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Aesthetic Procedures: Body

Aesthetic Procedures: Body

Aesthetic Procedures: Body

Abdominoplasty (Tummy Tuck)

Tummy Tuck
An abdominoplasty refers to the removal of excess skin and fat from the abdomen to contour the abdominal and flank area. This may be combined with liposuction (in a procedure known as a lipoabdominoplasty) and repair of the muscular fascia to achieve a more refined and athletic silhouette.

How is an abdominoplasty performed?

In an abdominoplasty, your bellybutton is either relocated or recreated in a natural, attractive position on the abdomen. Concurrent liposuction will enable sculpting of contours to enhance or replicate the natural musculature. Repair of the fascia is commonly required for ladies who have gone through pregnancy and whose fascia may have been stretched in a condition called diastasis of the recti (DR). If the DR is severe and causes functional issues, you may have a case for insurance-claimable abdominoplasty.

What to expect after an abdominoplasty procedure

After the abdominoplasty, you will be required to wear a compression garment for 6 weeks to help with reduction in swelling and skin retraction. Drains may be placed and will be removed over the post-operative course. You may be hospitalized for 1 to 2 days after the procedure to help you get back on your feet.

What are the potential sequelae and complications for this procedure?

There may be pain, swelling, and bruising after the procedure, which usually settles over the course of the week and can be helped with medication. Complications, though uncommon, include bleeding, infection, and wound issues. Bleeding usually stops on its own, but if ongoing may require another procedure to prevent further bleeding. The risk of infection is reduced by meticulous surgical sterility and intra- and post-procedure antibiotics. Wound issues such as fluid collections or suture line breakdown are handled by drains, dressings, and wound revisions if required.

The main drawback of the abdominoplasty is a scar which may extend from one hipbone to the other. However, with the correct design of the excision, fine surgical technique, and post-operative scar management, the scar heals very well and can be hidden in the ‘bikini line’.
References
1. Saldanha O, Ordenes AI, Goyeneche C, Oyarce N, Paredes M, Filho OS, Saldanha CB. Lipoabdominoplasty with Anatomic Definition: An Evolution on Saldanha's Technique. Clin Plast Surg. 2020 Jul;47(3):335-349.

2. Matarasso A, Matarasso DM, Matarasso EJ. Abdominoplasty: classic principles and technique. Clin Plast Surg. 2014 Oct;41(4):655-72.

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