Creating a flatter, tighter tummy is the goal in plastic surgery of the abdomen. Abdominal contouring can be performed using a variety of techniques and the right technique depends on 1. the quality of the skin, 2. the amount and location of fat and 3. the looseness of the abdominal wall muscles.
When localized fat is the cause of the abdominal bulge and the skin and muscle are not loose, liposuction is the solution and the incisions of a tummy tuck are not needed.
A tummy tuck or abdominoplasty involves the surgical removal of excess fat and the stretched, loose, and sagging skin of the abdomen. The rectus abdominus muscles that have weakened and separated either by pregnancy or weight gain are tightened restoring the body profile to a more youthful and fit appearance.
A full tummy tuck requires a horizontal incision in the area at the pubic hairline as low as possible on the tummy extending laterally. Incision length is largely dependent on the amount of excess skin to be removed. The angle of the incision is placed to be hidden behind the type of fashions that the patient desires to wear. Whether that be low rise jeans or high French cut bikini. Fashion currently favors low rise jeans and a standard horizontal bikini.
After the incision is made the skin and fat is elevated up past the navel to the ribs. This is indicated by the gray area on the diagram. A full tummy tuck or abdominoplasty is indicated when loose skin and bulge from weakened muscle is present both above and below the navel.
The abdominal wall is tightened by suturing the muscles together.
The excess or loose skin is retracted inferiorly and removed at the incision line. The skin between the low incision extending up to just above the navel is the amount of skin usually removed in a tummy tuck. The majorities of stretch marks lies in this area of abdominal skin and are removed with the tummy tuck.
A small incision is then made to bring the navel back out into the correct position and the lower abdominal incision closed.
A mini tummy tuck utilizes a smaller incision, removes less skin, and tightens only the skin and muscle from the navel inferiorly.
During your consultation with Dr. Wesley G. Wilson in the Scottsdale or Mesa, Arizona offices these techniques will be explored, the best option for you will be selected. Your new tummy waits.