Abdominoplasty, commonly known as a tummy tuck, is a major surgical procedure for men and women generally in good shape and health but who have large fat deposits around their abdomen or have and excess of loose skin. Abdominoplasty can reduce protruding abdominal fat but it does leave a lengthy, permanent, sometimes visible scar that runs the length of the hipbones. Most people who undergo abdominoplasty are women who don’t intend to bear more children and whose previous pregnancies stretched their abdominal muscles or people suffering from obesity whose skin elasticity has diminished. Depending upon the amount of excess fat and skin a patient has and the area of the excess, different types of
abdominoplasty procedures can be performed.
Tummy Tuck
During a tummy tuck, an incision is made along the length between the hipbones and around the belly button, the skin is removed along the abdominal wall up to the ribs, the vertical muscles of the abdomen are tightened and the flap of excess abdominal fat is removed and the skin is pulled down, cut off and the remaining flap is sewn back into place along the initial incision.
Mini Tummy Tuck
Mini-abdominoplasty, often paired with tumescent liposuction, is a more limited procedure, but still effective for many people, including those who have only lost muscle tone and skin elasticity in the lower region of the abdomen below the belly button. This surgery can be just as effective and the incision can be smaller and recover time is less. Thus this can be the solution for people with only a slight tummy problem.
Endoscopic Tummy Tuck
Endoscopic tummy tuck is abdominoplasty aided by an endoscope, a tiny camera, and is best for people who have excess fat below the belly button alone but have not lost skin elasticity. Muscles can be tightened and fat can be removed through liposuction via tiny holes made above the pubis or through the belly button. This is a very popular procedure because it leaves little scarring unlike more traditional
tummy tuck procedures. However there is a risk of infection if the incision doesn’t drain properly.
Panniculectomy Surgery
Panniculectomy is a surgical procedure to remove the large/long overlap of skin on the lower abdominal area. This usually occurs in morbidly obese individuals who have lost a substantial amount of weight. Without correcting this problem, there is a risk of developing chronic and persistent local skin conditions such as intertrigo, intertriginous dermatitis, cellulites, ulcerations, necrosis, and inflammation of subcutaneous adipose tissue. Panniculectomy is unlike abdominoplasty because it does not deal at all with abdominal muscles. Panniculectomy is simply the removal of excess fat and skin from the “apron” left hanging anywhere from just barely above the mons pubis down to the knees or beyond.
Another Classification
Abdominal Etching:
This tummy tuck surgery is performed to give patients a flatter, tighter stomach area, with stronger muscle definition
Panniculectomy:
This surgery is different from abdominoplasty as the latter tightens the muscle as in addition to removing excess skin and fat while the former only removes excess skin and fat.
Tummy Tuck After Pregnancy :
For new moms with loose skin and extra fat that has not gone away within six months a tummy tuck may be recommended.
Circumferential:
This surgery is more extensive than a normal tummy tuck (normal abdominoplasty) since the the surgeon creates an incision that spans the entire circumference of the patient’s torso. It is typically reserved for patients who have lost a large amount of weight and now have loose, overhanging skin around their body.
Endoscopic Abdominoplasty:
This type of tummy tuck is performed with the use of an endoscope and instruments through a small incision, which is normally in the belly button.
Mini-Tummy Tuck:
This surgery is somewhere between the endoscopic and dermolipectomy, and normally results in a shorter scar. This tummy tuck type is for patients who only need skin and fat removal. It is considered the easiet one.
Dermolipectomy:
This procedure results in the removal of excess skin and fat but also requires a new belly button for the patient.
Full Abdominoplasty:
With this procedure a new belly button is required and is typically reserved for patients who have excess amounts of skin to be excised. This tummy tuck type is the most invasive. Exciting isn't it !
Reverse Abdominoplasty:
With this proedure, the incision is made along the mammary fold in an inverted V fashion. This type of tummy tuck can be performed in conjunction with other cosmetic surgeries such as breast lifts. You heard about it before !!
Vertical Scar Abdominoplasty:
This procedure is normally only used on patients who need substantial skin excision and waist tightening. This surgical procedure combines the use of a lower abdominal incision with a midline vertical incision.
Extended Tummy Tuck:
This abdominoplasty type is usually for obese patients that have a great deal of excess fat and skin. This procedure may be combined with liposuction to achieve the optimal results for the patient.
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Abdominoplasty Variations and Types
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