Arizona Cosmetic Surgery
Chasby Sacks MD

Tummy Tuck Abdominoplasty



Tummy Tuck Abdominoplasty Scottsdale

A bulging abdomen, whether caused by weak abdominal muscles, weight gain, or having children, is a condition that causes distress to a lot of people. The objective of a tummy tuck or abdominoplasty is to flatten and narrow this protruding abdomen by removing excess skin and fatty tissue and possibly muscle tightening.

The surgery most commonly used involves an incision made below one hipbone, across the pubic area, to the opposite hipbone. A second incision is made around the navel. The skin and fat is then separated and lifted from the abdominal wall exposing the tissue that covers the large abdominal muscle. This tissue is sometimes sutured in order to tighten and firm the muscles. The skin is then pulled down over the abdomen and excess skin is removed. Before the incisions are closed with small sutures, the navel is reconstructed. Firm elastic girdles  are then fitted to the patient.

Dr. Sacks assesses each person personally  to determine if he or she is a good candidate for an abdominoplasty. A modified abdominoplasty may be the recommended operation with even quicker recovery potential.  this may be combined with liposuction in some cases. He personally explains all the possible complications of the surgery and cares for every patient throughout the post-op period. This personal caring has helped earn him his reputation.

Sometimes simply dieting and even extensive  exercising are not enough to take care of the abdomen's appearance.  In such cases, a patient may wish to consider a tummy tuck (or abdominoplasty).  A tummy tuck is the surgical removal of excess skin and/or fatty deposits from the abdomen, along with the suturing of abdomen muscles into a tighter situation. This bodily enhancement surgery is designed for those who wish to have a flatter and tighter abdominal area.  It is also helpful in remedying the vertical separation of abdomen muscles known as diastasis, which can occur following pregnancy.

Reasons for Considering an Abdominoplasty:

  • Inability of dieting and exercise to improve the abdomen area.
  • Excessive accumulation of skin following weight loss.
  • Loss of skin elasticity or diastasis (loose abdomen muscles) due to pregnancy.
  • The removal of unsightly skin and fat deposits as well as the proper tightening  of the abdomen muscles to produce a more glamorous look.

General Procedure

The Abdominoplasty surgery lasts anywhere from one to three hours, depending on the desired look and the patient’s unique anatomy.  To start the procedure, an incision is made just above the pubic bone area.  This incision goes horizontally across the lower abdomen and sometimes around to the back.  The skin is then stretched away from the muscle tissue, and excess skin is removed.  The abdomen muscle tissue is tightened with sutures to provide a firmly contoured stomach and well-defined waistline.  Finally, the incision is closed; and the skin is stitched back into place.  Sometimes the procedure requires an additional incision around the belly button (umbilicus) in order to provide the best results.

Recovery Process

Generally, post-operative instructions from Dr. Sacks call for plenty of rest and limited activity in order to speed up the healing process and recovery time.  As the body recuperates, the patient can expect some swelling, pain, and discomfort. Wearing a special girdle helps provide support  for the abdomen in the recovery period. Medication will be prescribed to relieve any pain caused by the procedure.  A small tube may be inserted at the time of surgery to help remove any excess fluid. The stitches and the drain will be removed one to two weeks after the surgery, depending on the procedure(s) involved.  Normal activities can generally be resumed after about two weeks.  It may take up to a year for the body to completely adapt to the new abdominal shape.  With proper diet and exercise the striking results of the surgery will be very long lasting.

Newer types of Tummy-tucks:  A very recent advancement in the way Tummy-tucks (abdominoplasties) are performed involves the moderate and careful use of liposuction  at the same time that the abdominoplasty is done. This procedure named after the surgeon who first described it, is known as the Avelaar abdominoplasty. Now more skin and fat can be removed at the same time in a safe fashion.

Complications of Abdominoplasty (Tummy tuck).

  • Swelling is temporary and asisted by use of ice packs. It may persist for a little longer in the lower abdomen due to the efects of gravit
  • Bruising is sometimes present and also helped by cold packs
  • Pain is usually modest and helped by pain medicaton as described by Dr. Sacks
  • Infection is extremely unusual as antibiotics will be prescribed  by Dr. Sacks starting on the day before the surgery and continuing for the week afterwards.
  • Scarring is always present in the area of the surgical incicision but every effort and tiny sutures are used to keep this to a minimum. Individual variation in healing is the most important factor in determining the final outcome.
  • Contour irregularities are rarely present from liposuction performed at the same time as abdominoplasty, bu if they persist may be easily treated with a quick surgical revision.
  • Numbness is usually slight if present and should return to normal after a while.

Prices of Abdominoplasty (Tummy tuck) will range from about $4750 for the more simple types of abdominoplasty upto over $10000 for abdominoplasty combined with other surgery like liposuction of other areas.

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