Tummy tuck (Abdominoplasty) refers to the repair or aesthetic surgery of the embellishment of the belly. This procedure reshapes the abdomen by removing excess fat and excess skin, but also by restructuring and strengthening the muscles of the abdominal wall. Abdominoplasty is designed for aesthetic purposes, but it can also be for functional purposes, since it can allow the patient to regain muscle comfort and repair.
Tummy Tuck is an operation that makes the abdominal area look flatter and athletic
Over time, sags and cracks in the abdomen may occur due to births or rapid weight gain and loss. These sags and cracks indicate that the quality of the abdominal skin deteriorates.
Especially in women who have more than one birth, we hear a lot of complaints like “I can not get rid of my paunch even if I lose weight”.
The most important reason for this is that during each pregnancy, the abdominal muscles (rectus abdominal muscle), which are slightly distant from each other, cannot return to their original state. For this reason, it is necessary to focus on abdominal skin and abdominal muscles, which have lost their elasticity, in abdominoplasty.
Tummy tuck and abdominoplasty have the same meanings. Tummy tuck is the term that is commonly used by our patients whereas abdominoplasty is used as a medical term.
The main reason to have a tummy tuck surgery is that you may have too much flab or excess skin in your abdomen as a result of separated muscles and cracked skin after pregnancy. Regardless of pregnancy, the skin may have been cracked and deformed due to weight gain and loss. That is why you may feel the need to have an abdominoplasty.
Removing the excess and cracked skin is one of the main purposes of tummy tuck surgeries. Another reason is to fix the separated abdominal muscles and tighten them. The separation of muscles is named diastases. The procedure of fixing the separated muscles is called plication. This procedure is applied by suturing the abdominal muscles. Thus, the abdominal swelling, caused by separated muscles, disappears. As a result, the patient will have a tighter abdomen and will decrease in body size. In short, the reason for a tummy tuck is not only removing sagging and excess skin but also tightening and narrowing the waist.
Patients, who have deformed and cracked skin with separated abdominal muscles due to pregnancy or weight gain and loss, are ideal candidates for abdominoplasty surgeries. In cases of massive weight gain and loss, the muscles are not separated much. In this case, the main purpose of abdominoplasty is to remove cracked and sagging skin.
If the patient is overweight, either the surgery would not give the best results or the recovery process would have risks. We highly recommend the patients to have a surgery after losing weight. If the patient should lose too much weight, gastrectomy would be the correct option. After gastrectomy, the patient may have a tummy tuck surgery.
The surgery takes approximately 2 hours. This surgery is performed under general anesthesia. It is recommended for the patients to stay overnight at the hospital so that they can safely get out of anesthesia effects.
Yes, drains are placed after tummy tuck. These drains are removed in 5-7 days after the surgery. The patient can have a shower 2 days after the drains are removed. Drains help prevent blood and liquid prevention, and support the skin to stick to the tissues.
Belly button is connected to the abdominal wall. During the surgery, the skin around the belly button is separated from the tissues. However, the belly button continues sticking to the abdominal wall and muscles. After the excess skin is removed, the belly button is repositioned and sutured in its final position.
The incision scar is targeted to be placed under the bikini line. For this reason, it is recommended to make a surgery plan taking the patient’s underwear line into consideration before the surgery.
Mini abdominoplasty is applied to improve the lower belly with less extensive surgery. The procedure does not require replacement of the belly button. The cracked and excess skin below the belly button is removed so that the tummy will look tight. Also, abdominal muscles below the belly button are grouped while no intervention is made for the muscles above the belly button.
It is recommended to wear a corset for 6 weeks after the surgery. The patient may wear either a tape corset or swimsuit type of corset. The corset helps stick abdominal skin with tissues, and prevent blood and liquid retention.
After the surgery, the wound is dressed with adhesive surgical tape. The wound is covered in tapes for 3 weeks. The patient can take a shower with the surgical tape. It is recommended that the patient will protect the tape during shower and dry them with a hairdryer after shower. After 3 weeks, the surgical tapes are removed, and the patient starts using silicone gels or tapes. Silicone gels help making surgical scars less visible.
Surgical wound healing is the most frequent complication after abdominoplasty. This is a common issue for diabetic patients, overweight patients or smoking patients.
We recommend the patients to quit smoking 4 weeks before and after the surgery. Smoking is one of the most important reasons for late recovery after the surgery. Quitting smoking helps prevent surgical wound healing issues and leave a more aesthetic incision scar.
A diabetic patient most likely has late recovery issues. Before the surgery, the patient should have optimal weight. Also, monitoring the blood sugar levels during and after surgery helps the surgery scar healing process.
It is unlikely that tummy tuck surgeries are performed without combination. We combine tummy tuck surgeries with VASER liposuction in most patients. When VASER liposuction is applied on the sides of the waist and lower back, it helps a thinner look on the waist.
The patients can get back to daily life 10-14 days after the surgery.
The patients have to wait for around 6 weeks to start exercising.
Abdominoplasty surgery is not an obstacle for giving a birth. The baby grows in the womb and the patient can have either a vaginal delivery or cesarean delivery. However, we should highlight that abdominal skin can get cracked and abdominal muscles can get separated after delivery. In this case, the patient should undergo abdominoplasty one more time. For this reason, we recommend the patients to undergo abdominoplasty after giving birth.