Abdominal area and waist are subjected to lots of changes throughout our lives more than other areas in the body.
The skin and the muscles get subjected to changes due to weight loss and gain, pregnancy and other experiences which can all take a toll on the skin, muscles, and other tissues of the midsection.
This cosmetic procedure is rapidly becoming more common as individuals clearly see the ability of surgeons to shape the body and improve their self-esteem.
This surgery is not an alternative to weight loss, it should be a last resort for those individuals who have done their best to eliminate the extra skin but just cannot seem to accomplish aesthetic goals.
Good Candidates for tummy tuck:
Women who have excessive skin laxity, stretch marks and weak abdominal muscles after a year or more of giving birth.
Patient with excessive fat in the abdominal area with moderate to severe skin laxity. In these cases liposuction by itself will leave the patient with excessive unsightly skin.
Patients after severe weight loss or after bariatric surgery.
Conditions should be considered seriously before tummy tuck:
Right, left, or bilateral upper abdominal scars.
Sever heart disease, Diabetics, morbid obesity and future plans for pregnancy.
History of DVT and pulmonary embolism.
Morbid obesity (BMI >40).
Unrealistic patient expectations.
Patients who tend to form keloids or hypertrophic scars should not undergo an abdominoplasty unless they are willing to accept the scarring associated with these conditions.
There are different types of Tummy tuck depends on the severity of the skin laxity, amount of abdominal fat and severity of abdominal muscle weakness. All abdominoplasty procedures are done under general anaesthesia.
Mini Tummy tuck:
It is a less invasive procedure when we remove a smaller amount of skin above the pubic area leaving a relatively short scar. The procedure can be performed with or without liposuction.
Complete abdominoplasty runs from hipbone to hipbone allowing your surgeon to contour the skin, tissues and muscles along with exposing all abdominal tissue. After the skin has been removed, it will be pulled down and the navel will be relocated to the appropriate position. The surgeon will then insert drainage to prevent fluid build up and the incision will be closed up either with sutures under the skin.
What do you need to consider before the surgery?
Smokers are required to quit smoking at least one month prior to surgery. Smoking increases the risk for complication during or after the surgery. Decrease of the blood flow due to smoking may result in skin loss, infection, increased scarring and poor wound healing. For the safety of both the patient and the doctor, smoking, as well as second hand smoke should be completely avoided prior to surgery. Before considering this surgery you should attempt other methods that do not involve surgery such as exercise and healthy diet habits. This is a very invasive procedure and should be your last resort.
Before considering this surgery you should attempt other methods that do not involve surgery such as exercise and healthy diet habits. This is a very invasive procedure and should be your last resort.
What do you need to consider after the surgery?
Weight lifting can put significant strain on incisions and sutures. Therefore, it should be restricted for a couple weeks to prevent poor healing and scarring. Aerobic exercise such as running, jogging, walking and biking may also be resumed after about six weeks. In order to keep a good shape for years to come after surgery, regular exercise and healthy eating habits should be practised.
Standing upright will also be restricted for about one week but may take longer for some individuals.
Exercise should be limited for about a month. You may slowly ease into normal workout routines without pushing your body further than it should go. At about six weeks, you can slowly return to performing abdominal workouts.
Abdominoplasty – What does it entail?
Most tummy tuck or mini tummy tuck procedures entail making a horizontal incision above the pubic / groin area. Care is taken to make this incision as low as possible – within average swimsuit lines.
In the newer technique that we at Chelsea Cosmetics follow, the incision length is much smaller than the conventional Abdominoplasty incision.
If required as part of the procedure, Dr. Attalla will also tighten the abdominal muscles, with special stitches that pull them together and keep them in place.
Moreover, he will trim away excess skin from the lower abdomen area to enhance the contoured appearance. The belly button might also be repositioned if needed – after looking at the quality and quantity of loose skin, along with the laxity of abdominal muscle after the procedure.
All of these points would be discussed with our patients during the consultation to keep them informed and well prepared, prior to the procedure. Another incision would need to be made around the belly button, which will also reposition the belly button to match the old navel position.
If however, there is only a small, saggy fold of skin to be removed, and the patient has stronger abdominal muscles, then there would be just one lower abdominal incision needed, without moving the belly button. This technique is commonly called a ‘mini tummy tuck’.
Recovery time varies for each and every patient. Before proceeding with this operation you should consider the period of time off you may need. Plan to take time off work in order to take the right amount of time to recover. A majority of patients need about two weeks off while some may feel okay going back sooner. Generally, patients need between three to six weeks to recover but complete healing can take longer. Most patients that undergo this procedure must spend several days in bed, even if they do not return home the same day as their surgery. Compression garment and drainage tubes will be present after surgery. Do not remove any garments or drains until advised or removed by your surgeon. Sutures or stitches will be removed after about one to two weeks in your follow-up visit. During one of these visits, some pictures might need to be taken to compare the tummy tucks before and after effect.
For the first couple days post-surgery, it is likely the patient will feel discomfort and pain. The cosmetic surgeon will provide pain medication to ease the pain and make recovery easier and more comfortable.
Post Tummy Tuck Scars – How extensive are they?
While post-surgery scars are commonplace, in some cases these even get wider after the procedure.
However, we at Chelsea Cosmetics use a newer technique that helps minimize these scars as much as possible, and keeps them low.
Our surgeons use a technique where they fix the scar to the fascia (a strong layer beneath the skin),
to ensure that the scar doesn’t get wider or higher in position.
What are the safety concerns associated with a tummy tuck?
While there are thousands of women who successfully undergo a tummy tuck surgery every year without any major complications, the abdominoplasty procedure, being a surgical one, does carry a certain amount of risk.
Like any other abdominal procedure, the tummy tuck carries the risks associated with general anaesthesia, as well as risks of hematoma, seroma, infection and insufficient skin excision.
This is why it is essential for anyone who’s considering a tummy tuck, to be in the know about the possible risks.
How can I prepare for Abdominoplasty?
Prior to the procedure, it is imperative to follow preparation instructions from Dr. Attalla, so that you can get the best results.
Some of those instructions could be:
Completely avoiding smoking for several weeks, both pre and post-surgery
Staying away from specific medications that could thin the blood
Making arrangements for immediate help post-surgery, such as a car ride home as well as in-home care for the first 24 hours after leaving the hospital
Within the first 7-10 days, you will observe that
The swelling and bruising will peak
Drainage tubes will be removed
Stitches might be removed
After several weeks, you will see
A gradual increase in activity and exercise
Resuming non-strenuous daily chores
A subsiding of the bruising and swelling
The results will begin to show
The final results will start getting noticeable
The tightness around the area will go away
Regular sensations may slowly start improving
How much is a Tummy Tuck?
Abdominoplasty cost is from 8000 to 15,000 depends on if the abdominoplasty done as a separate procedure or combined with liposuction.
While we’ve attempted to answer the most common questions in this article, you can come for free consultation, you can always reach out to Chelsea Cosmetic’s team of experts on (03)88223472 or at email@example.com. We work from 9 am – 5 pm Tuesday to Friday and from 9 am – 1 pm on Saturday.