Tummy Tuck

A tummy tuck, or “abdominoplasty,” is designed to produce a more flattering mid-section with the removal of excess skin and fat, and tightening of loose abdominal muscles. This procedure will trim down an unwanted “pouch,” produce a flatter abdomen, and help to provide overall body sculpting. For optimal results (and depending on your condition), a tummy tuck can be performed in conjunction with liposuction.

A smaller version, which is called a “partial abdominoplasty” (or mini-tummy tuck), can be performed on a patient whose pouch is primarily in the lower abdomen.

Ideal Candidates

As with all cosmetic procedures, the best candidates for abdominoplasty are those who are in good health in both body and mind, and have realistic goals and expectations. The best patients for tummy tuck surgery are those who are of average or slightly-above average weight, but cannot reduce the excess skin or fat in the abdomen region by dieting and exercise. Patients who intend to lose more weight should postpone this surgery until they reach their desired weight. Also, women who intend to have more children should wait before they decide to undergo abdominoplasty.

What to Expect From This Procedure

A tummy tuck typically takes between two to three hours, depending on if the patient chooses to have another procedure performed in combination with his or her surgery. Abdominoplasty is typically performed under general anesthesia.

During a full tummy tuck, the surgeon will start by making a long incision from hip to hip, which will loosen the skin from the abdominal muscle. A second incision will also be made to free the naval from the surrounding tissue. Next, the doctor will separate the skin from the abdominal wall all the way up to the ribs and lift a large skin flap to reveal the vertical muscles in the abdomen. The muscles are then tightened, pulled close together, and stitched into their new position – providing a firmer abdominal wall and slimmer waistline.

The extra skin is then removed once the skin flap is stretched down. Dr. Kim will create a new hole for the navel, in which it will be stitched into place. Finally, the incisions will be stitched, the dressing will be applied over the abdominal region, and a temporary tube may be inserted to the surgical site in order to drain excess fluid.

During your initial consultation, Dr. Kim will help to determine if a partial abdominoplasty is most conducive to your body.

Possible Risks

Some of the potential complications that are associated with abdominoplasty include infection, blood clots, poor healing with conspicuous scarring or skin loss, fluid collection under the skin, and the need for a second operation.

Recovery

For the first few days following surgery, you will probably feel pain and discomfort (which can be controlled with medication).

Once you leave the hospital, it is imperative that you follow your surgeon’s instructions during the initial recovery period, especially in terms of physical activity. These instructions will maximize healing and minimize the potential for complications. These instructions include how to shower, change clothing, and how your body should or shouldn’t move.

It may take anywhere from two weeks to a month to return to normal activity, and although it might feel uncomfortable standing up straight initially, walking early on may be encouraged to aid the recovery process. It may take several weeks or months for your final results to appear, and your hip-to-hip scar should lessen over the next year.

Dr. Kim is a board certified plastic surgeon with a private practice in the Los Angeles / Beverly Hills area. He specializes in tummy tucks, breast augmentation, face lifts and various areas within the cosmetic surgery field.

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