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Tummy Tuck (Abdominoplasty)
Sometimes
after multiple pregnancies or large weight loss, abdominal muscles
weaken, and skin in the area becomes flaccid. Abdominoplasty can
tighten the abdominal muscles and, in some instances,
improve stretch marks. In men and women who have fat that is concentrated
in the abdomen, but who are otherwise of relatively normal weight,
the procedure will remove excess skin and fat. The surgery will
not eliminate minor wrinkling or take the place of dieting, but
it can improve a loss of skin elasticity in combination with slight
obesity in older individuals. Dr. Swift performs several variations
of this procedure according to the size, shape and skin tone of
the area.
In
a standard abdominoplasty, Dr. Swift works through a low abdominal
incision that spans the hips, and allows access to tighten the abdominal
muscles. Because sagging skin will be pulled down over the abdomen
before it is removed, in most cases it is necessary to release the
navel from its surrounding skin and bring it out through a new skin
opening. Resulting scars across the pubic area and around the navel
are permanent but flatten and lighten in colour over time.
In
some instances when skin laxity and muscle weakness are confined
to the lower part of the abdomen, a modified abdominoplasty may
be performed that limits tissue removal and muscle repair to the
area below the navel. This usually leaves a shorter scar and no
scarring around the navel.
In
cases of good skin tone but bulging abdominal muscles and fat, Dr.
Swift performs the operation through a 1" pubic incision with the
aid of liposuction and endoscopic equipment (camera & monitor).
Regardless
of the technique chosen, the goals are a firmer, flatter abdomen
and a narrower waist. You will be advised to wear a light support
garment for two to three months and cautioned to restrict strenuous
activity for a few weeks to ensure proper and complete healing.
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