Appearance: Excess fat and skin, with loss of elasticity and muscle strength that combined with fatty deposits in the lower abdomen cause this area to bulge.
Surgery: Surgery that removes excess fat and skin from the lower abdomen around the waist and tightens the underlying muscle to give a flatter, younger-looking abdomen.
Length of the operation: 2 to 3 hours.
Anaesthesia: General anaesthesia.
Description: The surgeon will make an umbilical horizontal incision along the bikini line from hipbone to hipbone, just above the pubic area. Muscle tightening may be required. If this is the case your surgeon separates the skin from the abdominal wall and lifts the skin flap to reveal the vertical muscles in your abdomen. These muscles are then pulled together and stitched into a new position so that they are tighter. The skin flap is then pulled down and surplus skin is removed. A second incision may be required to free the navel from surrounding tissue and is then stitched in place. A temporary drainage tube may be inserted to drain excess fluid. Finally, the incisions are stitched and dressings applied as well as a panty girdle.
Post-Operative: There is a 3 to 5 day hospital stay during which the drains are removed. If the muscles have not been touched, the operation is not painful. The stitches are removed on the 15th day. Firm cycling shorts or girdle type pants should be worn for 6 weeks post-operatively day and night.
Observations: Warning this surgery should be considered AFTER all pregnancies.
Risks: Bruising; infections are more likely to occur here than in other plastic surgeries. Lymph secretion may require frequent drainage.