Artists praised roundish woman’s tummy as far back as the renaissance era and many men nowadays would prefer the same attitude. However, tucked tummy with roundish shapes and abdomen with excessive fat depots or stretched muscular tissue are two entirely different cases.
Abdominoplasty (or tummy tuck) is the procedure of body correction that helps removing excessive fat tissue and skin in the abdominal area in order to restore natural esthetic proportions and contour of the anterior abdominal wall.
The surgery is often required after pregnancy however this type of treatment is quite widely spread among men as well.
The surgery is recommended whenever physical exercises and diet food fail to be effective in the effort to achieve a flat tummy.
Fat depots, loose abdominal skin, stretch marks (as well as other problems, treated by abdominoplasty), naturally create psychological complexes and feelings of emotional inadequacy. However, the risk of this procedure is related not only to the esthetic aspect: mustiness under the loose skin, redistribution of loading on the spine, sensation of back pain, varicose veins – are the consequences of delayed problem solution.
Abdominoplasty helps to remove excessive skin, normalize the state of muscles, get rid of fat depots along with hateful stretch marks, restore well contoured tummy and desired attractive appearance!
- body contouring;
- removal of extra fat rolls, stretch marks and scars;
- anterior abdominal wall muscle tone improvement ;
- attractive tummy with ideal relief!
- Operating time: 1,5 – 2 hrs.
- Type of anesthesia: general or combined intravenous anesthesia.
- In-patiently or/and outpatiently: 3-5 days of inpatient stay.
- Recovery: 6 weeks.
- Operative surgeons:
Kadochnikov Sergey, leading plastic surgeon at clinic “Virtus”, Physician of Superior Merit, Candidate of Medicine.
Kornienko Aleksandr, plastic surgeon of superior merit, performed over 800 successful plastic surgeries.
- major abdominal fat depots;
- large amount of loose abdominal skin;
- decreased tone of abdominal muscles …
- acute infectious/viral diseases;
- CNS organic lesions;
- digestive disorders …
- detailed surgeon’s consultation, taking medical history, medical examination, сconsultation by anesthesiologist;
- taking all necessary medical exams;
- day or two prior to the surgery it is necessary to abstain from challenging food, consumption of large amount of liquid;
- pre-operative photo of the abdomen for results comparison, creation of 3D-model for results assessment by patients.
- performance of long transverse incision along bikini line from thigh to thigh. Followed by another incision around the belly button in order to release the abdominal wall tissues;
- separation of abdominal wall skin in order to get access to rectus abdominis muscles;
- suturing of rectus abdominis muscles to achieve the lifting effect;
- skin excess excision;
- suturing the incision;
- Umbilicoplasty is aimed at pulling up the belly button to the anterior abdominal wall through the formed incision.
- Inpatient hospitalization from 1 to 3 days;
- Sutures removed 5-10 days after abdominoplasty;
- return to work is possible after 14-28 days, return to full extent physical activity after 21-42 days;
- 3 months following the surgery the scars will turn pale and become less visible;
- compression garments are recommended during 1 month in order to achieve well defined tummy contouring.
Violet: By the age of 20 I reached the peak point and weighed as much as 140 kg. My appearance became the main reason for complexes and lack of confidence. Later, I realized that it could not take it anymore and lost 70 kilos over 6 months! In addition to my unlimited joy I discovered quite a serious problem in the shape of a large “apron” formed by stretched skin. I accepted the procedure of abdominoplasty. Recovery period seemed like eternity associated with some unpleasant feelings and low sensitivity at some parts of abdomen. Even though after all these trials I gained a little weight, the hanging tummy disappeared.
Not sure how much effective it is in the effort of removing the fat depots, but that is a real way to get rid of the stretched skin after weight loss or childbirth!
Alena: The ovarian cyst rupture and urgent surgery left an ugly scar extending from pubis to naval which only got worse after the childbirth. The scar was a bit corrected but possibly due to some mistake one half of the abdomen became somewhat larger than the other!
That nightmare caused me a real depression and so I agreed to have the procedure of abdominoplasty. The surgeon did a great job and the remaining post-surgery scar was small, neat and eventually was supposed to become practically invisible. I could go return to gym in a month!
Victoria: The first pregnancy brought not only the joy of motherhood but umbilical hernia, diastasis recti abdominis and a lot of stretch marks as well. Had to live with that nightmare for 4 years, tried different diets, and a ton of creams but without desired effect!
The surgery lasted for about 2 hours, followed by the recovery period associated with lots of worries but then I got over it and now feeling happy and glad that decided to do it. I have never had such a flat tummy before!
I lost weight after childbirth but that resulted in abdominal skin laxity with many stretch marks. What will be more effective option in my case, liposuction or abdominoplasty?
In your case, we can observe considerably decreased skin turgor and numerous stretch marks, liposuction is not the best option for it can even worsen the situation. On the contrary Abdominoplasty provides desirable esthetic result.
