Dr. Rosalia Luketina
Specialist in Plastic and Aesthetic Surgery
Waaggasse 5
8001 Zürich
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Abdominoplast
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Schedule appointmentAbdominoplasty (tummy tuck) is a surgical procedure that aims to improve the appearance of the abdomen by removing excess skin and fat and tightening the underlying muscles. This procedure can offer significant benefits in terms of body contour, self-esteem, and overall quality of life. In this article, we will explain the different types of tummy tucks, the reasons for the procedure, and important considerations before surgery.
Dr. Rosalia LuketinaTypes of abdominoplasty
Traditional tummy tuck (full abdominoplasty):
This procedure treats the entire abdominal area, removing excess skin and fat and tightening the abdominal muscles. It is suitable for people with significant skin laxity and muscle separation.
Mini tummy tuck (mini abdominoplasty):
This less invasive procedure focuses on the lower abdomen, below the belly button, and is best suited for individuals with mild to moderate skin excess and minimal muscle separation.
Extended abdominoplasty:
An extended tummy tuck treats the abdomen and flanks to achieve more comprehensive contouring. This procedure is often recommended for individuals who have experienced significant weight loss.
Circumferential body lift:
This procedure combines a traditional tummy tuck with a buttock and thigh lift to remove excess skin and fat from the entire lower torso.
Fleur-de-lis abdominoplasty:
This technique involves making a vertical and a horizontal incision, resulting in a T-shaped scar. It is suitable for patients with significant excess skin in both the vertical and horizontal dimensions, often due to massive weight loss.
Rectus diastasis, also known as diastasis recti or recti diastasis, is a condition that occurs when the two large parallel muscles in front of the abdominal wall, known as the rectus abdominis muscles, separate more than they should. This separation creates a gap between the muscles and most commonly occurs in pregnant women and individuals who have experienced significant stretching or strain of the abdominal muscles.
The medical procedure to correct rectus diastasis is called “abdominal muscle repair” or “diastasis recti repair.” It is a surgical procedure to bring the separated rectus abdominis muscles back together and strengthen the abdominal wall.
Duration: from 3 hours
Hospitalization: no
Downtime: 2-4 weeks
Reasons for a tummy tuck
Weight loss:
A tummy tuck can remove excess skin and fat left behind after significant weight loss, improving body contour and comfort.
Changes after pregnancy:
Pregnancy can lead to stretched skin, separated abdominal muscles (diastasis recti), and stubborn fat deposits. A tummy tuck can help restore your pre-pregnancy appearance.
Aging:
With age, skin elasticity decreases and fat distribution can change, resulting in a less firm and contoured abdomen. A tummy tuck can help counteract these changes.
Genetic predisposition:
Some people have a genetic predisposition to excess abdominal fat or sagging skin, which can be treated with a tummy tuck.
Determining suitability for a tummy tuck
Age and general health:
Candidates for a tummy tuck should be in good health and preferably non-smokers, as smoking can increase the risk of complications.
Realistic expectations:
It is important to be aware of the possible results and limitations of a tummy tuck in order to be satisfied with the outcome.
Stable weight:
Candidates should have reached their ideal weight, as significant weight fluctuations can affect the outcome of the procedure.
Non-smoker status:
Smoking can negatively affect wound healing and increase the risk of complications. It is recommended to quit smoking before the operation and during the recovery period.
Overview of surgical techniques
Traditional abdominoplasty:
This technique involves making a horizontal incision from hip to hip, just above the pubic area, and another incision around the navel. Excess skin and fat are removed, and the abdominal muscles are tightened before the incisions are closed.
Mini-abdominoplasty:
Similar to traditional abdominoplasty, a smaller horizontal incision is made, but it is concentrated only on the lower abdomen. The skin is tightened and excess fat is removed, with minimal tightening of the muscles.
Flankplasty:
In addition to the horizontal incisions of a traditional tummy tuck, an extended tummy tuck also involves incisions in the flanks, allowing for more comprehensive contouring.
