Abdominoplasty or "Tummy Tuck" is designed to remove the excess sagging skin of the abdomen and at the same time, tighten the abdominal wall muscles to restore the tone lost during pregnancy. This operation is helpful if you have relaxed loose abdominal skin following pregnancies or after losing excessive amount of weight by dieting. If you have a combination of excessive fat and loose skin, liposuction and skin resection can be done at the same time.
The procedure is usually done as day care but inpatient admission may be required for a day or two in selected cases. The procedure is performed under general anaesthesia. The amount of lax skin of the abdomen to be excised is pre-marked on the day of surgery.
The skin is separated and lifted from the abdominal muscles all the way to rib cage. During this process of lifting the abdominal skin from the muscles, the umbilicus is separated on it's stalk from the surrounding skin. The lax muscle is approximated in midline by plication using non absorbable suture. With the hips flexed the upper abdominal skin flap is then pulled downwards and then anchored to the lower flap with key sutures. A small hole is made in the skin overlying the umbilicus, which is then brought out through the hole and sutured all around. Two drains are placed on either side of the incision and the skin sutured in layers. Sutured incision is draped with plasters to keep the skin tight. These plasters are removed during the first post operative visit after two days.
You are expected to be available for follow up for two weeks and could resume social activities after three weeks.