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Tummy Tuck (Abdominoplasty)

Tummy Tuck (Abdominoplasty) Ohio

Midwest Breast and Aesthetics Surgery Tummy Tuck Ohio

An abdominoplasty or tummy tuck is a good option for patients with worries about loose skin or concerns about the contour of their abdomen or belly. The procedure is particularly popular among new moms and patients who have gone through excessive weight loss.

The surgery involves removing excess or unwanted skin and fat from the lower abdomen, mainly between the umbilicus (belly button) and the pubic area. The resulting scar is located low in the abdomen, usually a couple of inches above the pubic area. In most cases, a circular scar around the belly button will also be placed in order to keep the belly button in the correct position.

In addition to removing excess skin and fat on the lower abdomen, a tummy tuck operation also tightens the internal tissues to flatten the overall contour of the abdomen. In pregnancy, the muscles of the abdominal wall relax and separate to create more space in the abdominal cavity. After pregnancy, the tissues tighten again, but may not return to their pre-pregnancy position. This can result in permanent laxity or bulging of the abdominal region that even sit-ups or core exercises will not change. The tummy tuck operation uses internal stitches to bring the muscles back to their original location, thereby tightening and flattening the abdominal wall.

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He is a great surgeon. He answered all my questions. He was very easy to talk to. The procedure went well and my recovery was short and less painful than I thought. The staff is great and made me feel very comfortable! I highly recommend Kocak, he??s ......

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Types of Tummy Tucks

Tummy tucks can be categorized according to the amount of tissue that needs to be addressed with the operation and the extent of scarring that is consequently needed in order to remove the tissue.

The different types of tummy tucks are:

Mini Tummy Tuck

For patients with only a small amount of excess skin and fat and minimal laxity of the abdominal wall, a mini tummy tuck may be feasible. The mini tummy tuck uses a very short incision scar, similar to a C-section scar, to remove only a small amount of skin from the lowest part of the abdomen and tighten only the lower part of the abdominal wall muscles. There is generally no scar placed around the belly button with this operation.

The mini tummy tuck is generally associated with a shorter recovery and earlier return to activities compared to the other, more extensive operations listed below.

The very low and short incision used to perform this operation limits the amount of tissue that can be removed and prevents the surgeon from being able to tighten any of the abdominal muscles above the belly button, making the mini tummy tuck ideal in only limited cases. In many cases, a more ideal result can be obtained with a full tummy tuck.

Full Tummy Tuck

A full, or traditional tummy tuck procedure removes skin and fat from the lower abdomen, between the belly button and pubic region, and tightens the internal muscles of the abdominal wall, from the breast plate down to the pubic region. It creates a scar on the lower abdomen that extends from the hip on one side, across the pubic region, to the opposite hip region. It also creates a circular scar around the belly button. A full tummy tuck is a very effective method for smoothing the contour of the entire abdomen and removing extra skin and fat on the lower aspect of the abdomen.

A full tummy tuck is a more extensive operation than the mini tummy tuck and will often require more time for recovery and return to physical activities. While it deals well with tissue on the lower-front part of the abdomen, the full tummy tuck may not smooth out certain areas of the abdomen, such as the sides (love handles) or the central abdomen (over the stomach). More extensive procedures, such as the fleur de lis and circumferential tummy tuck, are designed to provide additional contouring in these more difficult areas.

Fleur De Lis Tummy Tuck

As described above, the full tummy tuck removes skin and fat from the lower abdomen in a horizontal direction and produces a horizontal scar. While this is generally adequate in most cases, some patients, such as those who have lost a significant amount of weight, may need to have tissue removed in a vertical direction as well. The fleur de lis tummy tuck is a full tummy tuck with the addition of a vertical scar, along the center of the abdomen. By removing skin and excess tissue in two directions, the abdominal region can be tightened to a greater degree and the contour can be made smoother. The trade-off, of course, is the addition of a scar that runs down the center of the entire abdomen. Unlike the scars of the full tummy tuck, which are well-hidden by most clothes, the fleur de lis scar is much harder to hide.

Circumferential Tummy Tuck (Belt-Lipectomy)

When there is excess skin and tissue that extends beyond the ends of the full tummy tuck territory, a more extensive removal of skin and fat might be necessary to contour the sides and lower back. In such cases, the removal of the tissue is performed circumferentially, on the front, sides and back of the lower torso. This produces a scar similar to where a belt might sit on the body.

The circumferential body lift or belt-lipectomy is a much larger procedure than the traditional tummy tuck. During the operation, the patient is flipped so that both the front and back sides can be accessed by the surgical team. This makes the operation longer and increases the risks that accompany surgeries of increasing duration. Longer incisions and more extensive surgery may also lengthen the time needed for healing and full recovery.

Tummy Tuck Scar

As described above, the scars for the different types of tummy tuck operations depend largely on the extent of skin and tissue that needs to be removed. Generally speaking, the more tissue that needs to be removed, the longer and more visible the scars may be. In most cases, the mini and full tummy tuck scars are well concealed by most types of clothing, even some underwear, and bikinis. On the other hand, more extensive operations, such as the fleur de Lis tummy tuck, result in scars that are well hidden with daily clothing, but easily visible when the midsection of the torso is not covered, such as with a bikini.

