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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 muscle and fascia of the abdominal wall. This type of surgery is usually sought by patients with loose tissues after pregnancy or individuals with sagging after major weight loss.
What Is a Tummy Tuck ?
The term "tummy tuck" refers to a cosmetic surgery procedure more formally known as abdominoplasty, which is designed to help patients sculpt and tone their abdominal areas. During a tummy tuck procedure, the surgeon manually tightens the muscles of the abdominal wall and sutures them into place. He or she then removes any excess skin from the patient's abdomen to create a firmer, flatter midsection. The abdominoplasty procedure can be customized to each patient's specific goals and may include liposuction or be combined with other body lift procedures.
The Tummy Tuck Procedure
To prepare for a tummy tuck procedure, patients should be candid in discussing their medical histories, including any medication they are currently using, with their surgeons. Tummy tuck surgery usually takes between two and six hours to complete. Depending on which tummy tuck procedure is performed, patients will be either totally or partially sedated. During tummy tuck recovery, it is common for patients to experience some side effects and risks. Since each person and each tummy tuck procedure are unique, it is important that patients closely follow the surgeon's specific instructions for recovery.
Complete Abdominoplasty
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.
The remaining skin and fat are tightened by removing the excess and closing the defect.
The old belly button stalk is brought out through a new hole and sutured into place.
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.
How is Abdominoplasty done ?
The procedure is performed under general anesthesia, Complete Abdominoplasty takes about 3 - 4 hours where as Partial Abdominoplasty takes about 1 - 2 hours. Depending on how extensive a Tummy Tuck procedure is, hospitalizion for 2 - 3 days is required after Tummy Tuck surgery.
Abdominoplasty or tummy tuck requires a horizontal incision across lower abdomen(within or above the pubic area). The length of the incision varies depending on the amount of skin to be removed. In some cases an incision around the navel is made so that the excess skin above the navel is pulled downward and removed. The navel's position remains unchanged The skin flap is then stretched down, extra skin is removed and the skin incision is stitched and bandaged to ensure proper healing with minimum scarring.
If large amounts of fat needs to be removed from the abdominal area, Tummy Tuck may be accompanied with Liposuction.
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