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Liposuction is generally reserved for younger patients with elastic
skin and moderate fatty deposits. In addition, good abdominal
muscle tone is important to ensure a good liposuction result.
Mini-Tummy Tuck:
A mini-tummy tuck is performed when problems of excess
skin and muscle weakness are present (this often
being the case following pregnancy). This operation is generally done under
spinal anaesthetic, as a day case, and initially involves liposuction of the
entire tummy area. Then a variable amount of lower abdominal skin is removed,
exposing the muscles, which are then tightened from the belly button down
towards the pubis. This gives a very favourable contour to the lower abdomen,
and adds longevity to the result. The belly button is not moved in this operation.
Most caesarian section scars are removed , although you will be left with
a lower abdominal scar somewhat longer than a caesarian scar (but this is
well hidden in a bikini)
Full Tummy Tuck:
A full tummy tuck is done when there is muscle weakness
along the full length of the abdomen (from breast bone to
pubis), and there is a significant excess of fat and skin. I usually will
not do liposuction to the abdomen (as this may cause problems with the circulation
to this region) although often do liposuction to the flanks at the same time.
All the skin and fat between the belly button and pubic region is removed,
the muscles are then tightened from breast bone to pubis, and finally the
skin is closed, and belly button repositioned. A long lower abdominal scar
will be present, as will a scar within the belly button. This is a major
operation, done under spinal anaesthesia, and will
require a 2-3 day hospital stay. Complications are fortunately
rare, but can be potentially serious, and so patient selection is important.
Generalised obesity, cigarette smoking, previous venous
thrombosis or poor general health are some contra-indications to a full tummy
tuck.
Summary:
All the above procedures are designed to give the
patient an improved abdominal contour, and greater confidence in clothing
and swim-wear. Good patient and procedure selection, and a thorough understanding
of all the risks and benefits of the various options, should ensure a favourable
outcome.
If you have any questions about this, feel free to email
me
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