Tummy tuck Surgery

Tummy tuck is a procedure to remove the excess sagging abdominal skin along with tightening of the abdominal wall muscles to restore the tone. During a tummy tuck, excess skin and fat are removed from the abdomen. In most cases, the connective tissues in the abdomen are tightened with sutures as well. The remaining skin is then repositioned to create a more toned look.

Women in the late thirties after pregnancy can have loose skin and excess of fat in the lower abdomen that fails to retract to its pre-pregnancy appearance. In males the abdominal fat is intra-abdominal though selective candidates with excess skin can be suitable for external reduction. Sometimes, after substantial weight loss the abdominal skin may become flaccid.

Abdominoplasty also tightens the muscles that have been separated and weakened by pregnancy giving patient more youthful appearance, strength and confidence. The procedure may somewhat improve the appearance of stretch marks, especially those located below the navel (typically seen following pregnancy).


When do you need tummy tuck?

Tummy tuck helps in conditions enumerated below

  • Excess or sagging abdominal skin
  • Abdomen that protrudes and is out of proportion to the rest of your body
  • Gross laxity and separation of abdominal muscles
  • Excess fatty tissue that is concentrated in your abdomen

This operation is helpful especially for

  • Women with lax abdominal skin after pregnancy
  • Abdominal laxity due to aging
  • Laxity after excessive weight loss or following bariatric surgery

A combination liposuction and tummy tuck may be necessary for those with excessive fat with extra skin laxity.

How a Tummy Tuck Is Done

This surgery can take anywhere from one to five hours. You may need to stay overnight in the hospital, depending on your case.

You will get general anesthesia, which will put you to “sleep” during the operation.


Tummy Tuck Types

Visceral (Fat which surrounding Abdominal organs)

Subcutaneous (beneath the skin – about 80% of all body fat), This Subcutaneous fat is removed by Liposuction.


Tummy Tuck Techniques

Endoscopic Tummy Tuck Surgery:

  • An endoscopic tummy tuck is a minimally invasive form of abdominoplasty. It has a shorter recovery time than other forms of tummy tuck, and it also has less scarring, swelling and bruising. It is sometimes advertised as a “scarless tummy tuck.”
  • During this procedure, a number of small incisions are made, and the entire surgery is performed using long, thin instruments.
  • The surgeon will tighten the abdominal muscles and may remove excess fat, but will not remove any excess skin. As such, this surgery is best suited for patients who have bulging bellies, but little excess abdominal skin.


Mini Tummy Tuck Surgery:


  • mini tummy tuck, or partial tummy tuck, is more invasive than an endoscopic tummy tuck, but still less than other forms of tummy tuck.
  • It is frequently recommended for patients who are within 10% of their ideal body weight because it is less traumatic, but is somewhat less versatile than a standard tummy tuck.
  • This tummy tuck technique only requires one incision, which lies low across the abdomen and is not as wide as a full tummy tuck.
  • In this procedure, the navel is left intact and does not need to be recreated.
  • Depending on the patient’s needs, the surgeon may use liposuction techniques to remove fat from under the belly button, and some muscles between the navel and the pubis may be tightened.


Traditional Tummy Tuck Surgery:

  • Patient’s abdomen will be cut from hipbone to hipbone in this procedure, the option for those patients who require the most correction.
  • The incision will be made low, at about the same level as patient’s pubic hair. Surgeon will then manipulate and contour the skin, tissue and muscle as needed.
  • Patient’s belly button will have a new opening if he/she undergoes this procedure, because it’s necessary to free navel from surrounding tissue. Drainage tubes may be placed under skin and these will be removed in a few days as surgeon sees fit.

Extended Tummy Tuck Surgery:

  • This procedure is recommended for patients who have excess skin and fat located around the love handle and hip areas.
  • This surgery is performed in a similar manner as a traditional tummy tucks, but it treats a larger portion of the abdomen.
  • In this tummy tuck technique, the incision is much larger: in addition to stretching across the patient’s lower abdomen, it reaches all the way to the back of the patient’s hips.

Tummy tuck Steps

Step 1 – Anesthesia
Medications are administered for your comfort during the surgical procedures. The choices include intravenous sedation and general anesthesia. Your doctor will recommend the best choice for you.

Step 2 – The incision
A full tummy tuck requires a horizontally-oriented incision in the area between the pubic hairline and belly button. 

