Tummy tuck

What is it and how is it done?

The correction of the abdomen, includes a set of surgical techniques aimed at restoring not only a youthful appearance, but also a healthier condition, since the strengthening of the abdominal wall, permanently favors both the body posture especially standing, the transit intestinal, as in the end the respiratory function. Although abdominal repair depends on the needs of each particular case, according to a classification established in the initial consultation, basically it is obtained by reinforcing sheaths that include even straight oblique abdominal muscles, allowing the reduction of waist perimeters and abdominal capacity. When hernias or eventrations are associated, they are also corrected. Consecutive skin and adipose surpluses are discarded ( dermolipectomy ), to continue with the definitive formation of the new navel. In indicated cases, it is associated with liposculpture that allows to significantly improve the results, harmonizing fatty content of the upper abdomen and flanks, with lower belly. The reasons for doing so include restoring the body contour, mainly of the abdomen but also when deemed necessary, of adjacent areas such as flanks and pubes.

What are the requirements for this improvement?

The main benefit is obtained in people who have suffered abdominal wall relaxation as a result of permanent distention due to overweight and subsequent thinning, and also due to pregnancy with diastasis or separation of straight muscles from the midline or dawn, in addition to weakening due to the course of age, associated or not with hernias and eventrations. Other possible benefits are, elimination of undesirable scars from previous surgeries such as appendectomies, vertical caesarean sections, stretch marks due to rupture of the fibro- elastic framework in the lower abdominal portion, and areas of permanent irritation due to intertrigos, since the presence of cutaneous folds favors a proclive moisture status to fungal overinfection . The right candidates maintain their weight through exercise and nutrition appropriate to their personal characteristics. Other candidates have previously obtained a drastic and stable weight reduction from bariatric surgery, being able to correct their deformities and alleviate problems of daily life as clothing or social relationship.

Ways to perform a tummy tuck

We always do it in the operating room of an approved hospital. When it is complete or extended, usually under general anesthesia, while in more limited procedures such as mini-tummy tuck or revision techniques, it can be under local anesthesia and sedoanalgesia , even epidural depending on each case. The shape of the lower belly incision depends on bone projections and presence of scars from previous surgeries. It can take semilunar form, seagull wings, or transverse, even superimposed on transverse cesarean scars, whenever possible. Sometimes, a minor incision hidden in the navel. The rest of the technique is very variable, extended that implies wide access to costal margins, or on the contrary minimal confined to tissues below the navel, or pendulous portion of the abdomen. When the musculature participates in the abdominal deformity, the muscular-fascial structures are reapproximated towards the midline with sutures ( fasciorrhaphy ). Then, surplus soft tissue is removed in the “ lifting ” or dermolipectomy mode . Before tissue closure, if necessary, we identify the new umbilical emergency ( umbilicoplasty ), adopting more appropriate morphology.