Ask Dr. Man- Tummy Tuck

Dear Dr. Man, I have three beautiful children, all of whom were delivered via C-section. I’m a thin person, but I can’t get rid of my belly no matter how much I exercise. I’m seriously considering a tummy tuck. Can you please explain what this entails and what I can expect?

Thanks, Proud Mom in Boca Raton

Dear Proud Mom: A tummy tuck, also known as abdominoplasty, 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, the surgeon makes a long incision from hip to hip, in order to create a skin flap and to reveal the abdominal muscles. The muscles are then tightened, the excess fat is removed, and the belly button is repositioned. Finally, the incisions are stitched, dressings are applied, and a temporary tube may be inserted to drain excess fluid from the surgery site. The result is a firmer tummy and a narrower waistline.

After surgery, the abdomen will be 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 just the answer for you.

For some patients, other treatments, such as a partial abdominoplasty or liposuction may provide an alternative option, eliminating the need for major surgery. A consultation with a board-certified plastic surgeon can help you decide what procedure is best 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.