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Tummy Tuck (Abdominoplasty) in Hull, York, Grimsby, Lincoln & London

Introduction

Tummy tuck is carried out to remove excess skin, unwanted scars, stretch marks and fat, and to tighten the stomach muscles. There are different types of operations and these can be tailored to suit your body shape, wishes and needs and maybe combined with liposuction. The ideal patient is someone whose weight is normal, particularly those who have been overweight and have lost the excess weight. Tummy tuck surgery is one of the most rewarding to both patient and surgeon and helps people achieve slimmer overall physique.

Procedure

In our practice the operation is performed under general anaesthetic (GA), and takes two to three hours and drainage tubes are placed under the skin to collect any excess fluids and are removed after about forty-eight hours, dressings are left for 10-14 days and a compression garment maybe suggested for up to three weeks. Abdominal discomfort and tightness may occur after surgery, but can be controlled with painkillers while swelling and bruising but will usually resolve in four to eight weeks. Numbness is also known to occur in the lower abdomen, but sensation should return over time.

Types

There are different types of Tummy tuck surgery, after examining you we will explain the suitable procedures to help you choose a tailored procedure to meet your specific need.

In Standard Abdominoplasty, the excess skin and fat of the abdominal wall between the pubic area and the umbilicus (navel) is removed leaving the umbilicus in place. The skin of the abdominal wall at the level of the umbilicus is then drawn down to suture it to at the pubic level. You will then have a curved scar across the lower part of your abdomen at the level of the pubic hair and a smaller scar around your belly button. We repair any looseness of the muscles of the abdominal wall or hernia is repaired at the same time.

For Mini-abdominoplasty surplus skin below the umbilicus is removed leaving you with a smaller scar at the level of the pubic hair.

With Extended abdominoplasty surplus skin and fat of the loins and back are also removed so that the scar extends around the flanks onto your lower back.

In Fleur-de-lys abdominoplasty, we combine the standard abdominoplasty with further transverse tissue excision to tighten your abdomen. It is a more complex surgery and is indicated in those patients with a lot of vertical skin excess / folds. This leaves a scar with of transverse and midline component. Complications are slightly more prevalent with this method.

Outcome

Patient satisfaction rate is relatively high with tummy tuck; however the level of satisfaction depends on a number of factors particularly having a realistic expectation of what surgery can. The greater the amount of excised tissue, the better the overall improvement from surgery but smaller and slimmer patients will generally achieve a better shape following surgery. Swelling above the scar is usual and this swelling settles within a few months.

Surgical risks are greater with patients who smoke or those who are overweight including wound infection and delayed healing. Secondary procedures are sometimes carried out to tidy up the results and may involve scar revision and liposuction.

Complications

Complications do occur 8-12% of patients after this operation, although mostly minor, approximately 5-8% of patients may require revision surgery to further improve their result.

  • Wound infection may occur but often settles with antibiotics prescription.
  • Delayed wound healing where it takes more than four weeks to heal especially near the midline can occur.
  • Bleeding post-operatively rarely occurs and may require re-exploration.
  • Fluid collection above the scar (seroma / haematoma) is not uncommon and is usually treated by repeated needle aspirations until it settles.
  • Skin and fat necrosis may manifest as delayed healing and may require additional surgery to speed the healing process.
  • Prominent (hypertrophic) scars occur in about 5% of patients and wound healing and scar quality varies between individuals.
  • Numbness of the abdomen, usually temporary but could be permanent.
  • Belly button loss is a possible but fortunately rare (<1%) occurrence.
  • Residual excess flank skin ('dog ears') or prominent side and central bulges may later require minor revision surgery or liposuction.
  • Over / Under correction is a subjective judgement and is often largely dependent on the inherent patient expectation.
  • Recurrence of tissue excess may occur over months or years especially following weight changes or pregnancy.
  • Asymmetry including displacement of the umbilicus to one side maybe seen and if significant, can be improved with remedial surgery.
  • Deep vein thrombosis and pulmonary embolus are rare complications of any operation including this one.
  • Anaesthetic complications are rare but the Anaesthetist will discuss these with you.
  • The above are the more common complications but the list is not exhaustive. We will willingly address further questions you may have.

Contact Us

If you require further information about any of our procedures, you can speak to a plastic surgeon:

Hull 01482 223 553
York 01904 820 449
Lincoln 01522 899 808
London 020 7205 4448

Procedure

OPERATION TIME
2 - 3 Hours

ANAESTHESIA TYPE
General (asleep)

LENGTH OF ADMISSION
1 - 3 Days

RECOVERY
2 - 4 Weeks

TYPES
Standard
Mini
Extended
Fleur-de-lys

Post-Op &
Discharge
  • Analgesics (for pain control)
  • Garments (for comfort & support)
  • Dressing Check: 10-14 days
  • Recovery & Work: 3-4 weeks