Weight-Loss-and-Abdominoplasty

 Tummy Tuck

(Belt Lipectomy)

Major change in the weight of a person can lead to an excess of loose skin in the abdominal area. For such people, tummy tuck is the solution to get rid of 'ugly' extra skin and regain their beautiful tummy. Saree being the major female outfit in India, the tummy is always visible so females are more  conscious of this area. Even in short western dresses, this area is visible. The beautiful waistline tells a lot about the personality of an individual. This procedure is also suitable for women with slackened abdominal muscles, scars or stretch marks across their tummies and post briatric surgery.

The best results are achieved if the patient is of right and stable weight before the procedure.

A tummy tuck is certainly not an option for losing weight.

Because Of age, weight loss, post briatric surgery or multiple pregnancies, the abdominal skin can start sagging and slackening, the tone of abdominal muscle can also decrease.

Liposuction or Tummy Tuck?

If you have excess of fat rather than skin, then liposuction alone can work for you or upper abdomen liposuction can be combines with tummy tuck.

Mini-Tummy Tuck

For people having excessive skin just below the belly button, a mini tummy tuck can deliver excellent results with minimal morbidity.

Total Tummy Tuck:

If the skin of whole abdomen and muscles are slackened, a total tummy tuck with repositioning of belly button is the best solution. Total Tummy tuck means removing the excess skin and stitching the abdominal muscles of left and right side to each other along their mid-line.

Horizontal incision just below the bikini line and above the pubic area is most commonly used for tummy tuck.

The length of the incision depends on how much skin has to be removed.
If a large amount of excess fat and skin is to be removed, the Asian Hospital can offer you an anchor tummy tuck i.e. scar is extended to include an additional vertical incision above the belly button.

Preperation

Everything about the treatment will be discussed during your first consultation: the method that suits you best, the result you might expect, possible risks and follow-up care. During a consultation, you will always receive the detailed information about the treatment and the period thereafter by Dr. Chauhan.

During this consultation, the Dr. Chauhan will assess which method,incision or procedure is suitable for a your tummy tuck to have good aesthetically pleasing waist line . The surgeon will ask for information about your current state of health, medical history and any medication you might be using so keep all records with you at the time of 1st consultation.

If you use medication or drugs such as disprine, aspirin & combiflam,  Clexane, Warfarin, you must tell the plastic surgeon. You must not take any blood thinning medications, for up to two weeks before your surgery. We also recommend that you stop smoking 6 weeks before the surgery is due to take place because smoking constricts the blood vessels, which can cause problems reducing wound healing.

Preoperative Planning

One of the most critical steps in achieving excellence in tummy tuck procedure is the preoperative evaluation. Such an evaluation should identify not only the appropriate procedure to achieve optimal results but also the location of the incision and site of reposition of belly button.

Procedure

You are expected to arrive one hour before your surgery at Asian Hospital if all the blood test, pre-operative care and counselling is already done.

A tummy tuck is usually performed with an overnight stay. Before the procedure, the Dr. Chauhan carefully marks out the incision site from where tissue is to be removed. The general anaesthetia is then administered.
When performing a tummy tuck, an incision around belly button is taken and the skin tissue is separated from underline tissues so that belly button stays in position then the second incision is taken below the bikini line and above the pubic area. This is done to hide the final scar even in swimming costumes. The skin tissue is separate from underlying muscles upto the rib cage.

The abdominal muscles, which have often slackened, are then tightened and stitched together, which is sometimes referred to as “reefing”. The skin flap, i.e. the loosened skin, is then pulled downwards towards the incision. Once the excess skin has been removed, the plastic surgeon carefully closes the wound with stitches.

At the point where the belly button is intended to be, a small hole is made in the skin. The belly button is pushed through this hole and stitched in place. The position of the belly button is then in line with the rest of the abdomen.

After The Procedure

After a tummy tuck procedure, you will usually stay in the hospital for a day or two. Once you are comfortable and can move around independently, you are allowed to go home with some instructions. Six to eight hours after the procedure, you will be permitted sips of liquids and then may start eating and drinking easily digestible food, such as tea and rusks.

Post-Procedure Pain

For the first few days after the tummy tuck, you will feel a pulling pain in your skin and muscles around the abdomen.

You will likely feel pain and soreness around incisions. In the first few days after the tummy tuck, take pain medication as recommended by your doctor. Avoid over-stretching the legs and lifting weights. Sleep on your back and keep knees somewhat flexed and resting on a pillow. Ask your doctor when it's OK to resume daily activities, such as washing your hair, showering or bathing.

Drainage tubes may be placed near your incisions and are typically removed within a few days. When your doctor removes the tubes, he will also probably change or remove your bandages.

Continue to wear the surgical support abdominal binder for 3-4 weeks.

Your doctor might suggest using silicone tape or gel on your incisions to promote healing.

 

Results

The results of a tummy tuck will be visible immediately after the procedure. Your accompaning person can have a look of excised skin and tissues after the procedure. Just after coming to senses, you can appreciate that your abdomen is flatter and tighter, moreover that extra loose skin is not there. The final results of a tummy tuck are visible after a couple of months when excessive swelling and edema subsides.

The results of tummy tuck are generally lasting however, it may be necessary to undergo another procedure, if there is further slackening in the skin and muscle tissue or as a result of aging or pregnancy but usually its not needed in next 10-12 years.

Risks

It is important you are aware that every surgical intervention can entail risks and complications. We make sure any risks are reduced to an absolute minimum, by providing plenty of information, taking a thorough medical history (noting your case history, including medication, any problems experienced in previous operations, allergies, etc.) and applying our professional procedures.

Complications:

  • Haematoma (blood clot under the skin which has to be removed)
  • Anesthesia complications
  • Adverse reaction to the sedation
  • Haemorrhaging
  • Infection
  • Change in sensitivity
  • Permanently visible scars
  • Damage to underlying structures
  • Unsatisfactory aesthetic result
  • Excessive swelling in the abdominal cavity.