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Tummy tuck surgery is a highly versatile procedure that can slim down the abdomen, firm up abdominal muscles, and generally enhance the appearance of the midsection. Some procedures remove excess skin and fat from the lower abdomen while others remove an entire ellipse of skin and fat below the belly button as well as tighten the muscles (diastasis recti) in the midline to narrow the waist.
For massive weight loss patients or for those with severe skin laxity, more extensive skin excision along the hips and buttocks may be required, known as an extended tummy tuck or a circumferential tummy tuck. The goal in any tummy tuck surgery is to provide the best contour result with the least amount of scarring.
Liposuction can be combined with these techniques to improve the contour further. Some New York City patients request liposuction alone to treat their abdominal contour problems, but if the patient has significant skin laxity and/or weak abdominal muscles, then liposuction alone will not be sufficient. For more information regarding abdominoplasty, visit our blog.
“I believe true confidence comes from a feeling of self-assuredness from one’s inner self. However, I also believe that it is heavily impacted by a lack of confidence with one’s outside appearance as well. Plastic surgery can help improve confidence in this way.”
Who is a Good Candidate for Tummy Tuck Surgery?
A good candidate for a tummy tuck is someone who is healthy and desires an improvement in the abdominal region. Candidates for any plastic surgery procedure should be generally healthy, be at a healthy, stable weight, and have reasonable expectations for the their tummy tuck results.
People who are unhappy with excess skin, fat, or weakened muscles after significant weight loss or pregnancy are often good candidates for tummy tuck surgery. The New York tummy tuck procedure is customized to individuals’ specific interests, needs, and conditions.
THE TUMMY TUCK PROCEDURE
A tummy tuck is commonly performed under general anesthesia. The abdominal skin is elevated off of the muscle fascia and excess skin is removed. Sometimes liposuction is performed as well to remove excess fat. The muscle weakness can be treated by suturing the edges of the muscle together. The lower incision is closed with absorbable sutures. Drains may be placed as well to prevent fluid buildup in the treatment area.
Most of the abdominoplasty procedures described take between two and three hours to perform with a recuperation time of one to two weeks. The circumferential abdominoplasty (lower body lift) can take four to six hours to perform. Dr. Wallach has presented at national meetings and published journal articles on abdominal contour procedures.
- Endoscopic Abdominoplasty
- Mini-abdominoplasty (mini-tummy tuck)
- Modified full abdominoplasty
- Full Abdominoplasty
- Circumferential Abdominoplasty
This is for a patient that has very little to no skin laxity or subcutaneous fat, and has mainly midline muscle laxity.
Endoscopic equipment equipped with a small camera is used to gain access to the treatment area through two or three small incisions. This allows Dr. Wallach to visualize the area between the muscle fascia and the overlying subcutaneous tissue so that the midline muscular laxity can be treated. Liposuction can also be performed in conjunction with this procedure if desired.
- Two to three very small limited incisions are used for more favorable scarring. Liposuction of the entire abdomen can be performed at the same time.
- This procedure is performed on very few patients. It cannot treat skin laxity.
Mini-Abdominoplasty (Mini Tummy Tuck)
This is for patients who have excess or loose skin and some subcutaneous fat in the area between the belly button and the pubic region. This does not address muscle tightening in the area above the belly button.
A small ellipse of skin and fat is removed from the lower abdomen. The final incision is not much larger than that of a cesarean section. The belly button is not usually detached from the surrounding tissues. The musculature from the belly button down to the pubic region can be easily tightened. Liposuction can be performed on the entire abdomen and hips.
- A short incision is used. Liposuction of the entire abdomen can be performed in conjunction with this procedure.
- The musculature from the upper midline to the umbilicus can be difficult to tighten with this incision technique. Lax skin around the umbilicus or the upper abdomen is difficult to treat.
Modified Full Abdominoplasty
This is indicated for patients in Manhattan that require a full abdominoplasty but have abdominal incisions from other surgical procedures that may impact the viability of the tissues elevated (i.e. an open gallbladder surgical incision). Most Full tummy tuck patients have a lot of skin laxity and may have a significant amount of abdominal subcutaneous fat. There may also be midline muscle laxity. This technique is used when there are previous surgical scars that would impact performing a full abdominoplasty safely.
An ellipse of skin and subcutaneous fat is removed from the lower abdomen. Undermining of the upper abdominal tissues is performed in a limited fashion to maximize the blood supply to the tissues that may have diminished circulation due to the previous surgical incisions. Treatment of muscular laxity is performed. Liposuction can also be done selectively. The belly button is detached from surrounding loose skin and is re-inserted after the upper abdominal skin is re-draped and sutured to the lower abdominal incision.
- The incision may be shorter than a full tummy tuck. Lax skin can be treated better than a mini tummy tuck or endoscopic abdominoplasty. Lax midline muscles can be tightened easily. Laxity around the umbilicus can be treated.
