Board CertifiedAmerican Board of Plastic Surgery Plastic & Reconstructive Surgeon
Newport Beach Abdominoplasty (Tummy Tuck)
Achieving a flat, youthful abdomen sometimes feels like an elusive dream. At times it seems like despite the workouts at the gym, the endless sit ups and weight training, nothing is happening to that pooch that sits directly above your pubic region. Most likely, that "pooch" is not manageable with diet or exercise. It is excess skin that has lost its elasticity and ability to recoil.. Abdominoplasty, or tummy tuck may be the answer if you have excess skin from pregnancy, heredity or weight loss. Diet and exercise can go a long way to improve an unsightly abdomen, but that stubborn roll of fat that hangs over your jeans, or the loose stretched skin may never go away without the help of surgery. Many women turn to Dr. Amy Bandy to help them achieve the flat tummy that they are looking for. Once the excess skin is removed during an abdominoplasty, the results can be life changing, and extraordinarily long lasting. Most women only say that they wish that they had the procedure sooner.
A: An abdominoplasty, also referred to as a tummy tuck, is a very popular procedure in both men and women. It is most commonly used for correction of excess skin on the stomach, resulting from weight loss, one or more pregnancies, or natural age-related loss of skin elasticity. Fatty deposits on the lower abdomen that are unresponsive to proper diet and exercise may also be removed during this procedure.
Q: Who is a good candidate for abdominoplasty?
A: A patient with loose skin directly above their pubic region and extending to their belly button might want to consider an abdominoplasty. A good identifying factor is if stretch marks are present on the lower abdomen. This can signify that the skin in that area has lost a majority of its elasticity and is more than likely unable to recoil back to a smooth, flat surface. If a patient can grab hold of a large amount of skin and it is thin, they might be a good candidate for an abdominoplasty. On the other hand, if skin is thick and does not show signs of looseness, a patient might be a better candidate for liposuction, as the thickness to the skin that they are grabbing could be fat. The easiest way to determine which procedure(s) are appropriate for your individual needs is to meet with Dr. Bandy.
Q: What will the scar look like for Abdominoplasty?
A: The incision is similar to that of a C-Section however, depending on the extent of tissue that is removed, the incision can range in size with a hip to hip incision being the longest. Usually for women that have already had a C-Section, the previous c-section marking can be used for the abdominoplasty incision as well to prevent additional scarring. A scar resulting from an abdominoplasty can easily be hidden under a panty or bikini line as well as for men, hidden under briefs or shorts. With proper post-operative care a scar from a previous abdominoplasty incision can be thin, even and unnoticeable in many outfits and swimwear.
Q: What does an abdominoplasty correct or remove?
A: During the course of the abdominoplasty, excess skin, as well as fat if needed, is removed. Abdominal muscles may also be tightened during the procedure to correct a protruding abdomen caused by pregnancy or genetic disposition. Due to repairing abdominal muscles that have been stretched from a pregnancy, as well as removing excess skin, it is advised to only proceed with this procedure with no intent on becoming pregnant in the future. Pregnancy would likely stretch the revised abdominal muscles as well as potentially stretch the incision scar and create unwanted stretch marks. An abdominoplasty cannot correct stretch marks, however they may be removed or somewhat improved if located on the areas of excess skin that will be removed during the procedure. It is not unusual for patients to choose to have Dr. Bandy perform liposuction at the same time of their abdominoplasty procedures to contour their new figures for a smooth and sculpted result.
Q: How is the recovery for Abdominoplasty?
A: Prior to closing the incision, Dr. Bandy may insert a drain to allow blood and other liquids to flow out of the wound rather than accumulate under the skin. This drain is kept in place for 1-2 weeks until the amount of fluid that your body expels is at a minimal amount. . Dr. Bandy also offers the option to use TissuGlu Surgical Adhesive, which to can eliminate the need for drains in most abdominoplasty patients . This will ensure that fluid is not built up and collected beneath your skin which could lead to possible post-operative complications. With every patient’s needs differing, each patient will experience different recoveries. Patients that have had a mini or full tummy tuck requiring no abdominal muscle repair will experience some discomfort on the area of incision. Recovery for patients receiving an abdominal repair will be a slightly longer more uncomfortable recovery and will feel a soreness up the middle of their stomachs ending directly underneath the patient’s sternum.
Q: Is this an outpatient procedure?
A: An abdominoplasty is considered an outpatient procedure, however, Dr. Bandy requires that all patients spend at least one night at a post operative recovery center or a one night stay at a local hospital. Although every surgical procedure carries risks, the abdominoplasty carries the highest risks associated with cosmetic procedures. Because of this, Dr. Bandy requires patients to be monitored by an accredited facility for the first 12 hours of recovery. Facility staff will check a post operative patients health vitals, administer medication if needed, measure levels of fluid collection and keep note of patient’s discomfort level. Transportation to and from the facility are provided at no additional cost to the patient.