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Abdominoplasty

An abdominoplasty is designed to create a well sculptured and beautiful torso that compliments your body shape
Dr Scott Turner, Specialist Plastic Surgeon

 

Tummy Tuck Surgery (Abdominoplasty) Newcastle & Sydney

Sometimes even with a rigorous diet and exercise regime you cannot achieve the flat and sculpted abdominal contours that you desire. Several changes occur during ageing and after life events such as pregnancy and weight fluctuation that may result in permanent and undesirable changes to your physique. Abdominal muscles may have stretched and weakened and an accumulation of fatty deposits and excess loose skin in the abdominal region may have occurred which are typically not responsive to diet or exercise.

Lipoabdominoplasty or a tummy tuck is a procedure designed to reshape the entire torso, where the abdominal muscles are tightened back to their youthful position and excess skin and fatty tissue is removed to create a flat and toned tummy. Liposuction is required in almost all patients to add to refine and give that finishing touch to your tummy tuck.

Quick Facts

Anesthesia: General Anaesthesia
In/Outpatient: Inpatient
Length of surgery: 2-4 hours
Recovery: Most patients are back to work in approximately 10 – 14 days when swelling and bruising resolves. We advise our patients to avoid strenuous activity for 1 month.
Results: Final results are seen within 6 months, and the duration of those results vary from one person to another due to the quality of their skin, ageing and weight changes.

WHAT CAN AN ABDOMINOPLASTY (TUMMY TUCK) DO FOR ME?

An abdominoplasty procedure (tummy tuck) is best suited for women and men alike, if you are healthy, in good physical shape and close to your ideal body weight (or a stable weight following major weight loss). If painstaking dieting and regular exercising haven’t helped you flatten a bulging stomach, or tighten loss skin that is covered in stretch marks, surgery may improve your overall appearance, so you can once again you can feel confident in form-fitting clothes and no longer hide your shape in loose fitting garments.

Some of the many benefits of abdominoplasty surgery include:

• Remove excess skin and fat from the abdomen
• Strengthen underlying abdominal muscles
• Improve contours of the torso
• Restore a smooth flat tummy
• Ability to fit into normal clothes
• Reduce irritation, chafing and infections in lower abdominal fold
• Improve exercise tolerance and assist with weight loss activities

TYPES OF ABDOMINOPLASTY (TUMMY TUCK) PROCEDURES:

MINI ABDOMINOPLASTY

A mini tummy tuck targets predominantly the lower abdomen below the bell button (umbilicus). This is an excellent option for many patients with excellent skin quality to the majority of the abdomen however are affected with excess fatty tissue and loose overlying skin limited to the lower abdomen. The scar with a mini tummy tuck is only a few centimeters longer than a caesarian section scar and is always hidden within your bikini line. During a mini tummy tuck we frequently perform liposuction to the remaining abdominal area and repair any muscle separation if required to give an overall improvement to the whole abdomen.

FULL ABDOMINOPLASTY

A full tummy tuck targets both the lower and upper abdomen. During a full abdominoplasty the entire abdominal skin is redraped and the underlying abdominal muscles are tightened. Due to the amount of skin that is removed during a full tummy tuck the umbilicus is moved into a new position through a new often small opening. While the scar of a full tummy tuck is longer than a mini tummy tuck, the incision is still discrete and falls within your underwear garment line so once fully healed should be hidden with clothing on. Liposuction is combined with a full abdominoplasty to contour the abdomen and flank regions.

EXTENDED ABDOMINOPLASTY

In many of our patients that seek a tummy tuck they are often have concerns with excess fatty tissue in surrounding areas, not just the abdomen and flanks. To give an ideal contour to the torso, it is often necessary to add liposuction to the adjacent regions like the lower back and hip / thigh regions to give that sought after hour glass figure and feminine lower back curve. As we are able to reshape the adjacent areas to the abdomen, we are able to be give a more defined and slimmer look to the abdomen and torso than we would be able to with a standard abdominoplasty only.

Am I Suitable For An Abdominoplasty?

