Abdominoplasty

Abdominoplasty

Abdominoplasty surgery or tummy tuck, is an operation designed to remove excess skin and fat from the abdomen and at the same time if required, tighten the abdominal muscles. This operation is indicated in cases where there is laxity of the abdomen resulting in bulging due to abnormal stretching of the abdominal muscles and skin, particularly in those who have had one or more full term pregnancies with subsequent loss of youthful tone of the abdomen or fluctuating weight loss.

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How does Abdominoplasty Surgery differ from Liposuction?

Unlike liposuction surgery, which only removes fat by suction, it involves surgical removal of skin and fat, with tightening of the abdominal muscles. For this reason, the procedure is more extensive than liposuction. The actual extent of surgery will depend on the amount of excess skin and the laxity of the abdominal muscles. In many cases a Lipoabdominoplasty, ie liposuction in conjunction with abdominoplasty is performed.

If marked weight loss has occurred, large skin folds may make skin care and quality of life very difficult. In this case a procedure called a panniculectomy may be more appropriate. Body contouring procedures are not designed to totally correct obesity and a stable weight must be achieved before undertaking either of these procedures.

Am I an ideal Candidate for Abdominoplasty Procedure in Abu Dhabi, UAE ?

  • Adults with the above abdominal problems, of any age who are in good health, moderately fit and overall have good muscle tone are ideal candidates for a tummy tuck.
  • Candidate should not have any serious medical conditions.
  • Non smokers have an increased risk of complications.
  • Previous abdominal surgery may limit the potential results of tummy tuck.
  • Women who have undergone Caesarean section have the opportunity to have the existing scar revised.
  • Patients whose weight has been stabilised after weight loss program or feel they are at their ideal weight are also good candidates for a tummy tuck.

When not to proceed with an Abdominoplasty Procedure

A tummy tuck will enhance your figure and your self-confidence, it is not likely to change your life or the way people treat you. A tummy tuck is not a substitute for weight loss or exercise program. Patients who are planning substantial weight loss or women who are considering future pregnancies may be advised to postpone a tummy tuck.

  • Abdominal scars above the umbilicus (restricts blood supply to abdominalflap)
  • Severe Obesity
  • Likely or planned future pregnancy
  • Medical conditions prohibitingelective surgery
  • Unrealistic expectations

Types of Abdominoplasty

Traditional Abdominoplasty

Where excess skin and fat both below and above the umbilicus has to be removed a full abdominoplasty is performed and then the umbilicus is re-sited. Once the skin and fat of the abdomen is lifted up, the muscles of the abdomen are tightened to improve the contour.

Mini Abdominoplasty

When excess skin and fat below the umbilicus is removed without disturbing the position of the umblicus.

Fleur delis Abdominoplasty

Where abdominoplasty involves excision of excess skin and fat from the abdomen both in a vertical and horizontal dimension it is known as Fleur delis Abdominoplasty. This surgery is indicated for severely obese patients or for those after massive weight loss.

Reverse Abdominoplasty

When excess skin and fat above the umbilicus is removed without disturbing its position.

Lipoabdominoplasty

When liposuction is combined with a tummy tuck to improve contour. Liposuction will help remove excess flank or hip fat with the objective of providing a flatter and more ‘hour glass’ shape figure.

The First Consultation

The first consultation will help to understand your goals and expectations from your surgery and determine if they can be achieved realistically. All details of the surgery and risks or complications involved will be discussed and explained.
It is important for you to provide complete information about your past medical history, any medical illness, drug allergies, previous surgeries including breast biopsies, and medications that you currently take. It is recommended that you stabilize your weight prior to surgery.
General Guidelines prior to a Tummy Tuck in Abu Dhabi, UAE

  • Pre-Operative Photographs will be taken.
  • Obtain laboratory testing or a medical evaluation
  • Pre-operative Anaesthetic assessment for fitness for surgery
  • Agreement to proceed with the surgery by signing an informed Consent Form
  • Take certain medications or adjust your current medications
  • Stop smoking well in advance of surgery
  • Avoid taking aspirin, anti-inflammatory drugs and herbal supplements as they increase risk of bleeding.
  • Maintain a stable weight for 2 months prior to the date of surgery.

Abdominoplasty Procedure

Your abdominoplasty operation should ideally be performed in an accredited major hospital under general anaesthesia . Abdominoplasty is a procedure in which the protruding, loose, sagging or pendulous skin of the abdomen is corrected by surgical excision. The area to be treated usually addresses the lower and central abdomen but occasionally may extend to the rib cage sides. A low transverse incision, similar to a caesarean incision is used to lift the excess fat and skin off the abdominal muscles. The length of the incision, which extends laterally toward the pelvic bones, depends largely on the amount of skin to be removed. The incision scar is hidden within the bikini lines, but please note that this may not always be possible.

Patients are sent home 1-2 days after the procedure, to follow up at around the 5th day for removal of any drains.

Recovery Period

Bruising, swelling and discomfort after surgery usually subsides in 2- 4 weeks. Your abdominal skin will be tight after surgery and you may have to walk stooped for a few days till the existing skin stretches. Wounds normally heal in 1- 2 weeks. It is recommended to wear an abdominal support for the first 6 weeks. Once all swelling and bruising has subsided you should expect a flatter, more shapely abdomen.