Circumferential abdominoplasty:
This procedure involves a horizontal incision that extends around the entire lower torso. Excess skin and fat are removed, and the remaining skin is tightened to achieve a more contoured appearance.
Fleur-de-lis abdominoplasty:
In addition to the horizontal incision, a vertical incision is made from the lower sternum to the pubic area. This allows for the removal of excess skin in both the vertical and horizontal directions.
What to expect...
Consultation process
A thorough consultation with a qualified surgeon such as Dr. Rosalia Luketina is essential to determine the appropriate procedure(s) and to address any concerns or questions.
Costs and insurance coverage
A tummy tuck is often considered a cosmetic procedure and may not be covered by insurance. Discuss the costs and payment options during the consultation.
Preparing for surgery
Follow your surgeon's preoperative instructions, which may include lifestyle changes, medication adjustments, and laboratory tests.
Liposuction
A tummy tuck can be combined with liposuction to further refine the body contours and remove stubborn fat deposits.
Breast surgery (enlargement, reduction, or lift)
There may be an accumulation of blood (hematoma) or fluid (seroma), which may require drainage or additional surgery.
Hernia repair
If there is an abdominal hernia, it can be repaired during abdominoplasty, reducing the need for further surgery.
Rectus diastasis repair
Rectus diastasis repair is a surgical procedure that aims to correct rectus diastasis. Rectus diastasis is the separation of the straight abdominal muscles in the front of the abdomen. This procedure is performed to bring the separated muscles back together and strengthen the abdominal wall. This not only improves core strength but also reduces the gap between the muscles. Rectus diastasis repair is performed for medical and aesthetic reasons and can help people who suffer from weakened abdominal muscles or visible muscle stretching.
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FAQ - Frequently Asked Questions about Abdominoplast
Immediate postoperative care:
You may need to stay in the hospital or surgical facility for a short time after the operation for monitoring.
Pain management:
Your surgeon will probably prescribe pain medication to relieve discomfort during the initial recovery period.
Drains and compression stockings:
Drains may be placed to remove excess fluid, and compression garments are worn to reduce swelling and support the abdominal area during healing.
Resuming daily activities:
Gradually resume your daily activities and exercise by following your surgeon’s guidelines for activity restrictions and time frames.
Scarring and scar treatment:
Although surgeons strive to minimize scarring, some degree of scarring may be unavoidable. Your surgeon will inform you about scar treatment techniques to optimize healing.
Infection:
Proper wound care and hygiene are crucial to minimize the risk of infection after surgery.
Hematoma or seroma:
There may be an accumulation of blood (hematoma) or fluid (seroma) that requires drainage or additional surgery.
Poor wound healing:
In some cases, the incisions do not heal properly, leading to increased scarring or other complications.
Altered sensation:
Some individuals may experience temporary or permanent changes in sensation in the treated area.
Unsatisfactory cosmetic results:
In rare cases, patients may not be completely satisfied with the results of their surgery and may require revision surgery.
With stable weight and a healthy lifestyle, the results of a tummy tuck can last for a long time.
Although it is possible to have children after a tummy tuck, future pregnancies may affect the results of the surgery.
The timeframe for resuming physical activity depends on the individual and the type of tummy tuck performed. In general, light activities can be resumed within a few weeks, while more strenuous exercise may take 6-8 weeks or longer. Always follow Dr. Rosalia Luketina’s recommendations to ensure a safe and successful recovery.
Yes, a tummy tuck can effectively correct diastasis recti by tightening the separated muscles and providing better support for the abdominal wall.
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vor einem MonatIch bin seit paar Jahren Patientin bei Dr. Rosalia Luketina und könnte mir keine bessere Ärztin vorstellen! Als ich das erste Mal zu ihr kam, waren meine Lippen verspritzt und ungleichmässig. Sie hat sich viel Zeit genommen, alles verständlich erklärt und wir haben die damaligen Filler sogar zw...
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Specialist in Plastic and Aesthetic Surgery
Waaggasse 5
8001 Zürich
Schweiz
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