We are Milwaukee’s Tummy Tuck Specialists
What is a Tummy Tuck or Abdominoplasty?
A tummy tuck, also called abdominoplasty, is designed to improve the appearance and tone of the abdomen by removing excess skin and fat, and tightening the muscle contour. It maybe performed as a “full” tummy tuck or a “mini” tummy tuck, depending on the patient’s needs. 180,717 tummy tuck procedures were performed in 2015, according to The American Society for Aesthetic Plastic Surgery, making it the third most popular cosmetic surgical procedure, and one of the most popular procedures here at Cosmetic & Plastic Surgery Specialists in Milwaukee and Mequon.
Who is a candidate for a tummy tuck procedure?
The best candidates for a tummy tuck are men or women who are in relatively good shape but are bothered by a lower abdominal fat deposit and/or loose abdominal skin that won’t respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved.
To achieve optimum results, patients should be at the lowest stable body weight they can achieve prior to surgery. This allows for improved contouring and a better, more stable result. Women who are planning future pregnancies should defer tummy tuck surgery until they are finished having children; this prevents the vertical muscles in the abdomen that are tightened during surgery from separating again during pregnancy. If you have scarring from previous abdominal surgery, your doctor may recommend against abdominoplasty or may caution you that scars could be unusually prominent.
How is a full abdominoplasty performed?
Full tummy tuck operations are performed under general anesthesia. Most commonly, the surgeon will make a long incision from hipbone to hipbone, just above the pubic area. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, (mini tummy tuck), the incision is much shorter and the navel may not be moved.
Next, the surgeon separates the skin from the abdominal wall, all the way up to the ribs, to expose the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into this new position. This provides a firmer abdominal wall and narrows the waistline.
The skin flap is then stretched down and the extra skin is removed. A new hole is cut for the navel, which is then stitched in place. Finally, a drain is inserted, the incision is closed, and dressings and a binder are applied.
For patients that have some excess fat in the abdomen and/or flanks, in addition to lax skin, liposuction may be used along with a tummy tuck procedure to provide a more comprehensive treatment and improve the contouring result. Frequently liposuction of the flank is done in conjunction with a tummy tuck, to eliminate the ‘love handle’ or ‘muffin top’ that would detract from the rest of the surgical result. And, excess fat in the upper and central abdomen can be removed with liposuction to provide additional slimming in the profile view.
What is a Mini-Abdominoplasty?
A “Mini”-tummy tuck usually involves removing a smaller amount of skin in the lower central abdomen with a short incision. A true Mini-tummy tuck does not involve muscle plication or an incision around the belly button. There are few women who are actually candidates for this operation, as it was just described. Most women who don’t require a full tummy tuck still have loose/excess skin that extends over a larger area than just the suprapubic region; this may often be accompanied by small amounts of excess fat and/or some mild weakness / laxity in the muscle fscia. The small skin excision of a mini-tummy tuck will be inadequate to address these problems. A modified mini-tummy tuck that includes a longer incision, some liposuction, and/or a very limited muscle plication below the umbilicus will be a better option. Your surgeon can discuss the options available to meet your goals.
Mini-abdominoplasty with liposuction and infra-umbilical muscle plication
Abdominoplasty / Tummy Tuck Before & After Photos
If you would like to schedule a consult to discuss whether a tummy tuck is right for you, please call our office at 414-443-0033.
Pre- and Post-Operative Instructions and Information for Abdominoplasty
- Drains are placed beneath the skin to reduce post-operative fluid accumulation. Patients will wear a compressive abdominal binder for 1-2 weeks post-operatively.
- Initially, it will be difficult to stand upright, but this improves over the first week.
- At discharge you will be given instruction regarding incision and drain care, and how you may bathe.
- Patients return to the doctor’s office at 1 and 2 weeks, and approximately 1 and 3 months, after surgery.
- Bruising resolves within 2 weeks after surgery. Residual swelling will remain for several weeks.
- Sutures may need to be removed 1-2 weeks after surgery. Other dissolvable sutures will release on their own.
- Avoid strenuous activities for approximately 3 weeks after surgery. Your doctor will instruct you when you may begin a gradual return to activities. Patients are usually allowed to return to unrestricted activity by 6 weeks after surgery; but it may be slightly longer until they are able to achieve that level of activity.
- Plan on remaining off work for 2-3 weeks after surgery.
Dr. Dunkley Answers Other Patients’ Tummy Tuck Questions
What People are Saying
30 yo woman following mini-tummy tuck and liposuction –
“Dr. Dembny is great. He works with you to get the results you want. I was treated like I was the only client. I have recommended Dr. Dembny to my friends.”
39 yo woman who is 6 weeks post-op from Abdominoplasty and Liposuction –
“People used to ask me if I was pregnant. It now feels wonderful not to have my belly hang over the top of my pants; and to put clothes on and have them fit. I’ve lost 10 pounds since the operation, and I even have some pants at home that don’t even fit anymore – they just fall right off my waist. The other day, a woman said to me, ‘You’re such a little thing.’ Nobody has ever said that to me before.”