Abdominoplasty

belly fat liposuction

Last Updated October 31st, 2023

What is abdominoplasty? 

Abdominoplasty (or tummy tack) is a cosmetic procedure that assists with the removal of excess fat and skin around your abdomen.

 

After having a baby or losing excess weight, there is a tendency for accumulation of excess fat and skin around your abdomen.

 

Many people have a hard time trying to tone their abdomen with either exercise or diet.

 

During the procedure, your plastic surgeon will surgically remove the loose skin and excess fat around your lower and middle abdomen.

 

The surgeon uses sutures to tighten your abdomen wall.

 

Your surgeon is more likely to recommend an abdominoplasty if you have a healthy body mass index (BMI). The procedure is not a weight loss solution. It should not also replace exercise and dieting.

Why would you need an abdominoplasty?

You may need an abdominoplasty in case of the following conditions:

  • A protruding abdomen that is not proportional to the other parts of your body
  • Excess fat tissues around your lower and middle abdomen
  • Weakened and separated abdominal muscles
  • Sagging abdominal skin

Before going for an abdominoplasty, your surgeon will ensure that:

  • You have a stable weight and are in good physical health
  • You will also be assessed to see whether you have realistic expectations about the procedure
  • If your appearance bothers you or is a source of anxiety for you

Avoid an abdominoplasty if:

  • You intend to lose a lot of weight in the future. In such a case, you need to first lose weight to an ideal number before having an abdominoplasty
  • If you plan to have more children in the future. This is because an abdominoplasty tightens your vertical muscles that would have to be separated by future pregnancies
  • People with diabetes, heart disease, or other chronic conditions are not good candidates for an abdominoplasty
  • In case you underwent abdominal surgery in the past and it resulted in significant scar
  • Tissue

Types of abdominoplasties 

There are several types of abdominoplasty surgeries in use today, each tailored to suit the needs of an individual patient.

 

Below, we look at each of these types of abdominoplasty to give you a good understanding of what each entails and what you can expect after the procedure. 

Full tummy tuck 

This is the standard abdominoplasty procedure. It works to improve your lower and upper abdomen. It is ideal for patients with excess skin around the midsection but is in good health.

 

A full tummy tuck contours the region below and above your belly buttons. It also improves weakened abdominal muscles. 

Mini tummy tuck 

The procedure targets your lower abdomen to reduce the connective tissue and any excessive skin in this region. 

Extended tummy tuck 

This is an extensive procedure where a horizontal incision is made that extends the hips, up to your lower back.

 

Your surgeon may also opt for a vertical incision but this will be determined by the size of the section being titrated. 

Reverse tummy tuck 

This procedure focuses on the reduction of extra skin on your upper abdomen, as opposed to the lower and mid sections. 

Tummy tuck with liposuction 

It is possible to combine a tummy tuck with liposuction for a flatter stomach and slimmer waist. This combined procedure is known as lipo-abdominoplasty and it involves making tiny incisions to the abdomen. 

Preparing for a tummy abdominoplasty 

Before an abdominoplasty, you will have a meeting with your plastic surgeon to discuss the procedure at length.

 

During this meeting, your plastic surgeon will be interested in the following:

 

Medical history – The surgeon will ask you several questions about your medical history.

You will also be asked whether you are on any medical prescription. If you are allergic to any medication, let your plastic surgeon know about it.

 

This also includes any multivitamins or herbal supplements that you are taking. Express your desires or expectations for the abdominoplasty.

 

Physical exam – Your surgeon will do a thorough examination of your abdomen. To establish the right treatment option for you. This may also include taking pictures of your abdomen.

 

Expectations – Let your plastic surgeon know why you are opting for an abdominoplasty. Explain your expectations about appearance after an abdominoplasty.

 

The surgeon will explain to you the benefits and side effects of this procedure.

 

Make sure you have fully understood what you can realistically expect after an abdominoplasty.

 

Before an abdominoplasty, your surgeon may ask you to:

 

Stop taking certain medications

If you are taking anti-inflammatory drugs or blood thinning medication, your doctor could ask you to stop taking them a few weeks before the procedure.

 

The purpose of this is to reduce the risk of bleeding during and after an abdominoplasty.

 

Stop smoking – If you are a smoker, your surgeon will ask you to stop smoking because it hinders recovery.

 

Smoking also limits blood flow. The risk of tissue damage is also higher for a smoker.

 

Even after surgery, you will be asked to avoid smoking to promote quick recovery.

 

Binge Eating Disorder patientWeight management

An abdominoplasty is recommended for people with stable weight.

 

If you are obese or overweight, you would have to lose excess weight to a stable level for at least 12 months before the procedure.

 

Excessive weight loss after an abdominoplasty may limit the outcome of the procedure.

During the procedure 

An abdominoplasty can take place in any of the following locations:

  • At an outpatient surgery unit
  • At an outpatient hospital
  • At your surgeon’s office/clinic
  • Hospital’s inpatient unit

The surgery can take one to five based on the desired outcome. 

The procedure differs based on the type of abdominoplasty chosen.

