With the growing popularity of body contouring procedures, advanced techniques in tummy tuck surgery (abdominoplasty) have received special attention in the New York media and the scientific arena. In a tummy tuck, excess skin and fat are removed from the middle and lower abdomen. The muscles of the abdominal wall are also tightened, if necessary.
Men and women alike increasingly seek this body contouring procedure to flatten stubborn belly fat and reduce love handles. It is a common procedure for women after pregnancy, which can have a significant effect on the abdominal area.
The goal of any tummy tuck should be to return the abdominal tissues to their original youthful look. This means treating the whole abdominal area from below the chest to the upper thigh area, circumferentially. Classic tummy tuck techniques have only addressed the lower abdomen and frequently neglect the tightening of the muscles. This is why Dr. Kevin Tehrani typically uses the Lateral Tension Abdominoplasty technique, which restores the entire abdominal area to a tighter, more youthful appearance. Dr. Tehrani received special training from the late Dr. Ted E. Lockwood, the pioneer of the technique, and was the first graduate to offer it in the New York area.
Both mini-tummy tucks and full tummy tucks are offered at Aristocrat Plastic Surgery depending upon your needs. Every surgery is highly customized based on your anatomy, and Dr. Tehrani will discuss the options with you during your consultation and examination.
Who is a Candidate for a Tummy Tuck?
If you have stubborn fat and lax skin in the abdominal area, you might be a candidate for a tummy tuck. Only after a consultation and examination with Dr. Tehrani can he advise if this is the best choice for you.
Before and After Tummy Tuck Photos
The Lateral Tension Abdominoplasty Procedure
Tummy tucks are usually performed on an outpatient basis under general anesthesia.
Lateral Tension Abdominoplasty (LTA) uses a bikini line or low incision. The technique allows Dr. Tehrani to skillfully tighten the entirety of the abdominal area, even to the tops of the thighs. Excess skin is removed, and liposuction is performed to remove excess fat. The abdominal muscles are also carefully tightened.
LTA naturally preserves the blood supply to the abdomen and lowers some of the risks associated with traditional tummy tuck techniques.
In a mini-tummy tuck, a smaller low incision is made, and the navel is not moved, as in a full tummy tuck. This technique is effective for people who only have excess skin and fat below the belly button.
Liposuction is used to remove excess fat, and the abdominal muscles are tightened, if necessary. Because this technique is less invasive, recovery time is less than after a full tummy tuck.
An extended tummy tuck is a technique used for those who have significant loose skin in the midsection. This is frequently needed after massive weight loss/post-bariatric surgery. “Extended” refers to the length of the incision.
Essentially, the incision needs to extend as far as the loose skin that is to be removed. In this case, the incision may need to extend farther to the sides than in a customary tummy tuck or even 360 degrees to remove loose skin from the back as well.
As in the other techniques, excess fat is removed via liposuction, and the muscles of the abdomen are tightened accordingly.
Fleur de lis Abdominoplasty
This technique is so named because the incisions end up looking similar to the shape of the fleur de lis. Rather than just an incision that runs laterally across the abdomen, an additional vertical incision is made in order to address the patient’s skin laxity in the abdominal wall area. It is usually recommended for patients who have had weight loss surgery or lost a significant amount of weight.
Liposuction is also used with this technique, and Dr. Tehrani is careful to properly tighten the muscles of the abdomen.
Recovery from a Tummy Tuck
Abdominoplasty recovery differs depending upon the patient and the technique used, but most people take at least a week off from work. Others need to take two or three weeks. Dr. Tehrani can give you an assessment of the time you will need based on your surgical plan.
You will experience some bruising, swelling, and tenderness for several days, and the swelling will be the last symptom to resolve, at which time you will see the final result of your surgery. Dr. Tehrani may prescribe a lymphatic massage to some patients. A lymphatic massage is the best way to ease swelling, bruising, and discomfort after surgeries. You can take pain medication, if necessary, as you heal.
Dr. Tehrani will monitor your progress and see you for follow-up appointments. We will also, of course, provide you with full post-operative instructions in terms of how to care for your incisions, when and how to safely bathe, how to sleep comfortably, etc.
Wall of Abs – A Body Contouring Gallery
See how Aristocrat Plastic Surgery does wonders with body contouring – the following photos are from actual plastic surgery patients:
Images courtesy of Gen Nishino – www.gennishino.com