A Tummy Tuck (abdominoplasty) is the
surgical procedure performed to improve the shape and contour
of your tummy. The operation is performed to remove excess
skin, unwanted scars, stretch marks, fat and can tighten the
stomach muscles.
Who is suitable for a tummy tuck?
There are a variety of different abdominoplasty
procedures that may be suitable for you depending on your
age and specific circumstances. These include:
Liposuction
Typically,
liposuction
is suitable for patients without stretch marks who have good-quality
elastic skin and whose main problem is an excess of fat. Often
patients have what might be termed a 'pot belly' - a slight
excess of fat in the lower tummy.
Liposuction
involves small incisions, through which excess fat is removed.
The wounds are then closed and some skin shrinking or tightening
can be expected with the use of a compression garment.
Mini-Tummy Tuck
This is performed on slightly older patients
who may have had previous pregnancies (causing the muscles
below the belly button to splay apart), and who have a slight
excess of skin and fat, especially below the belly-button.
A wedge of ellipse of skin and fat is cut from the lower tummy,
leaving a horizontal scar similar to that from a Caesarean
Section.
Liposuction is performed
on the upper tummy and waist and muscles below the belly-button
are tightened. The belly-button itself is stretched slightly
to become more elongated, and generally more appealing.
Classic Tummy Tuck
In patients with a greater degree of slack/excess skin, excess
fat and splaying of the muscles, a classic tummy tuck may be
required (not in women who are planning pregnancy). An incision
is made from hip to hip, around the belly button and a larger
wedge of skin is excised from above the belly button to just above
the pubic hair. Some areas may be treated with liposuction and the
muscles above and below the belly-button are tightened. Although this
operation leaves the biggest scar, it provides the greatest
degree of improvement in shape.
What to expect at the initial consultation?
At the initial consultation your abdomen
will be examined by Mr Gateley to assess skin quality, the
quantity of fat and muscle tone. All aspects of the operation
will be discussed with you and Mr Gateley will assess whether
the treatment is suitable for you and whether the operation
will meet your specific needs.
It is important that you mention to Mr Gateley any previous
abdominal surgery, pregnancies, previous leg or lung blood
clots and whether you smoke. If you are on any long-term medication,
if you have any allergies, if you have a tendency to bleed
or bruise easily, if you have had any previous surgery, if
you had any problems with local or general anaesthesia and
if you have any medical ailments, tell you surgeon.
Where does the treatment take place?
Your operation can take place at either
Parkside Hospital, Wimbledon, St Anthony's Hospital, Cheam
or The London Clinic in Harley Street. You can expect to spend
up to 3 nights in hospital recovering from the operation before
going home.
What can go wrong?
In general, abdominoplasty is safe and
results are entirely predictable, with an associated high-degree
of patient satisfaction. Nevertheless, no surgery is without
risk and Mr Gateley will explain the risks and possible side-effects
of treatment with you at your consultation.
How long does it take to recover?
Recovery can take up to 4 weeks and you
are not advised to return to work during the recovery period.
How satisfied can you expect to be with the procedure?
Mini or Classic tummy Tucks produce excellent results for patients
with weakened abdominal muscles or excess skin and fat. In most
cases, the results are long lasting, especially if you avoid
eight-gain, follow a balanced-diet and exercise regularly. Patients
frequently experience improved self-confidence from an improved
abdominal contour.
Scars are inevitable with this treatment, but with time these
should decrease and appear much less conspicuous.
Mr Gateley can discuss the exact nature of your treatment,
including procedure details, recovery times and any possible
side-effects at a consultation. This will reflect your exact
circumstances and needs. The information included here is
provided for general guidance only.
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