Abdominal Liposuction (Tummy Tuck)

The surgery to correct the loose flabby protuberant or pendulous skin of the tummy is called a tummy tuck. A well toned and flat tummy is a sign of fitness and good health. It is a dream that many try to achieve.

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Some succeed through exercise and weight control, but many don’t. Pregnancy, excessive weight loss, abdominal operations and stretch marks lead to extreme laxity of skin of the tummy and Tummy tuck corrects all these changes. If the abdominal wall muscles are tightened along with tightening of the skin, it is called an Abdominoplasty. If there is a ventral hernia due to gap in the six pack muscles, this can be corrected as well. If body contouring with liposuction is done simultaneously, it is called lipoabdominoplasty.

Depending on the amount of laxity of tummy skin/ amount of pendulous skin fold you, could either need a limited abdominoplasty, modified limited abdominoplasty extended modified abdominoplasty, Full abdominoplasty or lipoabdominoplasty.


A paunch or a pendulous skin fold or a protruberant belly are variations of a similar problem, i.e excess fat on the front of the tummy. The skin buckles like a hammock and forms a pendulous fold. Many times a protuberant belly is due to excess intraabdominal fat, or divarication of rectii( ventral hernia). The most common causes of this include heredity, multiple pregnancies, prior surgery, and significant fluctuations in weight or congenital spine abnormalities that affect posture.
First marking is done in standing position and the amount of excess skin that can be removed is marked. Depending on the amount of skin that has to be removed, the procedure could be either a limited, modified limited, Full abdominoplasty or lipoabdominoplasty of the above types. For more details of what type of procedure is suitable for you, please consult an Aesthetic Surgeon at Aesthetics Medispa. Liposuction of flanks, upper abdomen, lower back is done if necessary. The excess marked skin is removed, the abdominal muscles tightened, any gap in between midline muscles ( hernia) repaired and skin closed.
Adults with the above abdominal problems, of any age who are in good health, moderately fit and overall have good muscle tone. An ideal person to have it done is one whose body mass index is near normal. They should not have any life threatening illness or medical conditions. Patients who smoke can have an increased risk of complications. Previous abdominal surgery may limit the potential results of tummy tuck. If you desire a tighter, flatter abdomen, then a tummy tuck may be an appropriate operation for you.
Liposuction may be able to get rid of excess fat in the lower part of the abdomen, but often the excess skin fold fails to contract. Hence, the best option in such cases is to cut and remove both the excess fat and skin.
When the excess fat and skin fold is excised, there is an opportunity to restore weakened or separated muscles of the abdomen. This creates a profile that is smoother and firmer, often enhancing your body image and confidence. It can improve your posture and also enables you wear better fitting clothes.
Women who have undergone caesarian section have the opportunity to have the existing scar revised. Patients whose weight has been stabilised after weight loss program or feel they are at their ideal weight are also good candidates for a tummy.
A tummy tuck will tighten the skin of the front of your tummy, enhance your figure and your self-confidence, it’s not likely to change your life or the way people treat you. A tummy tuck is not a substitute for weight loss or exercise program. Patients who are planning substantial weight loss or women who are considering future pregnancies may be advised to postpone a tummy tuck.
Possible risks include bleeding and collection of blood under the skin (hematoma), fluid accumulation, infection or poor healing at the incision site. These risks are minor and common to many operations and can be dealt with easily. Blood clot in the deep veins of the leg is a problem associated with lying still for too long. Any surgery carries risks associated with anesthesia. These risks will be fully discussed with you prior to your consent for surgery. The low transverse abdominal scar usually heals very nicely but occasionally may undergo hypertrophy and in a person with keloidal tendency may become a keloid. Your Aesthetic surgeon at Aesthetics Medispa will tell you ways to avoid and treat these if they happen.
Blood test and other investigations for fitness will be conducted along with pre-op anesthetic assessment, after which your surgery date will be fixed.
This procedure usually is done in a hospital setting, with a few days hospitalization. There might be bruising and swelling after surgery that should subside in 3 – 6 weeks. You may have drains that will be removed once the drainage stops. This usually takes 2 – 5 days. Once the drainage stops, you should be able to go home from the hospital. Your abdominal skin will be tight after surgery and you may have to walk stooped for a few days till the existing skin stretches. Wounds normally heal in 7 days to 2 weeks. Once all swelling and bruising has subsided you should expect a flatter, more shapely abdomen. If liposuction has been done along with tummy tuck, expect improvement in figure in those areas as well. A tummy tuck will improve your figure, posture, size of clothes that you wear and overall confidence. This in turn will lead to improvement in self-esteem.
The surgery is often done under epidural anaesthesia or General anaesthesia, so it is a painless procedure. After the surgery, the tummy area is mostly numb, but you may feel some discomfort from tightening of the muscles. Usually oral painkillers are adequate to get rid of that pain. Most of the discomfort settles in a week or two.