Abdominoplasty (Tummy Tuck)
Lipoabdominoplasty, Abdominoplasty or tummy tuck surgery is one of the most rewarding procedures we perform at HUM Plastic Surgery as results are often immediate and dramatic. Pregnancy and weight loss can cause the skin of the abdominal wall to become loose and sometimes leave permanent stretch marks behind. In addition, abdominal wall muscles can become lax and cause the lower abdomen to appear more prominent. This condition is often unresponsive to exercise and skin creams. Abdominoplasty is a body contouring option we offer as a way to correct these problems. Tummy tuck surgery removes excess skin and fat, and tightens abdominal muscles.
Dr. Humberto Uribe performs the Lipoabdominoplasty technique developed by his mentor and professor Dr. Osvaldo Saldanha, this technique isn't simply using liposuction while doing abdominoplasty, it has a much wider concept, respecting the complete abdominal anatomy. The traditional undermining was substituted by canulla undermining. As a consequence the lipoabdominoplasty doesn't stop the blood supply comming from the abdominal perforating vessels, making the lipoabdominoplasty the safer tummy tuck procedure and the one that produces better aesthetic results.
The incision is made low on the abdomen, near the pubic region, so that any scarring is hidden by most underwear and bathing suits. For individuals with loose abdominal muscles and minimal skin excess, a “mini lipoabdominoplasty” may be all that is needed. Many patients find this procedure highly beneficial because it results in a shorter scar.
A full lipoabdominoplasty takes between two and a half to four hours depending on the extent of work involved. The first step is to perform liposuction on the abdomen respecting anatomical landmarks. After contouring the abdomen with the liposuction, the incision is mad and the abdominal skin above the umbilicus is lifted. The umbilicus is cut free from this skin and left on its attachment. This is later brought out through a new incision. The abdominal muscles are tightened with sutures to help narrow your waistline. Excess skin and fat are removed and the incision is closed. An abdominal binder or compression garment is placed to support the abdomen and help to decrease swelling during your recovery.
Drain tubes are left in place for approximately one week after surgery. Showering is permitted once the drain tubes have been removed. During your recovery, you will remain somewhat flexed at the waist and the knees to feel comfortable and to minimize tension on your incision. Heavy lifting, aerobic activity, and vigorous exercise should be avoided for at least 2 months. Patients are encouraged to walk around as soon as it feels comfortable, as this will aid in their recovery. The abdomen feels “tight” for several weeks after surgery. Numbness is common in certain areas and may be permanent for some. The scar begins to fade two to three months later and may take one to two years to reach its final appearance. Swelling will resolve within six weeks by 70 percent, and the remainder will be gone after six months.