Cape Town Plastic Surgeon
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Abdominal Contouring Surgeries


This covers a spectrum of surgeries ranging from liposuction only, to liposuction + mini tummy-tuck, to full tummy tuck / abdominoplasty. These procedures are customised to address specific problems of abdominal contour, and will deal specifically with combinations of excess skin, fatty deposits and muscle weakness.







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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COSMETIC SURGERY
Cape Town, South Africa

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