Before the procedure During the typical tummy tuck, your plastic surgeon makes incisions to remove most of the skin and fat between your bellybutton and pubic hair in a horizontal oval or elliptical shape. Connective tissue (fascia) that lies over the abdominal muscles is then tightened with permanent sutures.
Muscle repair is often performed during a tummy tuck procedure and is considered by many to be an integral part of the surgery. If the abdominal muscles are stretched out or torn, the newly tightened skin will not lay as nicely over them.
So, therefore, the answer to the question is yes, you can have a tummy tuck or abdominoplasty without muscle repair. With very large patients who are morbidly obese removal of the lower skin and fat is usually the most impressive and desired procedure with or without muscle repair.
A full tummy tuck requires a horizontally-oriented 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.
When abdominal muscles have come apart, a million crunches cannot bring them back together. You can tone and strengthen the muscles, but they will still be separated, which can cause the stomach to protrude.
Sometimes people do not have a totally flat abdomen after tummy tuck even though the excess skin and fat is removed due to the fact that the intra-abdominal contents still remain intact and are still behind the tightened abdominal muscles.
Because a tummy tuck is a more extensive surgery, patients need around 10 to 14 days to recover. The results are long-lasting, and the removed fat cells won't grow back—but remaining fat cells may expand and the skin may re-stretch if you gain a large amount of weight.
Full tummy tucks help patients lose clothing sizes and inches in their midsection, but weight loss is usually not more than a few pounds. The average woman can expect to lose two to three dress sizes after a tummy tuck, while men can expect to drop several pant sizes.
Whether you're contemplating a Mommy Makeover package or just want to undergo a tummy tuck, you'll be relieved to know that any pain from this cosmetic procedure is far less than that experienced after a C-section.
Most women lose between 2 and 3 pants sizes after a tuck, but there are patients who lose even more. If you had a lot of loose skin before the procedure, for example, you could go down 4 more pants sizes.
Additionally, the skin, muscles, and fat of the abdomen were all repaired or altered during the procedure. These structures need time to heal and settle into their new positions. This causes inflammation, swelling, and other temporary side effects that can contribute to the look of the stomach.
Even in most normal weight and extremely fit women, the abdomen may not be completely flat following abdominoplasty. It is realistic for patients to expect improvement in the flatness of the stomach, but should not immediately assume that their abdomen will be entirely flat.
Troy Pittman, a board-certified Washington D.C.-based plastic surgeon, patients who have obesity, a lot of visceral fat (located near vital organs), underlying medical conditions or blood-clotting disorders should refrain from having tummy tucks.
The tummy tuck is very useful when exercise and diet have failed to tighten the abdominal muscles. However, a tummy tuck is not really designed to make you look “thinner.” Rather, the tummy tuck improves the muscle profile of the abdomen, which in turn can have the effect of making you look more fit and toned.
There will be some discomfort after a tummy tuck, with the worst discomfort experienced within the first week. On a scale of 1 – 10, pain is often estimated at around a 6-7 for the the first few days to a week, reducing to around a 3 – 4 in the second week. This would, of course, depend on the individual.
During body contouring procedures like a tummy tuck, fat cells are eliminated from the body and cannot return. Because of this, patients may gain weight in other places like the buttocks, legs, arms, and breasts.
The worst days after your tummy tuck will be the first one to three days. You may experience some discomfort, bloating, pressure, and swelling, but these symptoms are normal and will resolve themselves.
While pain tolerance can differ from individual to individual, patients often say the process of recovering from tummy tuck surgery is more painful than liposuction. While liposuction requires small incisions in the skin only, many tummy tuck techniques involve incisions that penetrate the muscle.
Liposuction is a far less invasive procedure than a tummy tuck. It can be performed on almost any part of the body that has excess fat: the stomach, back, arms, legs, and even under the chin. During the procedure, a solution of saline, water, and anesthesia is injected into the fat cells to be removed.
With a full tuck, you will lose more weight than you would with a mini tuck because you probably have more excess skin and fat to be removed. Finally, the opportunity to lose the most weight after abdominoplasty is reserved for clients who choose an extended tuck.
A tummy tuck surgery not only has a big effect on the look of the abdomen, but it can also affect the appearance of other bodily structures. It is not uncommon for patients to report that people believed their breasts looked bigger.
The physical factor: Since tummy tuck surgery removes excess skin and fat, and can correct diastasis recti (abdominal muscle separation), patients often feel lighter and more mobile after their procedure. As a result, physical activity is often easier and more enjoyable, which can encourage further weight loss.
How does a tummy tuck affect my waistline? A properly performed tummy tuck can reduce your waist size and help you feel confident about your curves again. Some patients may lose many inches off their waist, while others will see more subtle results. It all depends on how much tissue can be removed safely.
In so doing, the waist is drawn in during tummy tuck surgery, but on its own, the procedure is not equipped to eliminate love handles or other deposits of fat.
During a tummy tuck, excess skin and fat are removed from the abdomen. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well. The remaining skin is then repositioned to create a more toned look.