WHEN DO YOU TUCK THE MUSCLE?
As explained according to normal anatomy of human body, there are two vertical muscle in front of the abdomen. These muscles create six pack when developed well. There is a fine line called linea alba in between these muscles. When any natural change occurs like pregnancy and major weight gain, the wall of abdomen stretches and in some women or patients this fine line linea alba does not return to normal and this is called Diastasis Recti. An Abdominoplasty is done to repair Diastasis Recti, where the loose abdominal wall is tucked in by suturing the muscle edges. To create further tightening and shaping of muscles, sutured can be placed on other portions of the abdominal wall.
This procedure has two components; one is the muscle, front portion of which can be felt when you pinch the skin and fat of your abdomen with your fingertip. The other component is the skin and fat, above muscle beneath the skin. The fat can be felt when you pinch your abdomen in the way of handles, hence called “pinchable fat”. Skin-only Abdominoplasty is done when only the loose skin is removed without tightening the underlying muscle.
While tightening the underlying muscle is really beneficial to some patients, it can also cause soreness firing recovery. The people with abdominal wall laxity and muscle weakness are good candidates for muscle tightening during Abdominoplasty. Suturing of muscles is not done for the pateint whose primary complaint is loose skin and fat. Some such patients complain of lower back pain during the recovery period of six days when they are asked to walk bent over.
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ABOUT YOUR TUMMY TUCK PROCEDUREThe word “tuck” here means removing excess of loose skin. The word “tuck” is exactly used for those procedures only. For improving the look of significantly loose skin in abdominal area, abdominoplasty is currently of the effective options. It is also called famously as “Tummy Tuck” and because the skin is ‘ tucked’, abdominoplasty leaves with scars in lower abdomen which are usually hard to spot as it can hide under the bathing suit or underwear. The procedure is done to improve the contourandu flatten abdomen which is not responding to regular exercise and diet. It tightens sagging skin, repair abdominal muscles and removes excess fat and skin.
WHO IS A GOOD CANDIDATE FOR
The people with good elasticity, for whom the skin is expected to bounce back after Abdominoplasty are the good candidates. Although elasticity itself is governed by many factors such as age, genetics, history of pregnancies, history of smoking, significant weight fluctuations etc. Contribute to elasticity on a big scale. Usually younger individuals have great elasticity and hence be a good candidate for it. Mostly the candidates are people who have experienced change in abdominal skin due to pregnancy, effect of gravity and fluctuations in weight and age.
Generally, tummy tuck candidates are:
FULL VS. MINI ABDOMINOPLASTY
The difference between ‘mini’ and ‘full’ is related to the amount of loose skin which needs to be removed.
The skin around the tummy area is divided anatomically into two, one which lies above the level of belly button (umbilicus) and the other part which lies below it. Usually the part of skin lower to the level of umbilicus is the problem seeking area for most of the women’s.
Looseness of skin above the level of umbilicus is usually the concern of older patients. If that is the concern area of patient complaining, the skin is pulled down and tucked at the level of umbilicus by making a scar around and without lowering the umbilicus at the same time. A FULL Abdominoplasty is done to tighten the upper and lower abdominal skin.
When only skin below the level of umbilicus is removed, there is no need of scar around the umbilicus and the scar made is shorter in length and also depends on the amount of skin to be removed. Typical cases usually have a woman in her mid-30s with loose skin in lower abdomen who has had a c-section.
The appropriate type of abdominoplasty is decided after a consultation meet up.
RISKS RELATED TO SMOKING IN TUMMY TUCK SURGERY
Abdominoplasty is not usually performed on people who actively smoke. It is advised to a patient to stop smoking for at least 6 weeks to reduce the risks related to smoking in abdominoplasty.
The risks related are necrosis of skin, which means that the skin does not survive and it happens due to disturbance of blood flow in the skin which is caused due to smoking one cigarette only. Patient thus can experience poor scarring and an open wound.
OTHER RISKS RELATED TO TUMMY TUCK SURGERY
There are many other complications related to abdominoplasty except the ones related to cosmetic plastic surgery procedures. Occurrence of complications is noted highly in people who undergo abdominoplasty along with other cosmetic procedure. Diabetes is also one of the major risk factor except smoking which can cause complications after post-surgery.
Four percent of patients going under the abdominoplasty procedure face the complications. According to a study the practice is this procedure boosted between 2008 to 2013 and around 25,000 Abdominoplasties are performed.
Ninety-seven percent of patient were women who had abdominoplasties done, the average age of these women is 42 years. Among this percentage, sixty-seven percent patients underwent Abdominoplasty along with other cosmetic surgery procedure.
The risks related are:
TUMMY TUCK SCARSLong scar is necessarily there in full abdominoplasty as a large area of skin is removed. One should know how to differentiate between a long scar and a wide scar. When the tissue is crimped and excess of skin is pulled, it is very disturbing for the body and thus produces scars. The efficient doctors usually have evolved and tried to achieve and complete the procedure leaving smallest of scars.
CARE AND DOWNTIMETummy tuck or Abdominoplasty is one crucial process after which the the area treated is advised to be kept under minimal tension for several days after the operation. That is why the Abdominoplasty patients are advised to bend over whenever they are in upright posture for first 5-7 days. For patients safety and comfort they are usually advised to stay overnight after the surgery in the clinic only for better supervision. The patients is provided with food,blanket,medication and fluid. Most patients report of soreness and feeling tight after first day or two of tummy tuck. For good and proper healing, short walks are encouraged which also promotes good circulation. Various things are administered by the nursing staff such as blood pressure, discomfort due to medications, proper sleeping position etc. The patients are instructed well after the surgery about how to take care of themselves at home. The patient must refrain straining, bending or lifting during their initial days after surgery. They should take oral medication as needed to cure discomfort and take rest as much as possible. They can return to work after 2 weeks and exercise after 6-8 weeks. Healthy diet and regular exercise help to last tummy tuck results for many years to come.
Can Other Procedures be combined with tummy tuck?
Depending on specific patient goals, body type, and operating times; other procedures are frequently combined with a Tummy tuck. To enhance the contours during tummy tuck, liposuction of the flanks and thighs are commonly performed. Breast implants may be performed together as well depending on the extent of the tummy tuck. Some patients choose to have their tummy tuck combined with a hernia repair or gynecologic surgery.
How much does it costs?
The average tummy tuck costs in Mumbai around 1,40,000 to 2,00,000 rupees based on reviews, but the price can vary widely. Many factors affect cost, including the method used, the experience level of the surgeon, the geographic location where the procedure is performed, and any additional costs associated with surgical, operating room, anesthesia, or post-op appointments.
Price should not be the primary factor in choosing your doctor or method, as with any cosmetic surgery.
How do I choose a surgeon?
The most important factor in choosing a doctor is experience, as with any elective procedure. You want to look for a board-certified plastic surgeon who performs the procedure frequently and has proven safe results is the one who can assure you with best results.
We also recommend multiple consultations before selecting a surgeon. Tummy tuck in Mumbai is very renowned for its result. One should discuss about the expecting result during consultation. It’s important to invest time in the beginning to ensure a great outcome.
Is it right for me?
A tummy tuck repairs muscles and removes excess skin, revealing a stomach that is smoother and firmer. But it isn’t a replacement for exercise, a healthy diet, or a weight loss solution.
Tummy tuck surgery may be appropriate for you if:
You are physically healthy and at a stable weight
You have realistic expectations
You have loose or droopy skin around your stomach
You have excess stomach fat that hasn’t responded to diet or exercise
Good tummy tuck candidates are close to a maintainable weight for their body and lifestyle, preferably with a BMI of 30 or less