An abdominoplasty is administered under general anesthesia or intravenous sedation. This will help to put you to sleep during the procedure. 

In a full tummy tuck, your surgeon focuses mainly on the midsection. The surgeon first makes an incision below the navel. It moves horizontally from hip to hip.

The surgeon tightens and performs a diastasis recti procedure which is the tightening of loose tummy muscles.

It involves pulling the loose skin over your abdomen followed by the removal of excess skin or connective tissues.

Your surgeon will also reposition the navel as part of the full tummy tuck procedure.

A mini tummy tuck involves a shorter incision which is done beneath your bikini line.

A mini tummy tuck follows a similar procedure to a full tummy tuck. The only exception is that with a mini tummy tuck, the surgeon does not need to reposition the navel.

During an extended tummy tuck, your surgeon will remove extra skin in the flank and abdominal regions. This allows for the tightening of your abdominal muscles.

The surgeon further re-secures the skin. Navel repositioning is also done as a standard practice in the extended tummy tuck procedure.

With a reverse tummy tuck, your surgeon makes a horizontal incision that runs parallel to the bra line.

The procedure helps with the tightening of your upper abdominal muscles along with the removal of excessive skin and connective tissue.

If need be, your surgeon may consider a breast lift to go alongside the reverse tummy tuck for extra repositioning and fullness of your breasts. 

In a tummy tuck with liposuction procedure, the surgeon uses a small tube to aspirate and remove excess pockets of fat.

The surgeon makes one or two incisions in your lower abdomen to eliminate extra fat tissues and repair the abdominal muscle structure.

This is followed by skin repositioning, giving your abdomen a tighter and more appealing appearance. 

After the surgery 

After an abdominoplasty, you will wake up in a recovery room with a surgical dressing covering your belly button and abdominal incision.

 

You may also have small tubes in place to drain excess fluid or blood from the incision site.

 

The surgical team will encourage you to start walking around as soon as possible to reduce any risks of the formation of blood clots

 

You may the surgical area may have swelling or feel painful in the first few days after surgery. This is normal, and your surgeon may prescribe pain medication for it.  

 

Your surgeon can decide to leave drains in place for a few days after an abdominoplasty.

 

The surgical team will guide you on how to care for and empty such drains.

 

Your surgeon will prescribe antibiotics to avoid an infection before removing the drains.

 

Your surgeon will arrange follow-up visits from time to time to check on your progress.

 

You will be released to go home on the same day of the surgery after your surgeon has ascertained that you are stable.  

Recovery

For the next six weeks following an abdominoplasty, you will need to wear an abdominal binder. It offers you abdominal support during your recovery.

 

The abdominal binder avoids the accumulation of fluid. The surgical team will teach you how to manage your scar.

 

Minimize physical activities as much as possible, during the first six weeks after surgery

 

Avoid certain bending or sitting positions as they may strain the incision line and reopen the wound.

 

Most people will have fully recovered from an abdominoplasty procedure in about 6 weeks.

 

After the sixth week, your surgeon will ask you to stop wearing the abdominal binder.

 

You will gradually resume your normal day-to-day activities, including driving.

Benefits of an abdominoplasty 

An abdominoplasty procedure comes with the following benefits:

 

belly fat liposuctionReduced back pain – Your abdominal muscles could have been weakened by weight loss or after having carried a pregnancy to term.

 

An abdominoplasty restores the separated or weakened abdominal muscles leading to improvements in back pain.

 

Promotes better posture – A tummy tuck tightens your abdominal muscles and repositions your pelvis. This promotes better posture by keeping your back straight.

 

Improves stress urinary incontinence (SUI) – An abdominoplasty can treat SUI. 

 

Correcting a ventral hernia – An abdominoplasty strengthens weakened abdominal muscles while also minimizing pressure on your abdominal wall. This helps with ventral hernia repair. 

 

Increased self-esteem and confidence – Most people go for an abdominoplasty with the objective of improving the overall appearance of their abdomen.

 

A tummy tuck procedure leaves you feeling highly confident about your physical appearance. It also improves your mood.   

Risks/complications

As with any other surgical procedure, an abdominoplasty comes with several risks.

People who smoke, have heart diseases, lung diseases, or poor circulation are highly prone to developing complications after an abdominoplasty. 

Some of the complications of a tummy tuck include:

  • Infection
  • Prolonged swelling
  • Fat or skin necrosis
  • Poor wound healing
  • Wound separation
  • Accumulation of fluid (seroma)
  • Bleeding (hematoma)

Cost of an abdominoplasty in India

The cost of an abdominoplasty surgery in India starts from Rs. 80,000 to Rs. 1,50,000. The difference in cost is down to several factors that include:

  • Surgeon’s expertise and experience
  • Type of abdominoplasty
  • Location of the clinic
  • Extent of the procedure

The table below gives an average cost for an abdominoplasty procedure in selected cities across India:

Abdominoplasty cost in India image 1 (2)

The average cost of different abdominoplasty procedures in Inda is also summarized in the table below:

Cost of Abdominoplasty image 2

 

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