Tummy Tuck (Abdominoplasty)
Despite being physically fit and in relatively good shape, many people are still bothered by an excess of skin and fat in the abdominal region that proves to be virtually impossible to get rid of through traditional means. Often resistant to even the most nutritious diets and rigorous exercise routines, this buildup of redundant skin and fat can be caused by pregnancy, significant weight loss, genetics, and/or simply the natural aging process.
At 740 Park Plastic Surgery, our board certified plastic surgeons offer tummy tuck surgery (abdominoplasty) to tighten loose/stretched abdominal muscles, excise extra skin, and pull the remaining skin taut for a firmer, more toned midsection. Additionally, liposuction can also be performed to remove undesired fat, further enhancing the treatment area. By utilizing innovative surgical techniques, Dr. Daniel Y. Maman and Dr. Stafford R. Broumand can help you achieve a rejuvenated figure with beautiful, natural-looking results.
What Can Abdominoplasty Do for Me?*
Regardless of the cause for diet and exercise-resistant fat buildup in the abdomen, abdominoplasty can provide several benefits for qualified candidates. Depending on your unique needs and goals, tummy tuck surgery can often help you achieve:
- A significant reduction in excess abdominal skin and fat
- A smoother, flatter stomach and lower abdomen
- An improved, slimmer waistline
- A better fit for certain articles of clothing
*Results may vary
Along with its aesthetic benefits, abdominoplasty can also make a positive physiological impact on patients’ lives. Following tummy tuck surgery, the majority of individuals report a renewed sense of self-confidence and esteem in the way they look.
Candidates for Tummy Tuck Surgery
Abdominoplasty can be a great surgical option for many men and women seeking to restore a flatter, tighter midsection. Good candidates for this procedure generally include individuals who have:
- Excess, hanging skin in the abdomen (with or without the presence of fat)
- Stretched and/or loose muscles of the abdominal wall
- Stretch marks throughout the abdominal region
- Lost a significant amount of weight and/or undergone bariatric surgery
In addition to these qualifications, candidates for tummy tuck surgery should be relatively healthy (no unmanaged medical risks), at or very near their desired weight, and have realistic expectations for the procedure. Those who smoke and/or use tobacco products must quit at least two weeks before surgery, and they should have no intention of resuming these habits afterward. During your consultation, all of these candidacy requirements will be discussed in full detail to determine if abdominoplasty is the right treatment for you at this time.
Considerations for Abdominoplasty
There is a variety of elements that factor into attaining an ideal abdominoplasty outcome. Below are a few key details to consider prior to pursuing tummy tuck surgery.
Tummy Tuck or Liposuction?
While both abdominoplasty and liposuction can be used to effectively achieve a more toned and contoured appearance in the abdominal region, the most appropriate technique will depend on the patient’s unique indications.
In general, liposuction can improve the form of the abdomen, but it will not alleviate excess skin or disruption of the abdominal muscles. As a result, it is typically a better method for targeting specific areas of fullness in individuals whose concerns are limited to excess accumulations of fatty tissue. In contrast, a tummy tuck can tighten lax muscles of the abdominal wall and eliminate extra skin in the stomach region. For this reason, tummy tuck surgery is often the best option for women whose abdominal skin and muscle tissues have stretched during pregnancy, as well as for both men and women who have undergone significant weight fluctuations that have led to redundant skin and loose abdominal muscles. Should excess fat also accompany these concerns, liposuction can usually be employed during an abdominoplasty to help further shape and refine the hips and abdomen.
Following a thorough evaluation of your specific needs and desires, one of our doctors will be able to recommend the most appropriate option (or combination of methods) for you.
Pregnancy and Abdominoplasty
If you anticipate having one or more children at some point in the future, Dr. Broumand and Dr. Maman usually suggest waiting to undergo tummy tuck surgery until after you are done having kids. Reason being, the physical changes typically associated with pregnancy can often have a negative impact on the results of a previous abdominoplasty. For instance, many women experience re-stretching of abdominal skin and/or musculature during pregnancy, both of which may not return to their pre-pregnancy state despite a nutritious diet and regular exercise. In several cases, this leads to the need and/or desire for another abdominoplasty procedure to restore the previous outcome.
