Abdominoplasty (Tummy Tuck)
An abdominoplasty, also known as a tummy tuck, removes excess skin and tightens up the underlying muscle, giving you a flatter, firmer, tighter stomach and a thinner waist. Georgia Plastic Surgery offers abdominoplasty in the Atlanta area, including full tummy tuck, mini-tummy tuck, and multiple torso contouring procedures for massive weight loss patients (fleur-de-lys, belt lipectomy and lower body lift).
During your consultation, Dr. Lincenberg will determine what kind of work should be done on three layers of tissue—the skin, the fat and the muscle. Traditional tummy tucks work on all of these layers, but the newer techniques of liposuction, ultrasonic liposuction and endoscopy allow for a truly customized approach to abdominal contouring. Dr. Lincenberg will recommend a custom-designed approach for you.
The Tummy Tuck Procedure
The most common method of tummy tuck is making an incision across the lower abdomen, a little above the pubic area, and beneath the bikini line. An incision is also made around the belly button to free it from the surrounding skin. The skin is separated from the abdominal wall and raised up away from the muscles all the way to the rib cage. Next, the loose tissue from the left and right of the abdomen is pulled together, toward the center and sutured together. This tightens muscles, provides a stronger abdominal wall and makes the waist smaller. The skin is then lowered and the excess is removed. A new opening is made for the belly button at the proper position.
Belt lipectomy, or lower body lift, offers a dramatic transformation of the mid and lower body. It resculpts the abdomen, hips, outer thighs and buttocks. The body lift procedure is performed on post-bariatric patients, and occasionally for patients who have not had large weight loss. While the body lift transforms patients who have excess skin after experiencing massive weight loss, results are just as dramatic in patients who want to reshape the lower body. Belt lipectomy can be done in one surgical session, or in stages, depending on the patient’s needs
Types of Tummy Tucks
There are several types of tummy tucks. Dr. Lincenberg will help you determine which one is the best fit for your needs. These procedures include:
- The Standard Tummy Tuck – This procedure uses four techniques: the loose skin is removed, the fat layer is thinned using advanced liposuction devices, the muscles are stitched together to restore flatness and strength, and the belly button is reshaped. Dr. Lincenberg will customize the combination of these techniques to each patient.
- The Core Tummy Tuck – Also known as an augmentation abdominoplasty, this procedure uses a natural silk band to strengthen the fascia connections between core muscles, restoring flatness and strength to the area. The band will disappear on its own in about two years.
- The Fleur-de-Lys Tummy Tuck – This procedure is similar to a standard tummy tuck with the addition of extra skin removal around the waist.
The recovery from an abdominoplasty takes place in three phases:
- First Phase – This phase begins immediately following surgery. Muscles will be weak, but you will be encourage to walk leaning forward.
- Second Phase – Known as the collagen construction period, this phase lasts about four weeks. It is characterized by less pain. Chaning positions will still be painful, and your full strength will not have returned. You can resume some light tasks and return to office-type work in about 10 days. After the full four weeks, you will be able to resume normal exercise, sports, and strenuous labor.
- Third Phase – The final phase of recovery lasts up to one year. During this time, the core strengthens and swelling resolves.
Want to Learn More?
For more information, view Dr. Lincenberg's video series on tummy tucks.