Should I agree for abdominoplasty in case of existing hernias and abdominal stretch marks?
It is rather should be accepted because one of the surgery aims is to support muscles. Plastic surgery of hernias can also be performed when needed.
Will abdominoplasty improve my waist?
The surgery objective is to support abdominal muscles along with shaping the waist which is additionally emphasized by the hips areas liposuction.
What does a patient usually feel after the surgery?
After the surgery patients may temporarily feel tension in the lower part of the abdomen along with sensory decrement: what is normal after this kind of invasion.
Experience shows that patients (especially having overweight ) seek to improve the body and shape their waist “here and now”, without straining oneself with physical exercises and diet food. They consider abdominoplasty as a simple and reliable way of correcting body appearance. However, it makes sense in such cases to consult the dietician about decreasing the body weight!
However, there are cases when sports activities are contraindicated.
For patients with obesity and significant fat depots on the front abdominal wall, abdominoplasty is considered to be the last chance procedure after unsuccessful exercises and diets. In such cases, the issue of invasive approach can be resolved on a case-by-case basis depending on a number of factors and conditions.
- cicatrical deformities;
- abdominal hernias;
- stretch marks;
- postoperative scarring;
- diastasis recti abdominis;
- recti abdominis spread.
- cardiovascular pathologies;
- breathing organs dysfunction;
- coagulation failure;
- decompensated diabetes;
- allergic reaction;
- purulent skin pathologies;
- skin fungal diseases.
The cases when the surgery is premature/inappropriate:
- the patient’s intention to lose weight soon after the surgery, thus compromising its effect;
- possible pregnancy, which may cause the loss of achieved effect.
Types of abdminoplasty:
Most widely-spread operations:
- Endoscopic – indicated in cases of minor esthetic problems, minimally invasive, scarless. It can also be combined with liposuction.
- Mini-abdominoplasty – indicated in those cases when the problem can be localized below the belly button. The surgeon makes the incision in the suprapubic area in order to support the rectus abdominis muscles, remove fat depots and skin excess.
- Classic abdominoplasty – is performed in cases of separation of rectus abdominis muscles, large amount of skin and fat excess, midline hernia. More traumatic: incisions are made in the lower abdominal part and around the belly button.
- Vertical, lateral abdominoplasty – is a type of surgery that allows forming a nice, well defined waist, removing stretched skin and abdominal fat depots.
The surgery type choice often depends on the skin condition:
- firm and elastic skin is capable of shrinking so the surgeon performs only liposuction which can extend to the whole abdomen covering the waist, thigh and the areas as high as the rib cage.
- in the course of localizing the problem above and below the belly button in the presence of lax, free and not particularly elastic skin can be recommended abdominoplasty or combination of abdominoplasty and liposuction.
- in the course of localizing the problem below the belly button in the presence of not so much elastic skin of this area, we recommend mini-abdominoplasty (liposuction, muscles approximation and skin lift below the belly button).
- whenever there is presence of lax abdominal and lateral skin we may suggest bodylifting.
- Reverse (or variable) abdominoplasty is unusual but optimal solution for sagging soft tissues of the abdominal wall. Postoperative scar can be easily concealed under the breast. This specific approach enables combination of plastic surgery and skin lifting, augmentation or reduction mammoplasty.
You can evaluate the final result of the abdominoplasty 3-4 months after the surgery, that’s the time required for complete swelling resolution, muscles and skin lift, formation of defined and expected tummy and waist contour.
Important criteria for taking the decision of doing the surgery and achieving successful result:
Abdominoplasty automatically guarantees notable cosmetic and functional effect. However, its efficiency and safety depend on the precise execution of the following principles:
Each case of abominoplasty is decided individually and based on some factors that depend on the patient personally:
- Realistic expectations. It is important to provide every patient with most detailed information regarding the severity of the forthcoming surgery. It is especially important to discuss the scars quality and placement, duration and nature of recovery period, probable complications (depending on compliance with doctor’s recommendations)
- Compliance with postoperative regime. High level of discipline is a very essential factor. Every patient going through this type of surgery should be able to have gradual recovery therefore should be free from hard work for MINIMUM the first 14- 21 post-operative days.
- Optimal, stable body weight. Most positive surgery result can be achieved in patients with normal/mildly excessive body weight. Considerable overweight cases are associated with increased chances of postoperative complications. Therefore, it is important to have a very careful preparation to the surgery.
- Good health. Severity of the surgery and relatively long post-operative physical inactivity will require careful examination and precise assessment of functional reserves.
Proper patient’s pre-operative preparation:
- Good tummy rest prior to the surgery;
- Vitamins intake;
- Adequate nutrition;
- Cessation of smoking for 2 weeks before and 2 weeks after the surgery;
- Refrain from taking blood thinning medications for 2 weeks prior to the surgery.