Typically patients can return to work approximately 2-3 weeks after the surgery and can start light walking exersizes in 3 weeks but should wait for approximately 2 months before heavy exercising/lifting weights. Patients will experience a numb feeling in their abdomen for a few months after their surgery. Abdominoplasty scars normally take 3 months to a year for healing, and usually heal well. The extent of scarring depends on the extent of the surgery that is performed. The scars are kept hidden well within the bikini line in most cases barring rare exceptions. At times, the scar may get thickened and itchy (hypertrophic scar) for which treatment is given.

The removal and re-draping of abdominal skin sometimes requires the permanent repositioning of the belly button. This may leave a scar around the belly button.

For most patients the final results of the abdominoplasty surgery in Abu Dhabi and UAE, will not be apparent for up to 4 to 6 months after the procedure. During this period it is important that scars are not exposed to excessive sunlight, which could lead to darkening and increased visibility of the scar tissue.

Common Questions

Unlike liposuction surgery, which only removes fat by suction, it involves surgical removal of skin and fat, with tightening of the abdominal muscles. For this reason, the procedure is more extensive than liposuction. The actual extent of surgery will depend on the amount of excess skin and the laxity of the abdominal muscles. In many cases a Lipoabdominoplasty, ie liposuction in conjunction with abdominoplasty is performed.

If marked weight loss has occurred, large skin folds may make skin care and quality of life very difficult. In this case a procedure called a panniculectomy may be more appropriate. Body contouring procedures are not designed to totally correct obesity and a stable weight must be achieved before undertaking either of these procedures.

  • Adults with the above abdominal problems, of any age who are in good health, moderately fit and overall have good muscle tone are ideal candidates for a tummy tuck UAE.
  • Candidate should not have any serious medical conditions.
  • Non smokers have an increased risk of complications.
  • Previous abdominal surgery may limit the potential results of tummy tuck.
  • Women who have undergone Caesarean section have the opportunity to have the existing scar revised.
  • Patients whose weight has been stabilised after weight loss program or feel they are at their ideal weight are also good candidates for a tummy tuck.

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Possible complications include bleeding and collection of blood under the skin (hematoma), fluid accumulation(seroma), infection or poor healing at the incision site. These risks are common to many operations and can be dealt with easily. Any surgery carries risks associated with anaesthesia. These risks will be fully discussed with you prior to your consent for surgery.

Patients generally need to plan to be off work for two weeks. As far as cardio, working out can often be started at two weeks. Light weights can typically commence at four weeks, and situps or crunches need to wait about six weeks.

Patients simply stay overnight and go home usually by 7 or 8 am the morning after the procedure.

Drains are removed 4 to 5 days after the surgery and help remove the fluid that the body creates during the procedure. Many times you may have to go home with the drains in position and return back on the 4th or 5th day for drain removal. During this period they are well concealed within clothing.

The belly button is the slowest part to heal. The incision for belly button lies inside the umblicus and therefore heals naturally after the procedure.

The incision scar for a tummy tuck lies in the bikini line. Patients that have had tummy tuck complain most about the scars on the sides. Some techniques involve a “high angled” scar that juts out from a swimsuit. Dr. Boynton keeps his low. Some patients with massive weight loss (greater than 80 lbs) might require an “extended” tummy tuck, which may extend a bit farther around if there is loose skin that needs to be addressed on the “side.”

Mini tummy tuck is a technique which only removes a small amount of skin and fat from lower abdomen. Candidates for this procedure are generally limited to pts with loose skin and fat in the lower abdomen with good underlying muscle tone. Most patients who think they need a “mini” abdominoplasty actually are candidates for a full tummy tuck.

Yes. The covering, of the muscles that have lost tone and stretched out with weight gain and multiple pregnancies is tightened in order to centralize and restore tone to augment shape after overlying skin and fat removal.

Many patients have a lot of fullness on the top part of the abdomen. Because extensive suctioning of fat in this area can jeopardize the blood supply to the skin and affect healing, liposuction here is a generally a minor affair when combined with tummy tuck. For safety reasons when this area needs more liposuction than can be done with a tummy tuck, a second liposuction surgery may need to be performed to address this area. This can be done at three months after the tummy tuck.

Risks and Potential Complications

Possible complications include bleeding and collection of blood under the skin (hematoma), fluid accumulation(seroma), infection or poor healing at the incision site. These risks are common to many operations and can be dealt with easily. Blood clots in the deep veins of the leg is a problem associated with lying still for too long for which adequate prophylaxis is taken prior to surgery. Rarely pulmonary and Fat embolism are risks associated with any major prolonged surgery. Any surgery carries risks associated with anaesthesia. These risks will be fully discussed with you prior to your consent for surgery. It is important that you understand these aspects of your surgery and that you seek clarification from your surgeon.

During the Operation: Reactions to Drugs, Bleeding
Later: Painful Scars, Abnormal Scars, Persistent Lower Abdomen Numbness and Swelling and Umbilical Deformity