A tummy tuck cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised.
The procedure
A full tummy tuck requires a horizontally-oriented incision in the area between the pubic hairline and belly button. The shape and length of the incision will be determined by the amount of excess skin. Once the abdominal skin is lifted, the underlying weakened abdominal muscles are repaired.
A second incision around the navel may be necessary to remove excess skin in the upper abdomen.
The upper abdominal skin is pulled down like a window shade. The excess skin is trimmed and the remaining skin is sutured together. A new opening for the belly button is created. The belly button is popped through to the surface and sutured into position. Sutures, skin adhesives or tapes close the skin incisions.
Recovery
During tummy tuck recovery, dressings or bandages may be applied to the incisions, and patient may be wrapped in an elastic bandage or a compression garment to minimize swelling and support her/his abdomen as it heals following surgery. Small, thin tubes may be temporarily placed under the skin to drain any excess blood or fluid that may collect.
In women who have undergone cesarean section, the existing scars may be incorporated into the new scar.
The tummy tuck scar may take several months to a year to fade as much as it will.
Although good results are expected from the procedure, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure and another surgery may be necessary.
Following physician's instructions is essential to the success of the surgery.
It's important that the surgical incisions are not subjected to excessive force, swelling, abrasion or motion during the time of healing.
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