Our Summary

This research paper is about a surgical procedure called abdominoplasty, commonly known as a “tummy tuck”. This surgery can be quite complex and to avoid any visible signs of having had the operation, a great deal of careful planning and precise surgical work is necessary. The paper describes the authors’ experience with conducting full and mini tummy tucks using a comprehensive 360-degree approach. This technique involves all muscle groups and parts of the body as outlined by a method called high-definition liposculpture. The authors also safely use a process called selective fat grafting in certain areas to enhance the shape and fullness.

FAQs

  1. What is the 360-degree approach to abdominoplasty as described in the article?
  2. How does fat grafting improve the results of an abdominoplasty procedure?
  3. What is high-definition liposculpture as used in abdominoplasty procedures?

Doctor’s Tip

One helpful tip a doctor might tell a patient about abdominoplasty is to maintain a healthy lifestyle both before and after the procedure. This includes eating a balanced diet, staying hydrated, exercising regularly, and avoiding smoking. These habits can help promote proper healing, reduce the risk of complications, and maximize the results of the surgery.

Suitable For

Patients who are typically recommended for abdominoplasty include:

  1. Individuals who have excess skin and fat in the abdominal area that does not respond to diet and exercise.
  2. Patients who have lost a significant amount of weight and have loose, sagging skin in the abdominal area.
  3. Women who have experienced multiple pregnancies and have stretched abdominal muscles and skin.
  4. Patients with abdominal muscle weakness or separation (diastasis recti).
  5. Individuals who have excess skin and fat in the lower abdominal area that causes discomfort or interferes with daily activities.
  6. Patients who have realistic expectations about the outcome of the surgery and are in good overall health.

Timeline

Before abdominoplasty:

  1. Patient consultation: The patient meets with a plastic surgeon to discuss their goals, medical history, and expectations for the surgery.
  2. Pre-operative assessment: The patient undergoes a physical examination, blood tests, and possibly other tests to ensure they are a good candidate for surgery.
  3. Pre-operative instructions: The patient receives instructions on how to prepare for surgery, including avoiding certain medications, fasting before the procedure, and arranging for someone to drive them home afterwards.

During abdominoplasty:

  1. Anesthesia: The patient is administered general anesthesia to ensure they are comfortable and pain-free during the surgery.
  2. Incision: The surgeon makes an incision along the lower abdomen, typically from hip to hip, to access the underlying muscles and tissues.
  3. Muscle repair: The surgeon may tighten and repair the abdominal muscles to create a firmer and flatter stomach.
  4. Excess skin removal: The surgeon removes excess skin and fat from the abdomen to achieve a more streamlined appearance.
  5. Closure: The incisions are closed with sutures, and dressings are applied to protect the area.

After abdominoplasty:

  1. Recovery: The patient is monitored in a recovery room until they are stable and awake from anesthesia.
  2. Post-operative care: The patient receives instructions on how to care for their incisions, manage pain, and gradually resume normal activities.
  3. Follow-up appointments: The patient will have follow-up appointments with their surgeon to monitor their progress, remove stitches, and address any concerns.
  4. Long-term results: Over time, the swelling and bruising will fade, revealing the final results of the abdominoplasty surgery. The patient can enjoy a flatter, more toned abdomen and improved body contour.

What to Ask Your Doctor

Some questions a patient should ask their doctor about abdominoplasty may include:

  1. Am I a good candidate for abdominoplasty?
  2. What are the potential risks and complications associated with the procedure?
  3. What type of abdominoplasty procedure do you recommend for me (full vs. mini abdominoplasty)?
  4. What type of anesthesia will be used during the procedure?
  5. How long is the recovery process and what can I expect during the healing period?
  6. Will I have visible scarring after the procedure and how can I minimize scarring?
  7. How long will the results of the abdominoplasty last?
  8. Are there any lifestyle changes or restrictions I should follow before or after the procedure?
  9. Can I combine abdominoplasty with other cosmetic procedures, such as liposuction or breast augmentation?
  10. What is the cost of the procedure and are there financing options available?

Reference

Authors: Hoyos Ariza AE, Perez Pachon ME. Journal: Clin Plast Surg. 2020 Jul;47(3):415-428. doi: 10.1016/j.cps.2020.03.008. PMID: 32448478