The best candidates for a tummy tuck are those close to their ideal weight, in good health, non-smokers and whose abdomen causes health problems, interfere with routine activities and make them feel self-conscious.

Please note: Dr Turner does not perform abdominoplasty surgery on current smokers or patients with a body mass index (BMI) greater than 30 – a healthy range is 20-25. It is important that all patients undergoing abdominoplasty cease smoking or nicotine intake (including patches/gums) for at least 6 weeks pre and 12 weeks post- surgery. To calculate your BMI you need to divide your weight (kg) by your height² (m²) – e.g. if your weight was 65kg and height 1.65m would be 24.

Your Tummy Tuck Consultation

Your cosmetic tummy tuck or abdominoplasty surgery consultation begins with a personal one on one consultation with Dr Turner at one of  his Sydney & Newcastle clinics. Firstly you are fully informed of the normal surgery process, plus any possible complications. We talk through your medical history and discuss your goals for the surgery. Dr Scott Turner conducts a thorough examination to assess skin tone, fat deposits and underlying abdominal muscle tone to determine your suitability.

A tummy tuck covers a spectrum of surgeries ranging from a mini tummy tuck procedure to a full body lift in patients that have lost a significant amount of weight, with liposuction an integral component of the procedure. Factors such as your abdominal contour (excess skin, fat deposits, muscle separation) and your individual preference will determine which technique/s are used to smooth and flatten your abdomen. During your consultation routine pre-op photographs are taken.

 

After your Abdominoplasty Surgery

At the completion of your surgery Dr Turner will place drains under abdominal skin, apply a specialized dressing to aid wound healing and a surgical compression garment. Depending on how extensive your abdominoplasty surgery was most patients stay in hospital for 1-2 days for a mini abdominoplasty and 2-3 days for a full abdominoplasty. The drains may be removed before you go home from the hospital, or at days 5-7 when you have your first follow up appointment with Dr Turner.

While you recover, you will remain a little ‘flexed’ at the waist and knees – this is the body’s way of increasing comfort levels while easing tension on your incision. The abdomen feels “tight” for several weeks after surgery. Numbness may be present around the incision and the belly button itself and in some cases may be permanent. The scar begins to fade after 6 months and may take 2 years to reach its final appearance. Bruising and swelling can persist for several months.

You will be given a prescription for pain management and antibiotics. Have someone fill the prescription, drive you home and take care of you as you recover during the first few days when you go home. You are able to take the garment off for short periods of time while at home and shower over the dressings.

You can return to your normal activities at a slow and gradual pace. While recovery time will vary from patient to patient, you should plan for the following:

• At least 2 weeks off work
• No driving for 2 weeks
• No moderate – high intensity cardiovascular exercises for 6 weeks
• 3 months before abdominal core exercises (sit-ups) can be resumed

You must have someone to help with the care of young children for at least the first 3 weeks postoperatively.

You will have an appointment to see Dr Turner within the first week after surgery to check that your wounds are healing as expected and to remove drains if required. Dr Turner will see you frequently over the first year to monitor your progress and will give you advice on scar management, wearing garments and resuming normal activities.

It is extremely important to your final result that you follow all post-operative instructions given to you by Dr Turner.

Risks Associated with Abdominoplasty Surgery

As with any surgery, it is important that you are fully informed of the potential risks associated with tummy tuck surgery. While all care is taken to minimize these complications, they may and do occur despite the best medical care.

It is important that you carefully read and understand the potential risks and they will be discussed in further detail when you have your consultation with Dr Turner.

General risks associated with surgery

• Postoperative infection
• Bleeding or haematoma
• Poor Scarring including keloid scars
• Blood clots in legs or lungs
• Revision surgery to correct or improve outcome

Specific risks associated with Abdominoplasty surgery

• Fluid accumulation or seroma formation
• Partial or total loss of the umbilicus
• Loss of sensation to the abdomen
• Wound breakdown and delayed healing
• Scar asymmetry
• Lumpiness or fat necrosis

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