Our plastic surgeon can conduct a tummy tuck, or abdominoplasty, to help slim down your waistline and regain a harmonious figure in Barcelona.

Abdominoplasty is a technique of abdominal cosmetic surgery aimed at removing excess skin and fat from the abdomen with, if necessary, the re-tensioning of the abdominal muscle. Also known as tummy tuck or dermolipectomy, this procedure is generally cosmetic in nature, but can also be functional as it can help the patient to regain comfort and muscle repair.

If you are considering cosmetic tummy tuck surgery, do not hesitate to make an appointment with our specialists. Depending on your needs and expectations, they will offer you a suitable solution.

What is a tummy tuck?

Tummy tuck, otherwise known as an abdominoplasty, is a cosmetic or reconstructive surgery of the abdomen which consists in remodelling the abdomen by removing excess fat and skin, but also by restructuring and strengthening the muscles of the abdominal wall.

Aesthetic tummy tuck surgery therefore acts on three levels:

  • Reduction of excess fat in the abdomen
  • Reduction of excess skin
  • Tightening of the rectus muscles

This operation can be completed, if necessary, by abdominal liposuction and/or tightening of the abdominal muscles, particularly in the case of diastasis, hernia or ventration.

Who should undergo tummy tuck surgery?

Performed on both men and women, abdominoplasty is recommended in cases of :

  • Significant muscular loosening
  • Significant weight loss
  • Successive pregnancies
  • Significant skin lesions (scars, loss of tone and elasticity, significant stretch marks, skin distension, etc.)
  • After-effects of surgical interventions
  • Poor body image

However, it should be noted that abdominoplasty is not a solution for losing weight, it is a surgical technique that allows the stomach to be reshaped, ideally after a well managed diet.

If you wish to lose weight, do not hesitate to contact our nutritionist for personalised support.

Tummy tuck

What are the different tummy tuck procedures?

The initial examination, and clinical diagnosis, will allow the plastic surgeon to best develop the intervention strategy. Depending on the patient's needs, they will normally choose one of these three techniques:

Isolated abdominal liposuction

This technique is particularly interesting for young patients who still have good muscle tone in the stomach area.

Liposuction of the abdomen consists in aspirating the fatty masses located in the abdomen. This technique is sometimes used as a complement to an abdominoplasty.

Mini-abdominoplasty

When the excess skin (and possibly fat) is located on the lower part of the abdomen, it is possible to perform a mini-abdominoplasty. This is a lighter procedure than a tummy tuck but it does not treat the diastasis.

This procedure consists of tightening the skin of the abdomen and possibly the abdominal muscles.

Complete abdominoplasty

Abdominoplasty is the most complete abdominal surgery. It consists of removing a portion of skin located between the umbilicus and the pubis and tightening the skin.

During this surgery, excess fat can be removed by liposuction and distended muscles can be tightened. An umbilical transposition (repositioning of the navel) may also be indicated.

At the end of the operation, a shaping dressing is made and a support sheath is put in place.

How is a cosmetic abdominoplasty performed?

The preliminary consultation

The first meeting with the surgeon will allow you to learn more about the operation, its advantages, its risks and, above all, to get to know the person who will operate on you.

On the doctor's side, this consultation will allow them to understand the patient's expectations and motivations, to know the patient's medical history and to ensure that there are no contraindications with the operation, from a medical but also psychological point of view.

Depending on your needs and expectations, a personalised treatment plan will be proposed.

The operation

Abdominoplasty generally requires a 24-hour hospital stay. You must fast for at least 6 hours before the operation.

The operation itself is performed under general anaesthesia and lasts between one and two and a half hours, depending on the size of the deformity and the work to be done.

At the end of the operation, the surgeon places drains (silicone drainage without any suction and painless on removal) and a compression bandage which will be removed before discharge the day after the operation.

Dressings will still be necessary for 8 to 10 days. Your doctor will also give you information on the post-operative follow-up to be expected.

What are the after-effects of an abdominoplasty?

Hospitalization for a complete abdominoplasty lasts 2 days on average.

After the operation, a drainage system is usually put in place to reduce the risk of haematoma. A girdle is also provided and must be worn day and night for 2 to 4 weeks after the abdominoplasty.

Showers are forbidden until the bandage is removed, baths, swimming and jacuzzi are forbidden for 4 weeks. Physical activity is also not recommended for several weeks.

To control pain, painkillers and anti-inflammatories are given during hospitalisation and are prescribed for the return home.

An appointment with the surgeon is planned to check the scars after the operation.

Tummy tuck: our responses to your most frequently asked questions

In the majority of cases, the procedure itself is not painful due to the use of anaesthesia. In addition, if you feel any discomfort after the procedure, you will receive pain relief.
As with any surgical procedure, there is no such thing as zero risk. Some complications may occur after the operation:
  • A hematoma,
  • An infection,
  • An effusion related to lymph flow and fat seepage,
  • Skin necrosis (especially in cases of diabetes and smoking),
  • Changes in the sensitivity of the abdominal wall,
  • Thromboembolic events such as phlebitis or pulmonary embolism (rare).
It is quite possible to become pregnant after an abdominoplasty. However, it is advisable to wait between 6 months and 1 year after the operation.
Generally, it is estimated that your weight should be around the number of centimetres above the patient's height. For example, for an adult who is 1.65m tall, the ideal weight before a tummy tuck should be 65kg (or less).
It is advisable to wait until at least 18 years of age (at the end of the growth period) before considering any procedure, but not after the age of 60.

 

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Dr. Lloyd Nanhekhan

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