Body Procedures

 

Tummy Tuck

'Ever dream of having the perfect stomach? Everyone desires a flat, tight abdomen with great muscle tone and no excess skin or stretch marks. Working out and getting in shape is great for your muscle tone but can not restore your abdomen to a youthful contour. Plastic surgery of the abdomen (tummy tuck) is designed to remove excess skin, stretch marks, and fat along with tightening of the abdominal wall.

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There are numerous types of abdominoplasty and your surgeon will choose the best technique for you. All abdominoplasties are performed in a surgery center or hospital and most require an overnight stay. Typically 1 or 2 drains are placed to remove excess fluid and these are removed in 1-2 weeks. All sutures are placed under the skin and do not need to be removed. This results in less pain for the patient and less chance of “railroad track” type scarring. In order to diminish the pain associated with tummy tucks a pain pump may be used. Post operatively you may shower, walk, and be active. No heavy lifting is permitted for 4-6 weeks. Complications of an abdominoplasty include tissue necrosis, scarring, hematoma, infection, and seroma. If you are a smoker you will have a higher complication rate and must quit smoking 2-4 weeks prior to surgery. Below are the most common types of abdominoplasty.

Standard abdominoplasty – An incision is made just above the mons pubis from hip to hip, the excess skin is removed, and the fascia and muscles are tightened. Usually the entire area from the belly button to the mons pubis is removed. If a c-section scar is present it will be removed. Stretch marks located above your belly button will not be removed but the excess skin will be tightened when it is pulled down towards the mons pubis. The belly button remains on the abdominal wall and is recreated by making a new opening in the overlying skin. The umbilicus is then pulled through and sutured in place creating a beautiful, “new” belly button. Generally the longer the incisions in an abdominoplasty the more skin removed and the more tightening that can take place. Dr. Martin is able to hide the incisions by placing them low on the abdomen so that the resulting scar is easily hidden in the bikini line.

Abdominoplasty with liposuction – Combining liposuction of the abdomen with concomitant abdominoplasty is a relatively newer concept developed over the last 10 years. Prior techniques would not allow a combination abdominoplasty/liposuction due to high incidences of tissue breakdown. With advances in techniques a combination procedure can now be routinely performed. This was accomplished by modifying the dissection of the abdominal flap and by performing less aggressive liposuction. This approach allows us to achieve spectacular results with only one procedure. Other areas of liposuction can also be performed at the same time. If you smoke you may not be a candidate for this type of tummy tuck.

Mini-abdominoplasty – For minimal skin excess below the belly button a mini-abdominoplasty may be indicated. As the name suggests a smaller incision is used resulting in a shorter scar. Skin will be tightened in the lower abdomen but not in the upper abdomen. Again, the scar will be hidden easily by swimwear. Loose fascia in the lower abdomen can also be tightened with this procedure.

Reverse abdominoplasty – For excess skin above the belly button (epigastric) area a reverse tummy tuck may be needed. This procedure is performed with an incision under the breasts and the skin is lifted up as apposed to being pulled down. A reverse abdominoplasty will have minimal effect on loose skin located below the belly button. The resulting scars are usually hidden under the breasts but scar migration can be a rare complication. Occasionally this technique is combined with a standard abdominoplasty allowing for spectacular results.

Fleur-de-lis abdominoplasty – For large amounts of skin in the epigastric area or if a previous vertical scar exists, a fleur-de-lis abdominoplasty may be indicated. The resulting scar has the shape of an inverted T and the abdominal tissue can be pulled very tight with this approach. This is used most often in post bariatric patients who have undergone an open gastric bypass.

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Tummy Tuck with a Body Lift at Cincinnati Plastic Surgery.

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Tummy Tuck with a Body Lift at Cincinnati Plastic Surgery.

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Full abdominoplasty which required a lower vertical incision in order to remove all loose skin. Notice the large amount of loose skin and stretch marks prior to surgery.

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Full abdominoplasty which required a lower vertical incision in order to remove all loose skin. Notice the large amount of loose skin and stretch marks prior to surgery.

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Full abdominoplasty which required a lower vertical incision in order to remove all loose skin. Notice the large amount of loose skin and stretch marks prior to surgery.

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Tummy tuck with bodylift following massive weight loss.

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50 pound tummy tuck in a bariatric patient.

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50 pound tummy tuck in a bariatric patient.

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Standard full abdominoplasty with secondary liposuction.

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Fleur de lis abdominoplasty in a bariatric patient.

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Fleur de lis abdominoplasty in a bariatric patient.

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Full tummy tuck with no liposuction.

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This patient experienced a greater then 100 pound weight loss following a gastric bypass and was unhappy about the appearance of her abdomen. She underwent a fleur de lis abdominoplasty which consists of a vertical excision of tissue. This type of tummy tuck was used since she had a previous vertical scar in the upper part of the abdomen.

