Aesthetic Body Surgery

Abdominoplasty (Tummy-Tuck)

Why consider an abdominoplasty ?

You may be a woman who has had multiple pregnancies and you may feel that your abdomen has just “never really bounced back after having children”. You may have been told by your physiotherapist that you have a ‘muscle separation’ after pregnancy which has never completely corrected itself.

You may be a male or a female who feels that your abdomen is an area which generally holds you back when you are exercising and there is somehow excess volume in this area that you would like to do something about. If the above applies to you, you may wish to find out more about an abdominoplasty procedure.

What is an abdominoplasty and how is it performed ?

One type of abdominoplasty is a full abdominoplasty. A full abdominoplasty tightens the rectus fascia, removes fat and excess skin from the abdomen, moves the umbilicus up to an appropriate position and creates a flat abdominal contour. Your incision will be just under the underwear line and also around the umbilicus. This procedure is often combined with liposuction of the abdomen and flanks for an optimal result.

What happens to my umbilicus/Belly button in a full abdominoplasty ?

In a full abdominoplasty a section of skin and fat is removed from your lower abdomen. Dr Wetton then pulls the remaining skin down to create a flatter abdomen. When the skin is pulled down, the umbilicus is now on the wrong spot on your abdomen, it is too low. For this reason, your umbilicus is moved up, and comes out on your abdominal skin in a higher location.

What is a mini Abdominoplasty known as a ‘mini tummy tuck’

A mini abdominoplasty may be appropriate for you if you have a modest amount of excess fat and skin in the lower abdomen underneath the belly button. The incision is also just under the underwear line, but the cut is usually shorter and there will be no need for a cut around your umbilicus. This procedure could also be accompanied by liposuction. A mini abdominoplasty does not address the rectus fascia and so will not help a muscle separation.

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What is rectus muscle separation (Diastasis recti) and how is it repaired ?

RECTUS REPAIR

The rectus abdominis muscle, often known as the six pack muscle, is the muscle that you feel when you do abdominal crunches, it holds your internal organs in place and keeps your body stable. In pregnancy the muscle usually separates to accommodate the growing baby. After pregnancy, ideally the muscle should come back together, however sometimes it doesn’t do that naturally and you may be left with a central vertical strip down the abdomen where no rectus muscle is protecting or holding in your abdominal organs. Exercise and a physiotherapist are a useful part of the post-pregnancy routine and can sometimes help the muscles to come back together. However, sometimes despite your best efforts, the rectus muscle never fully comes back to its original position. It may appear as a post-pregnancy belly for months or years after pregnancy, or feel like you have an abdominal pouch that no amount of exercise or diet will shift.

Repairing this muscle involves an abdominoplasty and stitching the rectus fascia together to bring the two ends of the muscle tighter to bridge the gap that remains. In effect, this will tighten the abdomen and the waist, strengthen your abdominal wall and bring back a more clinched in abdomen.

Frequently Asked Questions Liposuction and / or abdominoplasty

Which procedure is right for me; liposuction alone or an abdominoplasty alone, or should I consider having both procedures?

An Abdominoplasty can be combined with liposuction if there is fatty tissue throughout the abdomen in the right plane. Bear in mind that there are two fat layers in the abdomen, one is just under the skin and the other fat layer is around the organs. If your fat is under the skin, we can remove it with liposuction and an abdominoplasty, but if it is around your organs, no amount of body contouring will be able to remove this fat. An in person consultation is important, so that Dr Wetton can examine you, and determine which procedure will give you the most aesthetically pleasing result.

Sometimes liposuction is all that is necessary to address a fullness in the abdominal area, however this depends on many anatomical factors. If there is a medium to large amount of fat that needs to be removed and a degree of skin laxity, an abdominoplasty combined with liposuction is usually the more appropriate choice.

Recovery

If you have had a full abdominoplasty, you will remain in hospital overnight after your surgery. Depending on your pain levels and how well you are feeling you may be able to go home the next day, or the day after that. If you are having a mini abdominoplasty you can usually go home the same day. You will have dressings on your incisions, you will have drains on either side of your abdomen, collecting a small amount of fluid, which we expect to drain over the two days following your procedure and you will have a support garment around your abdomen.

You may experience some discomfort and swelling, and it is important to sleep raised to 45 degrees so as not to put too much tension on your incisions. Similarly, Dr Wetton encourages all of her abdominoplasty patients to walk slightly bent over for the first few days, so as to keep the tension to a minimal.

After one week

If you have had a rectus muscle repair, you may feel quite sore and tight in the deep layers of the abdomen. Your drains would have been removed and you are encouraged to move around and go for short walks.You will still wear your support garment and slowly increase your activities over the following weeks, but listen to your body and do not over exert yourself.

The final result will not be visible for about 12 months and during that time you will usually notice a gradual decrease in swelling and the slow emergence of a flatter, smaller abdomen.

How long will my results last ?

Like any body contouring procedure, the skin and fat has been physically removed, and so it is unlikely that it will ever look exactly like it was before your surgery. If you gain a lot of weight, or have pregnancies in the future to maintain your aesthetic shape, you may wish to have a second abdominoplasty procedure, but it is unusual to have multiple abdominoplasties.

Complications

  • Haematoma ( Blood collection under the skin)
  • Seroma (fluid collection under the skin)
  • Infection
  • Wound break down
  • Poor scar
  • Rectus muscle too tight
  • Umbilicus death/necrosis
  • Clot in the lungs or legs {Deep vein thrombosis (DVT), or Pulmonary embolism (PE)}

How much will my surgery cost ?

Your surgery for a full abdominoplasty with rectus repair will be between $10, 000 – $14,000.

Your surgery for a mini-abdominoplasty will be between $6,800- $8,800.

This price above may vary, depending on the amount of liposuction that you desire with your abdominoplasty. For this reason it is recommended to book a consultation and receive a personalised quote.

Th fees above do not include the Hospital or the Anaesthetic Fee.

For a personalised Quote, please book your Consultation Here

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