ABDOMINOPLASTY (Tummy Tuck)
Removal of redundant, slack and adipose abdominal skin.
Abdominal skin redundancy after weight loss or pregnancy.
Short time plans for further pregnancy.
SURGERY (rarely as out-patient)
Low transverse incision from one hip bone to the other, along the pubic hair border in a lazy W pattern. Through this approach, the entire abdominal skin including its fat is undermined towards the thoracic cage and liberated from the navel that remains in place. All this tissue is then pulled taught and its redundancy resected. Through a buttonhole incision, the navel is brought to the surface and sutured in place. The skin border is sutured in several layers to the skin margins of the transverse incision. If necessary, the abdominal muscles are tightened and the waist fat is suctioned. In minor skin redundancies, a limited abdominoplasty without navel repositioning can be performed.
general or local anesthesia with twilight premedication.
transverse in the lower abdomen.
POSSIBLE COMPLICATIONS, UNDESIRABLE RESULTS
Hematoma, Skin slough.
Seroma accumulation under the skin that has to be evacuated.
Diminished skin sensitivity for several weeks is normal.
Drain removal after 24 to 48 hours.
Elastic girdle for several weeks.
Suture removal after some 2 weeks.
Resume work after 2–3 weeks.