Procedures

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Tummy Tuck (Abdominoplasty)
What are the options?

There are several variations of the tummy tuck procedure. The choice of technique depends largely on your specific problem. We always aim to: remove as much of the excess tissue as possible; tighten the muscles if required; leave minimal scarring; and provide the best possible appearance.

 

Standard (full) abdominoplasty:

We make a long cut just above the pubic area to the hip bone on each side. We keep this as short and low as possible, so the scar will be hidden beneath your underwear. Next, we undermine the skin and fatty layer of the tummy all the way up to the level of the ribcage. We leave the belly button in its original position and bring it to the surface again at the end of the procedure. The skin and fatty layer is then drawn down from above and any excess carefully removed. If necessary, we suture the abdominal muscles back together. Occasionally, we may need to repair small pre-existing hernias that are found during the course of the operation. Next, we bring the skin edges together and secure them with dissolving, buried stitches. A small hole is made in the skin and the belly button is retrieved and stitched into place. Finally, we may use liposuction in the flanks to improve the contour. Performing extensive liposuction of the undermined skin during the same operation is, however, considered unsafe. Dressings are applied to protect the wound.

Abdominoplasty is performed under a general anaesthetic lasting approximately two hours. Suction drains are often required to remove any excess fluid that may collect under the skin. These are commonly removed a day or two after the operation. Normally, you can expect to stay in hospital for two nights.

 

Mini-Tummy Tuck

This is a smaller procedure than a full tummy tuck. We use a shorter incision and do not cut around the belly button nor undermine the skin above it. As a result, the skin and fat excised is limited to an area far below the belly button. We can combine this procedure with plication of the rectus muscles below the belly button only. This should improve any bulge in this area.

 

Fleur de Lys

Following massive weight loss, the abdominal wall may be so lax that an additional vertical excision is required to achieve a satisfactory result. This naturally leaves a conspicuous vertical midline scar. Otherwise, the operation is similar to the full tummy tuck.

 

Belt Lipectomy

After massive weight loss, skin and fat excess may extend around the flanks and to the back. In these circumstances, we may need to extend the incision all the way round the back. This is known as a Belt Lipectomy.

 

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