As discussed in Liposuction , the body is a muscle frame work covered by skin. Between the skin and muscle there is a layer of fat. Conditions that respond to body cosmetic surgery may include; excess fat which may be hereditary or dietary, excess skin that may be post child birth, post weight loss, and lack of muscle mass. Patients who have excess fat are ideally treated with a closed liposuction technique which is designed to remove excess fat between the skin and the muscle, in virtually any area of the body. However, some conditions might require “open surgery” to remove excess skin. This procedure is called an abdominoplasty, or tummy tuck.
Abdominoplasty, or a tummy tuck, is a surgical procedure designed to improve the abdomen by tightening the muscles of the abdominal wall and removing excess skin and fat. Tummy tucks can dramatically reduce the appearance of a protruding abdomen. Men and women alike can enjoy the benefit of a tummy tuck. The procedure may somewhat improve the appearance of stretch marks, especially those located below the navel.
Generally, a horizontal incision is placed just within or above the pubic area. The length of the incision, which extends laterally toward the pelvic bones, depends on the amount of skin to be removed. In some cases, some patients have loose skin above the navel. This requires a second incision around the navel so that the redundant skin above it can be pulled down. The excess abdominal skin is then removed. The position of the navel remains unchanged. Some patients qualify for a “mini” tummy tuck if most of their excess skin or fat is carried below their navel. This is considered a less complex procedure. Skin of the lower abdomen that contains stretch marks may be removed as well. Any remaining stretch marks may be somewhat flattened and improved, but you should not expect a dramatic change in their appearance.
Abdominoplasty is performed on an outpatient basis under very safe anesthesia. It is important to realize that the amount of time it takes for recovery varies greatly among individuals. Depending on the extent of your abdominoplasty and your general physical condition. All sutures are removed one week after surgery.
Abdominoplasty generally is not covered by insurance, unless muscle weaknesses are repaired. Many factors determine your eligibility for coverage, including the specific terms of your insurance policy. A letter of predetermination may be required by your insurance company prior to surgery. Your plastic surgeon or a staff member in your surgeon's office will discuss these matters with you.