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› About Dr. Peers › Choosing a Surgeon › Procedures › Breast Augmentation › Breast Lift › Abdominoplasty › Blepharoplasty › Face & Neck Lift › Lipoplasty › Fees › FAQ › Testimonials › Resources › Sitemap › Contact Us › Home  |
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Abdominoplasty (tummy tuck) Abdominal deformities and laxity are usually the result of pregnancies or weight loss. Abdominoplasty is an operation to tighten and remove fullness from the middle and lower abdomen. It involves removing excess skin, fat and tightening the muscles of the abdominal wall. It can remove some folding, scars,and stretch marks. It is not a substitute for weight loss. Patients who a re significantly overweight are not good candidates for abdominoplasty as they do not get good cosmetic results and have a higher risk for potential complications. How is it done? The operation is done under general anaesthetic as a daycare or overnight stay procedure. A mini abdominoplasty involves a short lower abdominal incision and no scar around the umbilicus. It is for patients with mild to moderate laxity and fullness limited to the lower abdomen. A full abdominoplasty involves an incision all the way across the front of the lower abdomen and an incision around the umbilicus. The skin is freed up to the level of the rib cage and the excess is measured and removed. Excess fat is removed either directly or by liposuction. Abdominal muscles are tightened. The upper abdominal skin is the pulled down (like a window blind) to cover the entire abdomen and stitched to the lower incision.   Recovery: For the first few days the abdomen feels very tight and the patient should not fully straighten up. A special support garment is worn for the first month. The incision usually heals in two weeks. Most activities can be resumed in two weeks. Strenuous activities can be resumed in six weeks. Potential complications: Bleeding may happen within the first few days. Minor bleeding is normal and is dealt with by drains and the dressing. More serious bleeding may require surgical treatment. Seroma is a fluid collection under the skin flap. This may require aspiration. Tissue loss or wound dehiscence are due to poor circulation and are usually related to previous surgery, general health problems, or smoking. It may lead to delayed wound healing and may require secondary surgery for correction. Phlebitis or leg vein blood clots are an uncommon complication of any abdominal or lower limb surgery. Rarely these can travel to the lungs - a serious complication. Early ambulation and intraoperative treatments help to minimize this complication. Scarring from this operation is never invisible but is hidden in the panty line. Actual scarring characteristics are mainly genetically determined. Rarely abdominoplasties may form thick,and even tender, scars. These may persist even after treatment. Some deformity may persist after surgery, especially if the patient had severe deformity pre operatively. These may benefit from a surgical "touch up". It is normal to have a small patch of numbness just above the surgical scar. This is not usually a problem for patients.  Before  After  Before  After |
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