Abdominoplasty (Tummy Tuck)
Abdominoplasty is a procedure to reduce the excess skin and fat from the lower abdomen and also tightens the muscles of the abdominal wall.
The degree of excess skin and fat differs in amount and distribution amongst individuals. The choice of technique varies based on each individual patient.
The standard abdominoplasty involves creating a transverse scar on the lower abdomen/pubis. The skin and fat are lifted off from the muscles, the muscles are tightened, and the excess tissues are trimmed. The umbilicus is relocated at a new point on the ‘new tummy’.
This technique addresses the excess tissues in the front of the abdomen but may not treat any excess fat on the flanks. This maybe further addressed in a second stage with liposuction.
Every effort is made to produce a single longitudinal scar, however, in a few instances there may also be a small vertical component in the midline below the umbilicus.
The mini-abdominoplasty involves removing the excess skin and fat from under the area under the umbilicus without having to relocate the umbilicus.
WHO WOULD BENEFIT FROM THIS OPERATION?
1. Women following pregnancy which leads to stretched marks on the skin and weakening and separation of
the muscles of the tummy.
2. Men and women after significant weight loss
3. Individuals with large excess skin/fat on the lower abdomen
4. Individuals who wish to achieve a trimmer, flatter looking tummy
UNSUITABLE PATIENTS FOR THE SURGERY
- Patients who are actively smoking or who have medical conditions like
uncontrolled hypertension are generally unsuitable for this procedure.
- Patients who smoke should have ceased for 4-6 weeks prior to surgery and hypertensive patients would need to have had their hypertension treated prior to surgery.
- This like any other cosmetic procedures, should not be considered in patients who have unrealistic expectations or body image disorders.
YOUR SURGICAL JOURNEY
BEFORE THE OPERATION
You will have at least 2 consultations before your surgery.
During your first consultation the reasons for, feasibility and expectations of the operation will be discussed.
A series of breast and chest measurements will be made and noted.
Standardized photographs will be taken with your consent.
If you take aspirin or NSAIDS (e.g. Ibuprofen) then you should stop these at least 1 week prior to your surgery. These drugs thin the blood and predispose you to a higher risk of bleeding during and after the operation.
If you are a smoker, you should stop at least 4 weeks prior to your surgery.
This will be performed under a general anaesthetic (that is, you will put to sleep by an experienced consultant anaesthetist).
Mr. Oudit will visit you in the morning of your surgery. If you have any further questions you would like to ask him prior to the operation, he would be most delighted to answer these for you. He will then place some marks on your chest. This is an integral part of the process.
About 30-45 minutes prior to your operation you will picked up by friendly staff members and brought to the operating theatre suite.
Your operation will be done in a safe and caring manner respecting your dignity all the time.
You will have 2 drains emerging from the wound to aid in draining the extra fluid from the wound.
AFTER THE OPERATION
You will be recovered in a safe environment by caring staff members before you are transferred to the ward where you will be nursed overnight.
The following day, if you have drains, these will be removed, and you will be discharged after Mr. Oudit has seen you.
You will be seen in the Outpatient’s clinic one week after your surgery. The dressings will be removed, and wounds inspected. You will then be seen the following week to ensure the wounds are healed and all is well.
You will then be reviewed 3 months and then at 6 months later for the final time before discharge.
- Surgery Time: 90-120 mins
- Anaesthetic: General Anaesthetic (GA)
- Hospital Stay: 1- 2 night
- Exercise: After 6 weeks
- Special Advice: You are advised to wear an abdominal support garment for 6 weeks