Accent Plastic & Reconstructive Surgery

Women and men who have loose abdominal skin and fat that is concentrated in the abdomen can benefit from abdominoplasty. Sometimes these conditions are inherited. In other instances, substantial weight loss may cause abdominal skin to become flaccid. Abdominoplasty also can tighten muscles that have been separated and weakened by pregnancy. The procedure may somewhat improve the appearance of stretch marks, especially those located below the navel.

You may be a good candidate for abdominoplasty if you have one or more of the following conditions:

• excess or sagging abdominal skin
• an abdomen that protrudes and is out of proportion to the rest of your body
• abdominal muscles that have been separated and weakened
• excess fatty tissue that is concentrated in your abdomen

There are many variations both to the design of the incisions and the technique itself. In some instances, it may be possible to avoid an incision around the navel. When the amount of loose skin is minimal and the excess fat deposits are located below the navel, a short horizontal incision is all that is necessary. This procedure is called a partial, or "mini," abdominoplasty. Only a small percentage of patients are good candidates for this type of abdominolplasty.

Sometimes liposuction may be used alone, or in conjunction with abdominoplasty, to remove abdominal fat. Dr. Craig will discuss with you the particular method that he or she recommends for achieving the best result in your particular case.

If you plan to become pregnant or lose weight in the future, you should discuss this with Dr. Craig. Scarring from previous abdominal surgery may limit the results of your abdominoplasty

Generally, a horizontal incision is placed just within or above the pubic area. The length of the incision, which extends laterally toward the pelvic bones, depends largely on the amount of skin to be removed. The contour of this incision will vary somewhat according to the structure of your abdomen.

It is important to realize that the amount of time it takes for recovery varies greatly among individuals. Depending on the extent of your abdominoplasty and your general physical condition, you may be able to return to non-strenuous work anywhere from one to three weeks after surgery. In many instances, you can resume most of your normal activities, including some form of mild exercise, after a few weeks. You may continue to experience some mild, periodic discomfort and swelling during this time, but such feelings are normal. Severe pain should be reported to your doctor. We do not recommend any heavy lifting for four to six weeks.