Tummy tuck incision front abdomen

The shape and length of the incision will be determined by the amount of excess skin. Once the abdominal skin is lifted, the underlying weakened abdominal muscles are repaired.

A second incision around the navel may be necessary to remove excess skin in the upper abdomen.

Tummy tuck incision front abdomen sutures

The upper abdominal skin is pulled down like a window shade. The excess skin is trimmed and the remaining skin is sutured together. A new opening for the belly button is created. The belly button is popped through to the surface and sutured into position.

Tummy tuck side before and after

Step 3 – Closing the incisions
Sutures, skin adhesives, tapes or clips close the skin incisions.

Step 4 – See the results
Your tummy tuck will result in a flatter, firmer abdominal contour that is more proportionate with your body type and weight.

Basic Areas

  • Women – generally around the buttocks and thighs: “pear-shaped”.
  • Men – generally around the abdomen: “apple-shaped”.

Note that these are the predominant patterns – but both ‘apple’ and ‘pear’ shaped distribution can be found in either gender.
Estrogen (female hormone) increase fat storage in the body. Estrogen cause fat to be stored in the buttock , thighs and hips in women, when women reach menopause and the estrogen produced by the ovaries declines, fat migrates from their buttocks ,hips and thighs to their waists ( belly) .
Males generally deposit fat around waists and abdomen apple shape due to lack of estrogen.

Specific Areas
Knee Fat often builds up on the inside region of the knees in most of women.
Upper Arm Also common in women, fat build up can occur in the middle to upper area of the upper arm.
Abdomen Fat build-up around the navel area is common in both men and women. Love handle or tyres is due to abnormal fat deposition over tummy area. It is also one of the few fat deposits that are also found in slim women.
Inner Thigh Fat storage between the thighs is common in the women – but also occurs with the men. It is more noticeable in women due to the width of the pelvis that in turn influences the position of the thigh
Outer Thigh Sometimes called “Riding Breeches” – this area is the most likely place for the pitted or ‘quilted’ appearance of cellulite. This fat concentration also blends with fat tissue on the inner thigh and the buttocks.
Buttocks Without fat here – sitting would be quite uncomfortable. Fat is held in place by the gluteal fold. If significant fat is lost from the buttock, then only appropriate training can prevent the buttock from sagging down against the thigh.
Lower Back This fat concentration often merges with the buttock area.
Chest Breast tissue comprises the mammary gland (one’s ‘endowment’) surrounded by fat. Men also have atrophied glands and fat in this area. Both sexes gain fat in this area. In men this can sometimes be mistaken for the condition of gynecomastia – a condition that includes not only fat build up, but growth in gland tissue

Gender and Ethnic Variation

There is considerable research showing that fat distribution varies between gender and ethnic groups. For example men have an overall less body fat percentage than woman and Asian adults are more prone to visceral and central obesity than Europeans. Mediterranean women are prone to fat gain in the outer thighs.

Possible complications associated

Possible complications associated with abdominoplasty may include:

  • Significant scarring. If the incision area does not heal properly, there is a chance of poor quality scar. This can often be treated by a second operation. There can be delays in wound healing if you have problems with the blood supply in your skin.
  • Blood clots and infection. As in any surgery, there is a risk of bleeding, infection, blood clots, or reaction to the anesthesia.

Recovery from a tummy tuck

Recovery will take several weeks. Your doctor can give you medication to reduce the pain. Swelling should begin to disappear in a matter of weeks and resolve completely in a few months. You will have to restrict exercise and other activity as advised by your doctor.

Scars are normal, and they will fade over the course of a year. Your plastic surgeon will take care to ensure that the scars will be hidden by bathing suits and clothes. The surgeon may also recommend scar treatments such as laser that help scars fade and soften.

What are the Benefits of Tummy tuck Surgery?

Tummy tuck benefits are more plentiful than many people realize. Tummy tuck surgery benefitsare following:

  • Improves the abdominal wall so it becomes firmer and flatter
  • Reduces the bulge of the tummy following pregnancy
  • Improves the appearance of stretch marks, especially those located below the navel
  • Improves your self-esteem and general confidence
  • How long you maintain your abdominoplasty benefits tends to be limited only by how well you take care of your body following surgery.
  • Under the proper conditions, the results of an abdominoplasty surgery can last for many years

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