That said, if you are not sure if you are going to have children in the near future, a tummy tuck can certainly still be performed—there is no reason to live many years with a weakened abdominal wall and loose, excess skin based solely on the chance you may have kids sometime down the road. If you do choose to have an abdominoplasty and subsequently become pregnant, there is a possibility that a secondary operation will not even be necessary. Everything depends on the physical changes you experience, how your body reacts to these changes, and whether or not you are happy with your post-pregnancy figure.
In the end, the right timing for tummy tuck surgery is unique to every person. During a consultation at our practice, you can discuss your current aesthetic needs and any future plans you may have in regard to starting (or growing) a family, and together you and your surgeon can decide when the most appropriate time to undergo surgery may be.
Body Contouring vs. Weight Loss Surgery
Abdominoplasty should never be considered a weight loss solution. While it is true that fat is often removed via liposuction as part of the procedure, this is not a substitute for a healthy diet and regular exercise routine. The goal of tummy tuck surgery is to remove excess skin and tighten stretched musculature for an improved abdominal contour, not to help individuals lose weight. (Depending on the patient’s needs, the cumulative weight of tissues removed may be noticeable, but rarely does this amount to more than roughly 10 pounds.)
As with any surgical procedure, some degree of scarring is unavoidable following abdominoplasty. The length and width of your tummy tuck scar will depend on how much skin is removed, as well as how closely scar management directions are followed after surgery. The good news is, the abdominoplasty incision is made along the lower abdomen, enabling it to remain concealed underneath most bathing suit and underwear varieties.
The Tummy Tuck Procedure
Custom-tailored for each patient, the abdominoplasty technique Dr. Broumand and Dr. Maman typically employ is a modified approach that blends the respective advantages of mini and full tummy tuck methods. During the procedure, an incision is first made as inconspicuously as possible along the lower abdomen. Through this incision, abdominal muscles spanning from the pubic region up to the ribcage are gently tightened, and excess skin is removed. Remaining skin is then pulled tight and secured for smoother, firmer aesthetic. If needed and/or desired, liposuction can also be performed to eliminate localized fat buildups in the midsection, and the belly button can either be preserved or relocated for an optimal result. The abdominoplasty procedure is conducted under general anesthesia and generally takes approximately two hours to complete, though this will ultimately depend on the individual’s specific needs and cosmetic desires.
Some minor swelling and/or bruising can often be expected following tummy tuck surgery, but these side effects should gradually subside over time. At our practice, Dr. Maman and Dr. Broumand generally use a 72-hour anesthetic known as EXPAREL® in combination with the abdominoplasty procedure to help minimize any pain that may be experienced in the first few postoperative days. After this time, any discomfort—though rare—can typically be managed with medication. The majority of individuals feel well enough to return to non-strenuous work and regular daily routines after about seven days, but it is advised that strenuous activities and vigorous exercise be avoided for a minimum of one month, as any action that places strain on the abdomen during this time may negatively affect proper healing. Once the swelling from surgery has dissipated, patients should begin to notice the full effects of the procedure—a smoother, flatter-looking abdomen.
Become More Informed About Tummy Tuck Surgery
Our plastic surgeons believe patient education is essential to achieving the best tummy tuck results possible. During the consultation process, your surgeon will provide a comprehensive overview of the procedural process, including what to expect before, during, and after surgery. If at any point in time you have a question or concern, they will encourage you to speak up so you can gain a better understanding of the treatment and make a more informed decision about your cosmetic options. The entire 740 Park Plastic surgery team is aware of how much information there is to take in all at once, and we are happy to give you the time needed to digest every detail at your own pace. The choice to receive a tummy tuck is solely yours, and it should be made only when you are ready.
Contact 740 Park Plastic Surgery
To learn more about abdominoplasty, or if you wish to schedule a consultation with one of our Harvard-trained doctors, please contact 740 Park Plastic Surgery today.