Abdominoplasty Tummy Tuck

Abdominoplasty

Abdominoplasty, also known as a tummy tuck, is the surgical procedure to remove excess skin and fat from the abdomen and to tighten the muscles of the abdominal wall (rectus muscle). Women who have had several pregnancies and have stretched out abdominal muscles and skin will usually benefit from this procedure. Prima Center plastic surgeons, Dr. Zwiren and Dr. Nakano specialize in abdominoplasty surgery in Atlanta and other body contouring procedures such as liposuction and lower body lifts.

Our staff at Prima Center for Plastic Surgery in Atlanta is dedicated to your final result. Please review this information to determine if this is the correct procedure for you. If you are considering an abdominoplasty or another body contouring procedure contact our office to schedule an individual consultation.

An abdominoplasty is frequently combined with liposuction to further contour, define and highlight the flanks and upper abdominal areas. There are three components that must be evaluated to determine if one is a good candidate for this procedure. The thickness of the fat layer, the quality of the skin, and the strength of the muscle layer.

If all three components need correction then a full abdominoplasty may be the best choice. When there is localized fullness of the lower abdomen a less extensive procedure may be all that is needed. This is called a Mini-Abdominoplasty.

An abdominoplasty procedure is usually performed as an outpatient procedure under general or epidural anesthesia, an overnight stay is optional. We can perform most abdominoplasties in our AAAASF-accredited in office surgical facility. Anesthesia in our office facility is performed under the direction of a Board Certified MD Anesthesiologist. We have a fully dedicated surgical staff composed of a registered OR nurse in surgery and a registered PACU nurse in the recovery area.

An incision is planned across the lower portion of the abdomen and a second incision is made around the navel to free it from the surrounding tissues. Next the skin is separated from the abdominal wall all the way up to the ribs. This reveals the vertical rectus muscles of the abdominal wall. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline. The skin flap is then pulled down and the extra skin and fat is removed.

Then a new opening is cut for the navel. The edges are then carefully repaired with sutures that dissolve with time. The scars are created in a way that they are easily concealed by clothing and bathing suits. Sutures are typically removed after 7 - 10 days. There will typically be some degree of swelling and bruising and discomfort following surgery. After surgery some individuals may return to their jobs in two weeks, other may require longer. We generally find that everyone is back to their normal activities by four to six weeks.

Important facts about Abdominoplasty

Location: Office or Outpatient Surgical Procedure

Anesthesia: General anesthesia 

Length Of Surgery: Two to four hours

Location of Incision: Low incision across the abdomen, may vary in length

Recovery: Usually ready to return to work in 2 to 4 weeks

Abdominoplasty FAQ

What is Abdominoplasty?

Abdominoplasty, commonly known as a tummy tuck, is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscle of the abdominal wall.

How does the procedure work?

A generous incision within the bikini line is made. A second incision around the navel is made so it can be preserved and brought out at the end of the procedure. The abdominal skin is elevated to the lower ribs. The underlying muscles are tightened by pulling them close together and stitching them into their new position. This creates a firmer, flatter abdomen and narrows the waistline. The excess skin is then removed. A new navel is sutured and a temporary tube may be inserted to drain fluids for about three to seven days.

Are there any possible side effects?

Possible side effects include fluid collections, leg vein clots, infection, numbness or changes in sensation, delayed wound healing or skin loss. Though complications can occur, the vast majority of patients complete their recovery with minimal difficulties.

Will there be any downtime?

Abdominoplasty does require significant time to recover. While some patients return to normal activities within seven to fourteen days, most patients do not feel completely recovered for about six weeks. Depending on the surgical technique and skin tension, you may not be able to stand completely straight for one to three weeks. Walking is encouraged early on to help increase recovery time, decrease blood clots, reduce swelling and tone muscle. Heavy lifting and strenuous exercise should be delayed for several weeks.

What are the results?

Abdominoplasty dramatically improves the contour of the abdomen. It can also improve strength and alleviate lower back problems due to weakness of the abdomen.

What can be expected after surgery?

After surgery most patients feel pain, swelling and discomfort. This is common after a major surgery and can be treated with medication prescribed by your doctor. Many Abdominoplasties are performed as outpatient surgery, but your surgeon may keep you overnight.

How long does an Abdominoplasty surgery last?

The surgery generally lasts two to four hours.

What are the alternative treatments?

Some patients may be candidates for less invasive abdominoplasties, such as a mini-abdmoninoplasty or modified abdominoplasty. These procedures can sometimes limit the length of incisions and amount of skin elevated. Liposuction is another alternative for some patients who have limited problems with skin and muscle. It is also a surgical procedure, but if skin and muscle tone are good, liposuction can remove unwanted fat and improve contour without significant scars and with minimal downtime.

Who are candidates for Abdominoplasty?

Candidates for Abdominoplasty are patients bothered by large abdomens, loose abdominal skin and loss of a flat contour. Many candidates are women who have undergone several pregnancies and whose skin has become stretched. Patients who react best to the treatment are those who are close to their ideal body weight, want to remove a specific area of loose skin, have realistic expectations and understand the risks associated with Abdominoplasty.

Is additional treatment necessary?

Additional treatment is generally not necessary. Some patients may benefit from liposuction performed along with Abdominoplasty to help sculpt the new abdominal area.

Instructions prior to surgery:

Do not take aspirin or anti-inflammatory medications two weeks before surgery. Check with your physician about any vitamins or supplements you are using. Patients are advised to stop smoking for at least two weeks prior to surgery. A history of tobacco use is associated with a substantial increase in risk. Arrange for a ride home and assistance for twenty-four to seventy-two hours. Set up an in-home recovery system area with pillows, books, etc. Wear loose fitting clothes to the surgery.

Instructions for after surgery:

Rest in a comfortable position with legs and back elevated. Eat easily digestible food such as shakes, soup, pudding, apple sauce and yogurt. Drink plenty of fluids. A stool softener is recommended to aid with constipation. By the second day, you should be out of bed and should begin walking around the house. Follow instructions regarding care of your would and drains. If you are a smoker, you must remain tobacco free until your physician instructs you that it is safe. Apply icepacks to reduce swelling. Exercise to prevent blood clots, but avoid exercise that may be too vigorous. You may use moisturizer with scar minimizing ingredients.