Tummy Tuck/ Abdominoplasty

Although pregnancy remains one of life’s miracles, it often takes its toll on a woman’s body, especially her abdomen! So often a female patient will arrive at my office, despondent because she has not been able to regain her figure, through exercise and weight control, following pregnancy. Unfortunately, in many cases the patients only chance to again have a flat, well-contoured abdomen, will have to be by means of surgery. Different procedures are available for restoring the abdomens contours ranging from liposculpture only, to liposculpture together with a mini abdominoplasty, to a full abdominoplasty.

abdomen

In general younger patients with an elastic skin and moderate amounts of abdominal fat are ideal candidates. Good abdominal muscle tone contributes towards a good liposculpture result.
Note: 

  • All liposculpture procedures are done under sedation and local anesthetic.
  • No overnight stay required.

Patients experiencing excess skin and muscle weakness in the lower abdomen. The procedure starts with a liposculpture of the entire area, followed by exposure and tightening of the underlying muscles, from the belly button down to the pubic area. The belly button basically remains untouched, resulting in a flat well contoured lower abdomen.

Note:

  • All procedures are done under general anesthetic.
  • One night stay in hospital required.

In cases where there is a muscle weakness along the full length of the abdomen (breast bone to pubic bone), together with a significant degree of skin excess with or without excess fat.

The procedure starts with the skin of the entire abdominal area being undermined. The stretched out muscles are plicated ( tightened) from the breast bone down to the pubic bone. Resulting in an improved waistline. All the skin and fat between the belly button and pubic bone are removed ( including stretch marks!), followed by repositioning of the belly button.

Note:

  • All procedures are done under general anesthetic.
  •  1-2 nights hospital stay required.

Although an abdominoplasty is regarded as major surgery, this is not a high-risk procedure in case of healthy, non-smoking patients, with a BMI of 30 or less. Complications seldom seen are the following:

  • Unfavourable scaring (should the patient’s body not form good scars )
  • Infection
  • haematomas( excessive bleeding),
  • Deep Venous Thrombosis
  • Reaction to sutures.

Deep Venous Thrombosis , although very seldom seen could be of a very serious nature with a devastating outcome. It is for these reasons that patients are carefully selected , together with numerous precautionary measures that are taken to reduce the patient’s risk.

Following a mini abdominoplasty / full abdominoplasty patients will always have a drain, which will stay in position for approx. 2-5 days.

  • Liposculptures are done as same day procedures.
  • Mini abdominoplasties are discharged after 1 day.
  • Full abdominoplasties are discharged after 1 or 2 days.

The rest of the first week needs to be taken easy i.e. reading, watching tv, etc.

Note:

  • DO NOT ONLY REMAIN IN BED! CONSTANTLY SLOWLY WALK AROUND TO PREVENT DEEP VENOUS THROMBOSIS!
  • Driving, office type work, light household duties e.g. buying bread & milk may commence after 7-10 days.
  • Exercising may start after 4-6 weeks.
  • Sexual activity may start after 3 weeks ( As comfort permits)

Note: You will be fitted with an elastic corset which must be worn for 4 weeks

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