Dana R. Towle, MD

Abdominoplasty (Tummy Tuck)

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A tummy tuck is a surgical procedure to extract surplus fat and tissue from the abdominal region. It is especially helpful for men who retain excess weight in their mid-sections and in women who have undergone multiple pregnancies. Patients who undergo abdominoplasty can expect a flatter, more contoured and visually satisfying stomach.

The Surgery
Patients considering a tummy tuck can choose either a complete or partial procedure. A full abdominoplasty begins with an incision above the pubic area and extends between the hipbones. The surgeon then makes a second incision to separate the navel from the underlying tissue. Next, the skin is separated and pulled up to the level of the ribs. The surgeon pulls the abdominal muscles together and stitches them into position. The navel is then relocated and stitched into place. The surgeon replaces the skin (excess skin is trimmed) and sutures the original incisions. A complete tummy tuck takes between two and five hours and may or may not be outpatient based.

Alternative Procedures
If fat deposits are limited to the region below the navel, you may only need a partial abdominoplasty (mini-tummy tuck). In this procedure, a smaller incision is made, leaving the navel in place. The surgeon stretches the flap of skin down, removes excess fat and tissue, and stitches the flap back into place. The partial procedure lasts one to two hours and is usually performed on an outpatient basis.

After Surgery
Immediately following surgery, the incisions are dressed with bandages to keep the skin in place. A tube may be inserted to drain any excess fluid that has collected. Patients may experience some swelling and discomfort, although your doctor can prescribe medication to alleviate these symptoms. Stitches are usually removed five to ten days following surgery, although deeper sutures may take nearly three weeks. The specifics of each procedure, as well as duration of hospitalization and type of anesthesia (general or local), varies among individuals.

Health Concerns
As with any cosmetic surgical procedure, complications are rare, but include infection and blood clotting. In the event of a postoperative infection, your doctor can prescribe antibiotics. Blood clotting is best avoided by moderate exercise, which strengthens muscles and maintains blood circulation. Scarring may be pronounced in the first six month, but gradually flattens and becomes virtually undetectable within a year. To avoid excessive scarring and poor healing, smokers are advised to stop both two weeks prior to and following the procedure. Patients typically return to work within two to four weeks. To maximize the success of surgery and minimize the risk of complications, always follow your doctor's instructions for surgical preparation and postoperative care.