The tummy tuck or abdominoplasty is an operation that is designed to remove excess skin from the abdomen, at the same time tightening the abdominal muscles. It is indicated in cases where there is laxity of the abdomen resulting in bulging due to abnormal stretching of the abdominal muscles and skin. Unlike liposuction surgery, which just removes fat, this operation involves removal of skin and fat, with tightening of the abdominal muscles. For this reason, it is more extensive than liposuction. The actual extent of surgery will depend on the amount of excess skin and the laxity of the abdominal muscles.    

Tummy tuck is often combined with liposuction to provide complete contouring. This is a relatively new method and has been proven to be safe. The earlier practice of doing liposuction and tummy tuck in two stages is rarely required now.  

Prior to tummy tuck surgery, the amount of skin that is to be removed is carefully marked. The operation is usually carried out under general anesthesia. An incision is made in the bikini line and the excess skin is pulled down and is removed along with underlying fatty tissue. The muscles are tightened as required, the skin is carefully redraped and the incision closed with several layers of suture. In most cases, the belly button will have to be relocated with an incision around it in a circular fashion because of the amount of skin removed. Contrary to what you may think, the belly button is not excised during the operation!   

Following surgery, a compressive girdle and stockings are worn for a few weeks. There may be considerable discomfort for several days following surgery but most patients resume limited activity in a day or so. A urinary catheter is normally left in place for several hours after surgery, and wound drains are kept in place for a few days to help prevent the accumulation of fluid.   

Fortunately, most tummy tucks are uncomplicated, but patients must be prepared for the added time needed for recovery when complications occur. In addition, patients must realize that there is a sizable scar which, although hidden, may thicken or widen requiring later revision. It is also important to realize that it will take many months for the scar to fade to its final appearance. In spite of these considerations, the operation is generally very gratifying. Many patients realize relief of functional symptoms such as low back pain, rash and abdominal discomfort following the surgery.   

Because of the extent of the surgery, there are risks involved which can result in serious complications. Infection or collections of blood or fluid in the wound may delay recovery and could result in skin loss, fat necrosis or scarring. These could lead to the need for additional corrective surgery.. This is much more likely with patients who smoke; therefore, we require patients who use tobacco products to completely quit for a minimum of 2 weeks before and after tummy tuck surgery.   

Although a more major procedure than liposuction surgery, in many cases, abdominoplasty will provide the type of contour improvement that patients are seeking, which cannot be provided by other means.

Resources: 

Tummy Tuck India