How can I get a tight tummy?

An abdominoplasty is not a substitute for weight loss or exercise. Although the results of an abdominoplasty are technically permanent, a positive outcome can be greatly diminished by significant fluctuations in a patient’s weight. For this reason, individuals who are planning substantial weight loss or women who may be considering future pregnancies would be advised to postpone an abdominoplasty until a stable long-term weight is achieved. An abdominoplasty cannot correct stretch marks, although they may be removed or improved upon if they are located on the areas of excess skin that will be excised. 

Am I A Good Candidate?

A tummy tuck is a highly individualized procedure, that should be done for yourself, not to fulfill someone else's desires or to try to fit any ideal image. Generally, a patient could be a good candidate if they are physically healthy and at a stable weight, have realistic expectations of the procedure, are a nonsmoker, and are bothered by the appearance of their abdomen.

The success and safety of your abdominoplasty highly relies on a patient’s complete candidness during your consultation. During your consultation be prepared to discuss surgical goals, any medical conditions, drug allergies or medical treatments, current medications, vitamins, herbal supplements, alcohol, tobacco and drug use, and any previous surgeries. A patient and their surgeon together must discuss any pre-existing health conditions or risk factors of the procedure, discuss the patient’s options, evaluate a patient’s potentials for complications, and discuss likely outcomes of the abdominoplasty procedure to achieve realistic expectations.

Which Tummy Tuck procedure to have?

Mini Tummy Tuck: A mini- tummy tuck includes a smaller incision made above the pubic area. Due to the natural dispersal of excess skin mini tummy tucks are only suitable for a small number of patients because of their minimal improvement only to the bottom of the stomach below the belly button.

Standard/ Full Tummy Tuck: A full tummy tuck requires a horizontal incision in the area between the pubic hairline and belly button. The shape and length of the incision will be determined by the amount of excess skin. Once the abdominal skin is lifted, the underlying weakened abdominal muscles are repaired. A second incision around the navel may be necessary to remove excess skin in the upper abdomen. The upper abdominal skin is pulled down, and the excess skin is trimmed. The remaining skin is sutured together. A new opening for the belly button is created. The belly button is popped through to the surface and sutured into position.

Extended Tummy Tuck: An extended tummy tuck may be the best option for patient’s with excess skin hanging around the front and back areas of their body. A longer horizontal incision removes excess skin from the front and back, including upper and lower abdomen, and the flanks. The weakened abdominal wall will also be repaired like a full/ standard abdominoplasty. 

When you meet with Dr. Tom Pousti (a board certified plastic surgeon), he will help answer these questions for you.

Tom Pousti MD

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