Significant weight loss or (multiple) pregnancy(ies) might cause the abdominal wall to attain an unaesthetical contour. In most cases, skin elasticity has diminished, so that lipoplasty cannot offer a solution. Often stretch marks become visible, due to tearing of the skin. Furthermore the abdominal muscles have weakened and diastasis occurs between them, which causes the muscles to loose their pull strength.

Procedure

In most cases surgery is performed under general anaesthetic and hospitalisation of two to three days is required. If only a small amount of excess skin is to be removed(mini-abdominoplasty), the operation can be performed under sedation, requiring hospitalisation of two hours. With abdominoplasty, excess skin and fat tissue are removed and the muscles around the middle waist are tightened. The navel will then be reïnserted into place. At the end of the operation, a blood cleansing drain is inserted and the wounds are closed using tissue glue. This glue disappears after ten days. Immediately after surgery, the patient is given a special compressive garment.

Post treatment

For twenty-four hours, patient has to maintain an upright position. After this, drains IV drip and urinary catheter are removed and the patient can start to walk around. Showering is permitted. Patient needs to wear the body day and night for a period of six weeks and may only be taken off to launder it or to wash yourself. The tissue glue disappears after ten days. After that, taking a bath is allowed. During the first month after surgery sporting is not allowed. Weights up to ten kilograms may be lifted. After this period, patient may engage in abdominal muscle training.

With tummy tuck surgery a scar remains visible right above the pubic area. Patient should keep it hydrated for the first month after surgery. As long as the scar keeps its reddish colour, exposure to sunlight must be avoided.

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