Abdominoplasty (Tummy Tuck)
You’re not alone; abdominoplasty has become one of our most commonly requested plastic surgery procedures.
What is abdominoplasty?
More commonly called a tummy tuck, it is a surgical procedure which removes excess skin and fat from the middle and lower abdomen, and tightens the abdominal muscle wall and connective tissues, to create a firmer, flatter abdomen and slimmer waist. To get the best possible results we routinely include hips liposuction as a complimentary procedure to abdominoplasty to recontour and reshape the entire abdomen, flank, waist and any ‘love handles’.
How we feel about our bodies can have a huge impact on our general wellbeing, and disliking our own body can have a negative impact on our relationships with other people. Many patients come to our Sydney plastic surgeon Dr Barnouti for a tummy tuck because they want to wear a wider variety of clothing and improve their personal body image.
Extra skin, fat and weak muscles around the abdomen can be naturally caused by pregnancy, old age or even relatively minor weight gain which proves resistant to an improved diet and exercise. As we age fat is often redistributed to our hips and abdomen, a phenomenon that may be hard to shift through exercise and diet alone. These areas are known as “stubborn fat areas”
The procedure is very popular these days and is now commonly requested in all our Sydney clinics.
Why go to Dr. Barnouti?
Our qualified and experienced Specialist plastic surgeon Dr. Barnouti offers world-leading expertise and professional competence, along with the latest techniques in abdominoplasty.
At our Sydney plastic surgery, Dr Barnouti routinely combines the abdominoplasty procedure with waistline, love handle and/or abdomen liposuction at no extra cost to get the results you expect.
What happens during my consultation?
Dr. Barnouti will take your full medical history, examine you and discuss your goals and requirements in detail to see if you are a suitable candidate for surgery.
Your medical history is very important, including previous pregnancies and their effects on the abdomen, previous surgical procedures (including laparoscopic procedures), your history of weight gain and loss, any future plans for pregnancy and any history of medical problems such as diabetes. Smokers are advised to stop smoking two weeks before the surgery to encourage overall wellbeing. All these things will be noted and discussed during your consultation.
A physical examination will take place to assess existing scars, abdominal hernias, strength of the abdominal wall, abdominal wall rectus muscle separation (also known as divarication of recti) and the amount, quality, and elasticity of the abdominal wall skin.
Understanding the patient’s aesthetic goals before performing the procedure is critical, and you will be able to discuss these with Dr. Barnouti along with technical considerations for abdominoplasty including contour corrections and the positioning of scars for minimal visibility after the surgery.
The tummy tuck scar will vary depending on how tight the closure is and your natural healing abilities. Dr. Barnouti pays exceptional attention to place the scar as low as possible in the pubic area so it gets hidden under your clothing. He will also implements techniques to improve on the quality of scaring and minimise it, such as progressive tension and SFS (superficial facial system) techniques. For most patients, once fully healed the scar look like a fine white line.
If appropriate Dr. Barnouti will discuss the option of a body lift which lengthens the abdominoplasty operation around the sides and back of your body to achieve reduction of excess tissue around the hips and back. The body lift is a significant operation used for total body lift and contouring. It involves longer recovery times and must be approached with special consideration for patient safety. Dr. Barnouti will explain this in more detail during your abdominoplasty consultation if appropriate.
Finally, Dr Barnouti will explain whether a full tummy tuck, a mini tummy tuck or full body lift is the best solution for you. He will also advise you on what results you can expect
What happens during surgery?
Full abdominoplasty – routinely accompanied by liposuction
Dr. Barnouti will make a long incision across the abdomen, running from hip bone to hip bone and within the pubic area. This is normally done so that the future scar will be covered by swimwear or underwear and you will be asked to wear your usual underwear so Dr Barnouti can get the scar in the right place.
If required a second round incision is then created around the umbilicus (tummy button), to free the navel from its surrounding tissue.
Next Dr Barnouti will separate the skin from the abdominal wall right up to the ribcage and pull back the resulting flap to show the vertical muscles in the abdomen. These muscles will be tightened by drawing them in together and stitching them into position. The skin flap is then stretched back down and the excess skin is removed.
Finally, the incisions will be stitched together and dressings applied. If there is any excess fluid a tube may be used to drain it off.
The procedure takes three hours and requires a one or two-day hospital stay.
Mini abdominoplasty – routinely accompanied by liposuction
If you are suitable for a mini abdominoplasty or mini tummy tuck, the skin is separated only as far as the navel rather than up to the ribcage, the incision is much shorter and it may not even be necessary to move the navel at all. You may also go home the same day of surgery.
What special care will I need after surgery?
After abdominoplasty, a special compression bandage must be worn for four to six weeks.
Draining tubes, if used, are usually removed within 48 hours of the procedure.
Stitches are dissolvable but the wound will need to be checked sometime between one and two weeks after surgery.
The bruising generally takes two or three weeks to subside.
How soon can I go back to work and resume my normal activities?
Full Abdominoplasty is a major operation and you will need to rest for three to five days. However, you will be able to walk straight after the procedure and are encouraged to do so as much as possible.
You will be able to return to work two weeks after surgery if your job is not physically demanding. You will be able to return to all your normal activities including physical exercise after four to six weeks.
After a mini abdominoplasty, you will be able to walk immediately after surgery but you will need to rest for one to three days. For three weeks, you must engage in only light activities. You can expect to get back to all your normal activities three weeks after your mini tummy tuck.
What results can I expect?
To get an idea of possible results please visit our abdominoplasty gallery.
Dr Barnouti will advise you on the best approach and expected outcome for your tummy tuck or abdominoplasty during your initial consultation at one of his three Sydney clinics.
Contact us today to book your consultation and get a clear idea of the expected results and costs.
How much does abdominoplasty cost?
|Full Abdominoplasty||$7,900||Includes surgeon fee, assistant surgeon fee, anaesthetist fee, hospital, operating theatre and all follow up visits.|
This cost assumes hospital cover with a private fund. The medical item number for the procedure is 30177. If fund cover does not apply in your situation, plan for additional costs of $5,800.
|Lower or Mini Abdominoplasty||$7,900||Includes surgeon fee, assistant surgeon fee, anaesthetist fee, hospital, operating theatre and all follow up visits. This price assumes hospital cover with a private fund. If fund cover does not apply in your situation, plan for additional costs of $3,000.|
To find out more about getting abdominoplasty:
Book a consultation with Dr Barnouti who will advise you on the best approach and expected outcome during your initial consultation at one of his three Sydney clinics.
Book online or call us on free phone 1300 002 006 if you’re outside Sydney or 02 9561 0222 if you’re in the Sydney area.
We look forward to meeting you and to helping you.