Types of Abdominoplasty
Classic Tummy Tuck
Abdominoplasty with mobilization to the costal arch (lower rib cage) and repositioning of the navel.
Mini Tummy Tuck
Mini abdominoplasty with mobilization only to a little above the navel, which is not repositioned.
Inverted T Incision
Large abdominoplasty with an additional vertical incision line. This incision is required in cases of massive skin excess.
Upper Tummy Tuck
The incision in the area of the Inframammary Fold (IMF). This surgery is seldom performed because of problematic scar tissue build up.
Indications for a Tummy Tuck
The main reasons for getting a tummy tuck are changes as a result of multiple pregnancies or extreme weight loss after being severely overweight. In both cases the abdominal skin becomes permanently stretched and the abdominal wall, which is composed of abdominal muscles and firm fibrous tissue, is also enlarged. Even in slender women, stretching of the abdominal wall can lead to a small, round belly and a simple tummy tuck at the skin level would not suffice but can be corrected with an abdominoplasty at the muscle level.
Before and After a Tummy Tuck
Smoking must be stopped for 2 weeks before a tummy tuck to minimize the risk of disturbance to wound healing. After wound healing is complete, the danger is no longer present. About 2 hours need to be allowed for the surgery. It is performed under general anesthesia. The incision is dependent on the amount of the tissue to be reduced.
How is the Tummy Tuck Performed?
Put simply, a tummy tuck consists of the removal of excess skin and fat tissue. This is accomplished by means of an incision that runs over the mons pubis (fatty region that can be found directly above a woman’s pubic bone) and in the direction of the hips. The line can be adjusted for bikini or panties. To mobilize as much skin as possible, the fat tissue must be detached from the abdominal wall – all the way to the bottom of the breast bone. Care is taken to produce as little scar tissue as possible and to avoid vertical scars in the midline from the mons pubis to the navel as far as possible.