Abdominoplasty, better known as a "tummy tuck," is a surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall.
During the operation, an extensive incision is made which runs across the lower abdomen.
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Most commonly, the surgeon will make a long incision from hipbone to hipbone, just above the pubic area. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stitched.
For the first few days following surgery, the abdomen will feel swollen and tight. You will feel some pain and discomfort for which your surgeon will prescribe medication. Your will be given instructions for showering and changing your dressings.
At first you may not be able to stand up straight without feeling a tugging sensation, but you should start walking as soon as possible. Though initially you will be stooped over, you will soon be able to straighten up completely as your body accommodates to your newly tightened abdomen. Postoperative bruising is minimal, but swelling is substantial. It takes up to three months for the swelling to disappear. You may also experience numbness of the abdominal skin and it may take several months for the sensation to return.
Surface stitches or staples will be removed in five to seven days and lighter bandages will then be applied. These bandages are soon replaced with an abdominal support garment, which is worn for several weeks. During this time, you must refrain from heavy lifting, straining or over-activity. Your surgeon will let you know when to resume your normal activities based on the extent of surgery and your progress. |
   
1.- In abdominoplasty, generally, an incision is made across the pubic area and around the umbilicus. Skin in the shaded area is separated from the abdominal wall.
2.- To tighten the abdominal wall, the surgeon brings loose underlying tissue and muscle together with sutures.
3.- Abdominal skin is drawn downward. and the excess is removed. A small opening is made to bring the umbilicus through.
4.-The postoperative patient shown with reconstructed navel and resultant scars. |