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This patient experienced a greater then 100 pound weight loss following a gastric bypass and was unhappy about the appearance of her abdomen. She underwent a fleur de lis abdominoplasty which consists of a vertical excision of tissue. This type of tummy tuck was used since she had a previous vertical scar in the upper part of the abdomen.

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Tummy Tuck with liposuction.

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This patient demonstrates a severe abdominal deformity secondary to five pregnancies. Her stomach demonstrates excess skin, fat, stretch marks, and severe abdominal wall laxity with a marked diastasis recti. After her first abdominoplasty, she still had some residual laxity of her abdominal wall. This required a second procedure to further tighten her abdominal fascia.

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This patient demonstrates a severe abdominal deformity secondary to five pregnancies. Her stomach demonstrates excess skin, fat, stretch marks, and severe abdominal wall laxity with a marked diastasis recti. After her first abdominoplasty, she still had some residual laxity of her abdominal wall. This required a second procedure to further tighten her abdominal fascia. This tummy tuck was performed by Cincinnati Plastic Surgery at University Pointe Surgical Hospital in Westchester, Ohio.

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This patient demonstrates a severe abdominal deformity secondary to five pregnancies. Her stomach demonstrates excess skin, fat, stretch marks, and severe abdominal wall laxity with a marked diastasis recti. After her first abdominoplasty, she still had some residual laxity of her abdominal wall. This required a second procedure to further tighten her abdominal fascia.

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This bariatric patient underwent an abdominoplasty and liposuction of the lower trunk. Note the significant improvement in abdominal contour and reduction of thigh and buttock volume. She subsequently had a second staged liposuction of the lower trunk with further reduction in thigh size. This tummy tuck was performed by Cincinnati Plastic Surgery at University Pointe Surgical Hospital in Westchester, Ohio.

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This thin female underwent a combined procedure of liposuction of the abdomen, waist, and hips along with an abdominoplasty (high lateral tension). The small incision seen just below the umbilicus is the location of the old belly button. Because this patient is long waisted and has minimal excess skin below the umbilicus, complete removal of the old umbilical incision is not possible

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This thin female underwent a combined procedure of liposuction of the abdomen, waist, and hips along with an abdominoplasty (high lateral tension). The small incision seen just below the umbilicus is the location of the old belly button. Because this patient is long waisted and has minimal excess skin below the umbilicus, complete removal of the old umbilical incision is not possible.

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This patient had a liposuction of the abdomen combined with a high lateral tension abdominoplasty. Note the improved flatness of the abdominal area as well as better umbilical aesthetics. As shown here, the resulting scars can be designed so that they are hidden in the bikini line.

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This patient had a liposuction of the abdomen combined with a high lateral tension abdominoplasty. Note the improved flatness of the abdominal area as well as better umbilical aesthetics. As shown here, the resulting scars can be designed so that they are hidden in the bikini line.

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Standard high lateral tension tummy tuck with no liposuction.

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Tummy tuck with bodylift following massive weight loss.

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Standard high lateral tension tummy tuck with no liposuction.

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Standard high lateral tension tummy tuck with no liposuction.

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Fleur de lis abdominoplasty with liposuction of the hips.

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Fleur de lis abdominoplasty with liposuction of the hips.

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Full abdominoplasty with liposuction. Notice definition of rectus muscles. Most tummy tucks can be combined with liposuction of the abdomen as well as other areas of the body. The incision on the patient's left side is slightly higher due to complete removal of tattoo per patient's request.

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Full abdominoplasty with liposuction. Notice definition of rectus muscles. Most tummy tucks can be combined with liposuction of the abdomen as well as other areas of the body.

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Full abdominoplasty with liposuction. Notice definition of rectus muscles. Most tummy tucks can be combined with liposuction of the abdomen as well as other areas of the body.

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This bariatric patient had a standard abdominoplasty with no liposuction. Note the improved tightening of the thigh area even though no thigh lift was done. In certain patients an abdominoplasty can achieve significant elevation of the medial and anterior thighs.

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A middle aged female underwent a liposuction of the abdomen combined with an abdominoplasty. Note the improved look of the umbilicus, better contour of the waist, and slight tightening of the thighs. In the upper abdomen improved definition of the abdominal muscles is noted.

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A middle aged female underwent a liposuction of the abdomen combined with an abdominoplasty. Note the improved look of the umbilicus, better contour of the waist, and slight tightening of the thighs. In the upper abdomen improved definition of the abdominal muscles is noted.

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A vertical abdominoplasty (fleur de lis) was performed in this patient who had undergone an open gastric bypass. Note the extreme tightening of the waist and abdominal area. The scars are immature and will eventually fade and smooth out.

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Tummy Tuck in a bariatric patient.

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Tummy Tuck with liposuction.

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Tummy Tuck with liposuction.

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Tummy Tuck with liposuction.

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Tummy tuck in a baraitric patient.

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Body lift in a weight loss patient.

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Body lift in a weight loss patient.

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Body lift in a weight loss patient.

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