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Abdominoplasty or Tummy Tuck is a plastic or cosmetic surgery procedure that is performed on patients with abdominal wall laxity coupled with skin redundancy or looseness. These are caused by excessive weight gain (or loss) and commonly pregnancy.
The Tummy Tuck procedure is among the top 10 cosmetic surgical procedures performed. It is not only preferred by women but also by men.
A flat belly, a belly without a saggy skin, is something many people desire. The recommended solution for this is to exercise and to diet. But to stick to a diet and exercise regularly may not be enough. Age, pregnancy, genetic factors, significant weight loss can have an effect on both the skin and the underlying muscles.
1. Repair of the separated abdominal wall muscles.
2. Removal of excess skin (usually with stretched marks).
3. Removal of underlying fat tissue.
4. Transfer or creation of a new belly button (navel).
These results to a flatter and firm tummy. In exchange, you will have a long and curved bikini scar (which can be hidden by your underwear) and another scar around your new belly button.
An Abdominoplasty is one of the most common requests from patients who had previous pregnancies and overweight or obese individuals who have sagging tummy skin from sudden or excessive weight loss.
Many prospective patients however, are concerned with the downtime following surgery and the length of the recovery process. Below are some simple tips that, when followed, can help decrease discomfort during recovery and even speed up the process.
After a tummy tuck procedure in the Surgery Center (7th floor), you will stay overnight (or two) in our Executive Recovery Suites on the 8th floor. While in the room, you will want to find ways to remain comfortable during the first 24-48 hours. This even includes going to the bathroom. You will be assisted by your special nurse who will keep you company and monitored for 12 hours. A responsible adult is expected to stay with you until discharge and even your next 7 days at home.
Similarly, finding a good sleep position can be more difficult after the procedure. Positioning yourself so your waist is bent and your legs are elevated is typically a preferred way of sleeping after the procedure because it mimics the position you were in during the tummy tuck.
Proper placement and tightness of the abdominal binder is also important when recovering from a tummy tuck. When patients sit upright the binder tends to move up and needs to be pulled down. Before adjusting the binder to pull it down be sure to mark its tightness so you can tighten it properly when it is back in place. Adjusting the binder is easiest when done in bed or elsewhere in a reclining position.
A thick gauze or even maxi pads placed near the drain or between the binder and hip bone can make your recovery much more comfortable. Compression shorts are also useful in keeping the binder in place, although you will likely have to cut a hole for the drain. Staying bent at the waist also adds comfort, so for the first few days you might want to consider using a cane or walker when moving around the house. This isn’t necessary but can reduce back strain if you are bending at the waist while walking.
For more information on abdominoplasty or liposuction at NEU, do not hesitate to reach out to Dr. Al Farabi Lee Jaafar who is certified by the Philippine Board of Cosmetic Surgery. Our friendly staff will happily answer any questions or schedule a consultation. Call (+632) 7938747 or (+63918) 9853668 today.
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but a surgery done after having a significant weight loss when loose skin and tissue sag down on your tummy like an apron.
If you are overweight, or your Body Mass Index (BMI) is over 30, you should to try to lose weight first. We know this is difficult, but it is really necessary for your health and safety. This will prevent you from developing chronic conditions such as diabetes, hypertension or cardiovascular diseases which may complicate the abdominoplasty procedure and its recovery.
If you are unable to lose weight with the help of diet and exercise, other weight loss surgeries may help you (ie bariatric surgery).
Weight stabilization is important after massive weight loss. Once this is achieved, you can now consider a tummy tuck surgery to have a flatter stomach, get rid of your excess skin and have the split muscles repaired.
We do not advise patients to have a tummy tuck when they are considering having a baby. It is best to have abdominoplasty when you don’t want any more children, when your family is complete. Then, it is the best moment to go for a tummy tuck.
However, if you would have another pregnancy after you had a tummy tuck, don’t worry. It is really safe and fine. You might only need a correction after your pregnancy, depending on how much weight you put on.
Your surgeon will determine what will be the best tummy tuck technique for you. As the type of tummy tuck you need depends on various factors, such as the location and amount of excess skin, the requirement of muscle repair, your skin quality, your body type and possible scars from previous surgery.
We generally prefer liposuction combined with tummy tuck (abdominoplasty), because it gives better results. Sculpting the waist, the lower back or love handles with liposuction, briefly to reshape and contour the whole belly area create a high patient satisfaction and an improved self-esteem.
It will take you almost one week to stand up, reposition in bed or can easily walk again after your tummy tuck surgery. Do not worry though as the body easily restores itself. But keep in mind that for the first week, you will not be able to lead your ordinary daily life.
Although the complete recovery varies from patient to patient and also depends on the type of tummy tuck that has been performed, on average it takes 4-6 weeks.
Tummy tuck surgery should be performed by an experienced cosmetic surgeon and in a reputable cosmetic surgery clinic. The price of tummy tuck is not cheap. You need to find both; a very good, trustable clinic and an optimal price. Do not forget that a regular follow-up by your medical provider with aftercare is as important as the surgery itself. So, be sure that you will have routine follow-ups. Look at the before-and-after pictures, read the reviews of other patients and compare the alternatives. And then make your decision.
A Mini-Tuck procedure involves removal of skin and subcutaneous fat layer only. Repair of the abdominal wall muscles and transfer of the belly button are avoided. The curved bikini scar is still expected but there will be no more belly button scar.
Good candidates for a mini-abdominoplasty are those with lesser degree of abdominal wall muscle separation (diasthesis) and minimal skin looseness.
Operative time is shorter and recovery faster.
Extended Abdominoplasty is the same as the Classical Abdominoplasty except that it extends to the lower back to include removal of skin and fat in the said area. The incision (and scar) is circumferential.
Abdominoplasty is done under general anesthesia and sometimes is combined with liposuction of surrounding areas (ie tummies, flanks, bra line) to give superior result. A drain is placed and removed after 24-48 hours. Expect bruising for 2 weeks and swelling up to 4 weeks. You will be asked to wear a special garment to compress the tummy for 1-2 months. Stitches are removed on the 14th day.
1. Standard or Full Tummy Tuck
3. Extended Tummy Tuck