Pod Casts
Twitter
LinkedIn
BlogSpot

Abdominoplasty

The skin of the abdomen is stretched by pregnancy or weight gain. Following childbirth or significant weightloss the stretched skin becomes lax and overhangs the pubic area. No amount of diet or exercise can overcome skin laxity, particularly if stretch marks have developed. In this situation, the excess fat and skin must be removed surgically.

Why do patients seek an abdominoplasty?

Patients are embarrassed by appearance of the abdomen when the skin is stretched, overhangs the tops of trousers and skirts, causes a bulge under fitted dresses and is visible above and below bikini bottoms. Patients are also distressed by prominent stretch marks and a stretched bellybutton which they find very unappealing. They are inhibited about wearing swimsuits and bikinis and do not like to take their children swimming or go out on the beach on holiday. These problems can be corrected by an abdominoplasty.

What does an abdominoplasty involve?

The procedure is carried out under general anaesthetic and usually involves two nights in hospital.

Plastic tube drains are inserted under the abdominal skin to remove any excess blood or fluid for the first 24 to 48 hours. These drains are then removed, the patient is able to have a shower and have the dressings changed before being discharged home. An appointment is made for removal of sutures a week following surgery and for a review in two weeks after surgery.

Patients should not be on blood thinning medication such as aspirin or warfarin and ideally should not take nicotine in any form for six weeks before surgery.

What is the normal postoperative course?

The abdomen feels tight for the first few days after the operation and patients are not able to stand fully erect. On the first postoperative day an elasticated abdominal binder is applied to the abdomen for support and gentle mobilisation is begun. By the second postoperative day most patients are mobile and discharged home.

It is advisable to have help around the house and with young children for the first couple of weeks after surgery. At the end of two weeks most patients are able to drive, carry light shopping and prepare light meals. At the end of four weeks patients are expected to be able to return to normal lifestyle including gym, sport and aerobics, providing they have not had tightening of the abdominal muscles or repair of an abdominal hernia at the same time as the abdominoplasty.

How much time do I need off work?

Most people are able to return to work which does not involve heavy lifting in approximately two to three weeks after surgery. It may take up to six weeks for some patients to return to normal work and leisure activities.

What are the complications of this procedure?

A very small percentage of patients who undergo a tummy tuck suffer complications. These may include bleedings, haematoma (blood clot under skin), seroma (fluid collection under skin) and infection. There can be delayed wound healing in the centre of the wound, slight asymmetry in the size and shape of the scar or the position of the bellybutton and a change in sensation over the abdomen.

Back to top

Back to Body Contouring

I am delighted with the results and would do it all again. The nursing team, the anaesthetist and the cosmetic nurse, Kathy Blackmore, were all fantastic. Special thanks to Mr Sood who has made me love my body again!

NB

Diary of an Abdominoplasty with Liposuction to arms, legs and flanks.

“Around 12 years ago, having had three children and putting on weight, I considered having surgery to improve the unsightly, loose and folding skin around my tummy. The tops of my arms, legs, flanks and tummy were fat and disproportionate to the rest of my body. I often had problems fitting comfortably into clothing and couldn’t always buy what I liked.

At the time, I decided against surgery but 12 years later and still very unhappy with my shape I started to re-think having a tummy tuck and liposuction. I began to research the procedure in depth, using governmental websites, surgeons’ personal websites. I also spoke to support and hospital staff. I was looking for a consultant who was well qualified, had lots of experience and could help me manage my psychological and physical concerns.

I had a shortlist of 4 consultants and Mr Sood was the first I met after the gap of 12 years. He addressed all my questions and instilled my husband and me in his ability to meet our needs. My husband and I both agreed that there was no need to contact another consultant.

6th May:

Operation Day: I could not have been more anxious.

Immediately after the operation I felt very drowsy and a little uncomfortable, but nowhere near as bad as I expected. I first saw my new flat tummy and my slimmer arms and legs earlier this evening. I couldn’t believe it was me. Even the pressure garments were lovely.

I was concerned about the re-building of my tummy button but when I saw my tummy button today I was amazed and delighted. It’s so neat and very nearly perfect. You can hardly see the stitching!

8th May:

I returned from hospital today, surprised at the relatively short recovery time from all four procedures.

20th May:

2 weeks after the operation, I’m back to work (although my husband drove). I had lots of nice comments and after just two weeks I feel great. It’s good to get out of the house and buy some new clothes!

6th June:

4 weeks after the operation, I was looking forward to showing Mr Sood how I looked. He advised me further on a couple of points and I was even more pleased that my arms, legs and tummy would look even slimmer as the weeks go on. I asked about occasional mild and sharp pains and he explained that this is where the nerves are repairing.

I cannot thank Mr Sood enough for the skilful body sculpturing he has done for me. Thank you also to his team, who were so well organised and supportive towards me.

My biggest regret is not having it earlier. I’m a confident and gregarious person with no relationship problems and this has still lifted me so much. I can imagine how satisfying it could be to someone with low self-esteem. I look forward to enjoying being almost the shape I was before I had children – it’s also given me all the incentive I need to maintain a good diet and exercise plan – a new shape to enjoy for the rest of my life.”

JC

I first saw my ‘flat tummy’ and slimmer arms and legs early evening today and ‘wow’ I couldn’t believe it was me. Even the pressure garments were lovely.

JC

Sincere thanks go to all patients that grant their permissions for us to display their photographs.


Abdominoplasty (Tummy Tuck)


Abdominoplasty (Tummy Tuck)


Abdominoplasty (Tummy Tuck)


Abdominoplasty Scar (Tummy Tuck

[text here]

[text here]