Tummy Tuck Recovery

Tummy tuck patients usually go through a six-week long recovery period, involving internal and external healing.Under normal circumstances, most patients can return to their desk jobs and resume their basic activities of daily living after 2 weeks.

We generally recommend limiting lifting and strenuous physical activity for at least 6 weeks, and sometimes, up to 3 months to allow for the internal wounds to fully heal and strengthen. Click here to read more post-surgery instructions.

Tummy Tuck Frequently Asked Questions

Am I a good candidate for a tummy tuck?

To qualify, patients should have the following:

  • Excess, protruding and/or lax skin on their abdomen
  • A small to moderate amount of abdominal fat
  • Stretched abdominal muscles (bulge)
  • Healthy bodies that are at a stable weight
  • Realistic expectations about the surgery and its outcomes

Women who are still planning to have children in the future are discouraged from undergoing the procedure because pregnancy can alter the effects of the procedure.

Will tummy tuck remove stretch marks?

Not all stretch marks are removed during a tummy tuck procedure. If a patient’s stretch marks coincidentally lie in the area needed to be treated, then along with the skin, they can be removed. It may reach some stretch marks located in the hip area, but it does not address those on the back side.

What are the risks of tummy tuck surgery?

Similar to other plastic surgery procedures, tummy tuck carries its own share of potential complications. Nonetheless, the risk is relatively small. Some of them include but are not limited to the following:

  • Bleeding and infection
  • Changes in skin sensation
  • Skin discoloration
  • Unfavorable (widened or raised) scarring
  • Fat necrosis

Can you have a tummy tuck after a C-section?

Yes, C-section patients can undergo tummy tucks. Ideally, they can elect for abdominoplasty 6-12 months after giving birth. Such timing is important as an ill-timed tummy tuck can endanger the lives of both the new mom and her newborn. Blood volume and concentration should first be normalized following a C-section before considering elective surgery.

Do you recommend a tummy tuck if I plan on having more children?

Though no direct harm is posed on future pregnancies and children when a patient undergoes a tummy tuck, many plastic surgeons recommend holding off on having surgery until childbearing is thought to be complete. This is because pregnancy can loosen the tissues that were tightened by the tummy tuck, sometimes necessitating a repeat tummy tuck to flatten the abdominal region once again.

How do I prepare for a tummy tuck surgery?

We advise our tummy tuck patients to stop smoking for at least two months before surgery to facilitate the healing process. Following crash diets and having drastic weight-loss can lead to malnutrition and negatively affect the recovery period. Therefore, we recommend patients continue healthy eating patterns leading up to surgery.

How long does a tummy tuck surgery usually last?

A typical full tummy tuck can last between 1-3 hours, depending on the extent of the surgery. As described above, the less invasive operations, such as the mini tummy tuck can take as little as one hour. A traditional, full tummy tuck, usually takes between 1.5 and 2 hours. Larger operations, such as the fleur de lis and circumferential tummy tuck can take 3-6 hours. For these more extensive operations, the surgeons of Midwest Breast & Aesthetic Surgery use a team physician approach, making it possible to them to complete the operations in a more timely fashion without compromising the end results. To learn more about our .

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How long for swelling to go down after tummy tuck?

Since it is an extensive plastic surgery procedure, patients should expect at least 3 months of swelling. This can endure for another few months but rest assured that this is normal. Swelling and pain should peak in a week after surgery and should gradually resolve as they advance in their recovery.

How long to wear compression garment after tummy tuck?

Compression garments are worn by tummy tuck patients for comfort, control of swelling, and mobility assistance. We instruct patients to wear their compression garments 24 hours a day for 5-6 weeks to help with their recovery.

When am I allowed to begin exercising?

Patients in the midst of recovery as advised to refrain from exercising until 6 to 8 weeks into the process. Heavier forms of exercise, such as weightlifting and CrossFit, may need to be delayed for up to 12 weeks after surgery. This window gives the treated area and the rest of the body enough time to properly heal and lowers the chances of complications arising (i.e., bleeding, poor wound healing, and failure of the internal stitches). For better blood circulation, patients are encouraged to resume normal walking practice 2 weeks after surgery in a non-stressful environment – such as their home.

When can I drive after tummy tuck?

Tummy tuck patients can drive only if they are done taking medications for pain. It is against the law to drive under the influence of pain pills, so we advise patients to have someone else drive for them for at least two weeks.

When am I allowed to travel?

In general, we recommend our tummy tuck patients to refrain from traveling by plane for 3-4 weeks to minimize the risk of blood clotting (deep vein thrombosis) which, in some cases, can be life-threatening.

When am I allowed to go swimming or take a bath?

Patients should swim or submerge themselves in water only if their wounds are completely healed which occurs after 3-5 weeks. This is to prevent bacteria from getting into the wounds and consequently hindering the healing process.

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Copyright 2014 Midwest Breast & Aesthetic Surgery. Dr. Ergun Kocak*, Dr. Pankaj Tiwari*, Dr. Bianca Chin*, Dr. Shunsuke Yoshida. All Rights Reserved. | Disclaimer
*All doctors are certified by the ASPS, ABPS & ASRM.
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