Ask Dr. Man- Abdominoplasty

Last time, I responded to an email from a reader who was interested in learning more about mini-tummy tucks. As I explained, mini-tummy tucks can produce excellent results; however, only a limited number of women (those with firm, flat abdominal muscles with the exception of excess skin and fat only below the navel) are good candidates. A full tummy tuck (abdominoplasty) is usually more satisfying for women because it allows the surgeon to repair the abdominal wall muscles and remove excess skin above the navel as well. In this post, I’d like to discuss a full tummy tuck so you have a point of comparison.

A tummy tuck is a surgical procedure used to remove excess skin and fat from the tummy, to flatten the tummy area and to tighten abdominal muscles. The best candidates for abdominoplasty are people who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won't respond to diet or exercise.

People who elect this procedure most often are women who, after childbearing, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Tummy tucks are also common for men who wish to tighten muscles and remove fat from the middle and lower abdomen. Older patients who often experience weight gain as they age, especially around the abdomen, can also benefit from this procedure. For all patients, men and women alike, a tummy tuck can dramatically reduce a large or protruding abdomen.

If you’re considering a tummy tuck, it is important to know that this procedure requires surgery. It produces a scar, which is hidden in the bikini line. The procedure normally takes about 2-4 hours and is performed under general anesthesia. During surgery, suction lipectomy is done to areas such as flanks and abdomen. An incision the length of which is related to the loose skin is made in the lower abdomen. A narrow tunnel is made in the center of the abdomen, just enough to allow tightening of the loose muscles. A new place is made for the belly button. Finally, the extra loose skin is removed and closure is completed. The result is a firmer tummy and a narrower waistline.



After surgery, the abdomen will be tight and possibly swollen and patients usually experience some discomfort. After surgery, patients wear a light support garment for a few weeks. People are generally back to work within 1-2 weeks of surgery; however, it is recommended that strenuous activity be avoided for about 3-4 weeks.

Abdominoplasty can produce excellent results for patients with weakened abdominal muscles or excess skin. In most cases, the results are long lasting, as long as the patient follows a balanced diet and exercises regularly. If you're realistic in your expectations and prepared for a lengthier recovery period, abdominoplasty may be the answer for you.

For some patients, other treatments, such as liposuction or a mini-tummy tuck (like we discussed last week) may provide an alternative option, eliminating the need for major surgery. I recommend speaking to a board-certified plastic surgeon to see which procedure is right for you. Good luck!

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Dr. Daniel Man is a board-certified plastic surgeon who has dedicated his life’s work to helping people look younger and improve their appearance through cosmetic surgery. He is a noted author, artist, inventor and educator. Dr. Man has been featured on major television networks, as well as national and local magazines and newspapers for his work as both a plastic surgeon and an artist. He has a successful private practice in Boca Raton, FL. For more information about Dr. Man, visit www.drman.com.