Abdominoplasty, also known as a tummy tuck, tightens the abdominal wall and removes excessive skin and fatty tissue. The more common reasons for having abdominoplasty include the changes that can occur in a woman’s body after pregnancy, abdominal surgery, and as a direct result of significant fluctuations in your weight.
There are three types of abdominoplasty surgery: mini abdominoplasty, lipoabdominoplasty and full abdominoplasty.
Skin is separated from the abdominal wall all the way up to the ribs
The surgeon draws underlying muscle and tissue together and stitches them, thereby narrowing the waistline and strengthening the abdominal wall
Abdominal skin is drawn down and excess is removed. With complete abdominoplasty, a new opening is cut for the naval. Both incisions are stitched closed.
After the surgery you are left with a flatter, trimmer abdomen. Scars are permanent but will fade in time.
What to Expect During the Procedure
A mini abdominoplasty addresses issues with the flanks and lower abdomen only. The incision is located in the bikini line area and the board certified plastic surgeons at North Valley Plastic Surgery will remove the excess skin and fat. Sutures will be placed in the fascia covering of the abdominal wall muscles to tighten them and narrowing her waistline. Often times this procedure is done in tandem with liposuction. Typically, a drain will be located on the hip of one side of the body.
A full abdominoplasty requires an incision around the naval, and another that runs from hip to hip curving down to a point approximately 2.5 inches above the vaginal apex. Sutures will be placed in the entire abdominal wall to tighten the muscles and in the oblique areas to tighten your waistline. The excess skin and fatty tissue will be excised. The umbilicus will be relocated to the same position but it will be coming through skin that has been pulled down much like a window shade is pulled down. There will be drains located on both sides of the hips.
Lipoabdominoplasty is a procedure that is most appropriate if you have moderate skin excess combined with excess fatty tissues of the abdomen. In lipoabdominoplasty, the entire abdomen is treated with liposuction following which the standard abdominoplasty incision is made from hip to hip. Broad dissection is completed in the lower abdomen, but only a narrow dissection is taken from the umbilicus to the ribs. Through this narrowed dissected area, we tighten the upper abdomen and smooth out any rippling with additional liposuction, as needed. The umbilicus is then relocated as in a standard abdominoplasty; but, in most cases a small vertical scar is left at the lower midline because we cannot remove as much skin without broad undermining of the upper abdomen.
What to Expect During the Recovery Period
Post-operatively, the abdomen will be swollen and bruised, and can take up to six weeks to dissipate. Twenty-four hours post-operatively one can shower, and an abdominal garment should be worn. The garment will help reduce the swelling and provide support while the abdominal area heals.
Restrictions include, but are not limited to: heavy lifting, pulling, or pushing. Many patients report that the recovery period is very similar to that of recovering from a cesarean section. Should there be any Nylon sutures, they will be removed within two weeks.
The purpose of the drain is to collect excess fluid from the wound to lower the risk of infection. Drain logs will be provided to keep a record of the output of fluid. Drains will be removed when the output meets the doctor’s specifications.
If you have any questions regarding Scottsdale Abdominoplasty or Phoenix Abdominoplasty Surgery please contact North Valley Plastic Surgery Scottsdale Phoenix at (480)991-6877.