Abdominoplasty “Tummy Tuck”

Abdominoplasty, or a “tummy tuck,” is designed to correct a protruding abdomen resulting from weak abdominal muscles, weight gain or pregnancy. These conditions may not respond well to diet or exercise if the skin and underlying muscles have been stretched.

With abdominoplasty, the abdominal wall muscles are tightened and excess fatty tissue and skin are removed to improve the body contour. The goal is a narrower, flatter abdomen. Realistic expectations are important. Abdominoplasty is not a substitute for weight loss.

Dr. Black considers age, weight and smoking habits when evaluating a candidate for this procedure.

Before Surgery

We will take a complete medical history and conduct a careful examination to evaluate your general, overall health. Ideally, the abdominoplasty patient has no health problems, and wishes only to remove an excess deposit of fat or loose abdominal skin. Patients on a weight-loss plan should be close to their target weight before having the operation.

Photographs will be taken before and after surgery.

Antibiotics will be given at the time of surgery to help prevent infection. To minimize the possibility of excess bleeding, you will need to avoid taking drugs containing aspirin.

The Procedure

Abdominoplasty is performed using general anesthesia. The surgery may take 2-5 hours, depending on your overall condition. Patients are usually released after a few hours.

The procedure is most commonly performed by making an elliptical incision across the lower abdomen. A second incision is made around the navel. The skin is then separated from the abdominal wall and lifted in the midline toward the xyphoid (breast bone).

Loose, stretched out muscles are tightened with sutures, and excess skin and fat are removed. The incisions are then sutured together and the navel is reconstructed. Drains are often inserted to eliminate fluid buildup.

Recovery: What to Expect

You may experience some discomfort immediately following surgery that can be controlled with pain pills. Some swelling is normal.

The speed of recovery depends on your physical condition prior to surgery. Allow at least 10 days to recuperate before returning to work.

Some scarring is also normal. It often takes 9-12 months before the scars begin to fade.

The rewards of abdominoplasty are great for a patient previously distressed by a protruding abdomen. Those who follow a proper exercise routine and healthy diet will benefit from abdominoplasty the most.