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Tummy Tuck (Abdominoplasty)

Many people strive to achieve a toned and well-proportioned body through healthy diet and exercise. Unfortunately, some may not be able to achieve their goals despite all their best efforts because of permanent overstretching of the skin and, at times, widening of the abdominal musculature. These changes can be the result of pregnancy, weight fluctuations, genetic factors, prior surgery and aging. Even individuals of normal body weight and proportion can have a protruding abdomen with loose sagging skin.

A tummy tuck (abdominoplasty) is an effective and long-lasting solution for those who wish to have a smoother and firmer abdomen. Abdominoplasty is a surgical procedure to remove excess skin and fat from the abdomen and, in most cases, includes tightening of the abdominal wall where muscles have weakened or become separated. It is not a substitute for weight loss or an appropriate exercise program. A tummy tuck cannot correct stretch marks, although stretch marks will be removed if they are located within the skin that is to be removed.

A full tummy tuck is performed through a horizontally-oriented incision in the area just above the pubic hair. Through this incision, the separation between the paired rectus muscles is repaired and excess skin and fat is removed. The length of the incision (and consequently the surgical scar) will be determined by the amount of skin to be removed. A second incision is placed around the navel if upper abdominal correction is required.

When correction of abdominal contour is simply needed below the navel, a mini tummy tuck can be performed. A mini tummy tuck (mini abdominoplasty) is often performed through a smaller incision and does not require the incision around the navel. It is frequently performed with the addition of liposuction to slim and help reshape the abdomen and improve the final contour.

After surgery there will be dressings placed over the incisions and an elastic binder or compression garment may be used to minimize swelling and to support your abdomen as it heals. Small, thin drain tubes are placed beneath the skin for several days to remove excess blood or fluid that could collect in the area. Over 2-4 weeks, the initial results will become apparent as the swelling subsides. Final results will gradually appear over the next several months as residual swelling disappears and the scars lighten.

Dr. Woodyard is board certified by the American Board of Plastic Surgery (ABPS) and has over 18 years of experience.

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