There is a large degree of abdominal surgeries available which can be tailored to your individual needs. You should think of this surgery as a body contouring procedure rather than a weight loss procedure and the trade-off is that you will have to accept is a scar. They range from the most radical type of abdominoplasty surgery called a Fleur de Lys to a standard abdominoplasty to minimal scar options such as liposuction.
The most common procedure we perform is the standard tummy tuck.
In summary this involves 3 main elements to the surgery:
- Removal of all of the skin between the belly button and the pubic hair line
- Tightening of the muscle layer
- Liposuction to the “Love Handle” region
The upper abdominal skin is then pulled down and stretched with concomitant tightening of the whole abdomen. The scars will run from the point of the hip on both sides along the bottom of the abdomen so that it is hidden by underwear. There will also be a small oval scar around the belly button. This will result in a much tighter abdominal skin and also provide a nicer contour through the waist and give a more hour glass type of figure. Whilst it is not an insignificant scar, there are a number of techniques available to both shorten the scar and improve the scar appearance.
The usual patient that this is performed is in women who have skin excess after pregnancy so you should ideally complete your family before contemplating surgery. It can also be performed after weight loss in any aged male or female patient. In certain circumstances for massive weight loss patients a bigger scar will be preferable in the form of a Fleur de Lys abdominoplasty which will have an additional vertical scar in the midline such that the final result is an inverted T.
A mini-abdominoplasty differs from the standard procedure by having a shorter scar and no scar around the belly button.
An apronectomy is reserved for very large patients who have a hanging apron or dewlap which interferes with their life and is a functional operation and not a cosmetic one.
Liposuction involves 2-3 tiny scars which will be invisible with time and predominantly removes fat from the abdomen with a subtle tightening of the skin.
A general anaesthetic is used for all of these procedures and we only operate in accredited hospitals. All of your stitched will be dissolving.