Tummy Tuck or Abdominoplasty

Sculpts the abs…

The defects should be properly analyzed and several factors considered: quality of the skin, size and distribution of excessive fat, firmness of abdominal muscles, and general morphology of the patient. If the fat is intra-abdominal, i.e. around the organs inside the belly, and there is no excess skin, the only treatment possible is the regular practice of a sport associated with a suitable diet.

Basically, there are two surgical options for toning the abs:

  • The abdominal liposuction, when the skin is toned and excess fat is moderate and located between the muscle and skin.
  • The abdominoplasty, where there is excess skin and/or stretched muscular wall with or without excess fat.

The aim is to remove the damaged skin excess (distended, scarred or bearing stretch marks) and stretch the healthy skin. One can also resort to the treatment of localized excess fat by liposuction and treatment of distention of the abdominal muscles (diastasis, hernia). The belly will be redefined in exchange for a long scar camouflaged by underwear.

In every situation, I adapt a different technique to get the best result:

Standard technique

A resection of a large area of skin between the umbilicus (navel) and the pubis, according to a design suitable for lesions, is performed. Healthy skin, located above the navel, is stretched down and sutured. The navel is preserved and replaced in its normal position through an incision in the skin. The scar is placed above the pubic hair and extends into the folds of the groin.

Modified mini-abdominoplasty

Performed on less released abs, it limits the undermining to the lower umbilical and median upper umbilical parts to allow muscle tension. The skin part removed is smaller than that with the standard technique, which reduces the scar above the pubis. The navel is re-inserted in its place. The procedure leaves another small vertical scar equivalent to the old navel, situated midway between the neo-umbilicus and the horizontal scar.

High Superior Tension abdominoplasty

Developed by Drs C. Le Louarn and J-F. Pascal in 2000, this technique represents an improvement in the standard technique because it has a threefold objective: avoid the risk of lymphatic effusion, avoid higher risk of residual swelling and limit the risk of necrosis.

It systematically combines liposuction of the part above the navel, in order to reduce the volume of the flap to be pulled down towards the pubis and thus allows for a lower scar. The subumbilical dissection will be more superficial to protect the lymph vessels.

The creation of an internal muscle corset avoids the risk of upper secondary bulge.

Maximum tension is placed on the upper flap secured to the navel, whereas the tension in the lower part of the flap is light, which limits the risk of necrosis.

Abdominoplasty requires classic general anesthesia. The patient should be hospitalized for 2 to 5 days.