- A longer incision than used for a mini abdominoplasty or endoscopic abdominoplasty is needed, resulting in longer tummy tuck scars. There may be residual skin redundancy because of limited undermining. Liposuction has to be performed selectively to avoid compromising the blood supply to the skin and subcutaneous tissue.
Traditional Tummy Tuck (Full Tummy Tuck)
This is indicated for a patient who has a lot of skin redundancy of both the lower and upper abdomen. The patient also has midline muscular weakness and may or may not have significant subcutaneous abdominal fat.
An ellipse of skin and subcutaneous fat is removed from the lower abdomen. The upper abdominal skin and subcutaneous fat is elevated more extensively than during a modified full abdominoplasty. The midline muscular weakness is tightened. The umbilicus is reinserted into the upper abdominal skin flap after the flap has been re-draped and sutured to the lower abdominal incision. Liposuction can be selectively performed if desired.
- Lax skin from above and below the belly button can be treated successfully with this technique. Thus making it a more comprehensive procedure than other approaches. Lax or separated muscles can be tightened easily. Laxity around the belly button can also be treated.
- It requires a long incision along the lower pubic region. Liposuction needs to be performed selectively to maintain the blood supply to the abdominal flap and subcutaneous tissue.
Circumferential Abdominoplasty (Lower Body Lift)
This is a procedure often reserved for patients who have undergone bariatric surgery and have experienced massive weight loss, and thus have a significant amount of excess skin. (see Post-Bariatric surgery treatment)
What Should I Expect During a Consultation for Tummy Tuck Surgery?
During a tummy tuck consultation, you will spend a lot of time with Dr. Wallach reviewing your surgical goals. An exam will then be performed and a surgical plan will be discussed with you at length, including preparation, recovery, and results.
Tummy Tuck Recovery
Before your procedure, Dr. Wallach will discuss your recovery and aftercare instructions with you at length to make you are comfortable. Depending on how invasive of a technique is used for your tummy tuck, you may be released the same day or asked to stay overnight for observation. However, before leaving, a member of Dr. Wallach’s team will review with you how to care for any drains that have been placed, symptoms you may notice during recovery, and signs for complications to watch for.
Most patients will need at least a week of rest; however, some light movement or getting up to gently walk is encouraged for circulation. Circulation is important during the healing process in order to avoid blood clots from forming.
Your specific recovery time frame and instructions will be reviewed with you by Dr. Wallach prior to surgery and again afterward before being released.
Tummy Tuck Surgery in New York City
If you would like more information about Dr. Steven Wallach and his success with New York City tummy tuck (abdominoplasty) procedures, don’t hesitate to contact our Manhattan offices at (212) 257-3263 or using our online contact form to request additional details or to schedule your consultation appointment.
Tummy Tuck Frequently Asked Questions
Are tummy tucks dangerous?
Can you get pregnant after tummy tuck?
Can a tummy tuck cause stomach issues?
Can you lose weight after tummy tuck?
Can I walk after tummy tuck?
Do men get tummy tuck?
Can you get a tummy tuck if youre obese?
Do tummy tucks work?
Do you get a scar from a tummy tuck?
How can I lose my stomach fat?
Do you have to be skinny to get a tummy tuck?
How dangerous is a tummy tuck?
Does a tummy tuck tighten muscles?
How do I prepare for a tummy tuck?
How are tummy tucks done?
How long after a tummy tuck can you drink?
How long is pain after tummy tuck?
How long do tummy tucks last?
How long do you wear a binder after surgery?
How long does it take to lose weight after a tummy tuck?
How many sizes do you lose with a tummy tuck?
How much does it cost for a tummy tuck?
What are the side effects of a tummy tuck?
How much weight can you lose having a tummy tuck?
What do you eat after tummy tuck?
How painful is a tummy tuck?
What does a tummy tuck usually cost?
Is it easier to lose weight after a tummy tuck?
What is the best girdle to wear after a tummy tuck?
What qualifies you for a tummy tuck?
Why would you need a tummy tuck?
When can I start working out after tummy tuck?
Will a tummy tuck make my stomach flat?
When can I wear regular clothes after tummy tuck?
Who is a good candidate for tummy tuck?
How big of an incision will I need?
Can I have other procedures at the same time?
What is a mini-abdominoplasty?
Can I have liposuction instead of a tummy tuck?
I have had three children and I am not going to have anymore. What is the best procedure for me to improve the appearance of my abdomen?
I have loose skin around my umbilicus, how can you correct this?
Should I lose weight before a tummy tuck?
What is a reverse abdominoplasty?
I lost more than a 100 lbs and everything is loose; what procedure should I have done?
What does “floating” an umbilicus mean?
Can you perform aggressive liposuction of the abdomen along with a full tummy tuck?
How much does a tummy tuck cost?
A tummy tuck can cost between $8,000 and $20,000 after all fees are applied.
What are the risks of tummy tuck surgery?
The risks of surgery include poor wound healing, infection, seroma, hematoma, dysesthesia, unfavorable scarring, rebound laxity, and need for revision procedures.