Abdominoplasty (Tummy Tuck)

The purpose of Abdominoplasty (Tummy Tuck) is to remove excess skin and fat from the abdomen. If necessary, it will also help to restore weakened or split abdominal muscles, thus providing both a functional and a beautiful end result.

Many people would like to have a flat belly. Good eating habits are actually a key factor in achieving and maintaining that, together with exercise – and keeping ideal body weight with these. Often, however, the problem of local fat and excess skin cannot be solved by a healthy lifestyle.

Even at an optimum body weight, “stubborn” local fat may occur, and after a considerable weight loss, it is almost natural for the connective tissues to lose their elasticity, and become sagging. In the background of the aesthetic problems associated with the abdomen, we have to mention pregnancy, genetic factors, aging, previous abdominal surgery as well.

When Is Abdominoplasty Not Recommended?

Tummy Tuck is not a substitute for dieting or a healthy lifestyle. Achieving and maintaining an ideal body weight is essential before the surgery, as the result is considered to be persistent theoretically, but later weight changes can greatly impair it. Therefore, it is recommended that in the case of an excess weight more than 3-4 kg, or with future pregnancy plans, perform the surgery later.

Abdominoplasty does not help in the problem of stretch marks, but it really makes them disappear on those areas that belong to the excess skin you want to be removed.

The Ideal Patient for Tummy Tuck

Abdominoplasty is a largely individualized intervention. It is recommended for those who would undertake it for their own physical and spiritual harmony, not for someone else or for the sake of current social expectations.

In general, Tummy Tuck helps the most those who:

  • are healthy and have a normal weight,
  • have realistic expectations,
  • do not smoke,
  • are disturbed by the appearance of their abdomen.

Before Tummy Tuck

Prior to surgery, a personal consultation is required with the plastic surgeon where your general health status, possible history of health problems, and expectations about the surgery are discussed. This is accompanied by a visual and manual examination of the abdomen, talking about possible alternatives and detailed information about them. It is important for the patient to ask all the questions that they are concerned about: you can even prepare yourself with a question list for your doctor.

How Is the Operation Performed?

Abdominoplasty always requires general anesthesia, usually with a one-night hospital stay. Depending on the patient’s condition and expectations, there are several methods to choose from. With Full Abdominoplasty, both the under and over the navel are can be re-shaped, with a horizontal incision between the hip blades and one more incision around the navel. Midi Tummy Tuck is less extensive: it can remove the skin excess over the navel, but it is still suitable to repair Diastasis recti (a gap between the two sides of the rectus abdominis muscle). Mini Abdominoplasty is recommended during the consultation only for those who do not need to reposition their navel. The most complex method is Extended Abdominoplasty, which can be used to shape not only the abdomen, but also the lateral parts of the hips and waist, but it has a longer recovery time.

Liposuction is always part of the Abdominoplasty. This can be done according to the state of the tissues in a conventional manner or by Power-Assisted Liposuction (PAL).

The most commonly used Full Abdominoplasty takes about 1.5 hours.

After Tummy Tuck

The scar resulting from the incision fades to a thread-lined white line within a year with a proper postoperative treatment, so the lingerie and the bikini bottom will completely cover it. For a perfect result, however, it is essential to wear the compressive garment for a few weeks, which is discussed on the follow-up exams. Suture removal is due after 2-3 weeks. We are prescribing antibiotics for the first days after surgery to ensure that the extensive surgical site is not infected. The result is immediately visible, but solarium and direct sunlight may be harmful to the optimum healing of the scar. Intensive physical activity should be avoided for at least two months after surgery.

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