Tummy Tuck Specialist
Maher Anous, MD
For an in-depth look at look at the mercator abdominoplasty (tummy-tuck) procedure visit www.mercatorabdominoplasty.com
Sometimes simply dieting and exercising are not enough to take care of waistline problems. In such cases, a patient may wish to consider a tummy tuck (or abdominoplasty). A tummy tuck is the surgical removal of excess skin or fatty deposits from the abdomen, along with the repositioning of abdomen muscles into a tighter formation. This bodily enhancement procedure is designed for those who wish to have a flatter and tighter stomach. It is also helpful in remedying the vertical separation of abdomen muscles known as diastasis, which can occur following pregnancy.
Reasons for Considering an Abdominoplasty:
Inability of dieting and exercise to improve the abdomen area.
Excessive accumulation of skin following weight loss.
Loss of skin elasticity or diastases (loose abdomen muscles) due to pregnancy.
The removal of unsightly skin and fat deposits as well as the proper alignment of the abdomen muscles to produce a more flattering look.
Tummy Tuck: The Procedure
Abdominoplasty surgery lasts on average 90 minutes in my hands. This is because of the rigorous planning that I perform before the surgery (prior to the patient entering the operating room). At the start of surgery, an incision is made around the belly-button. An incision is then made just above the pubic bone area. This incision goes horizontally across the lower abdomen and sometimes around to the back. The skin is then stretched away from the muscle tissue, and the pre-determined (by planning) excess skin is removed. The abdomen muscles are tightened to provide a firmly contoured stomach and well-defined waistline. Finally, the incision is closed and the belly-button relocated.
Three critical areas that are often omitted from mentinong but that are critical to the beauty of the result are: the belly-button; the Mons pubis (genital hair-bearing triangle) and the incision itself. A youthful navel (belly-button or umbilicus) is vertically directed ( and not horizontally placed as many post-operative results show). The Mons pubis has to be lifted and should assume a gentle "bird in flight" appearance at the end of the surgery. As for the incision, not only should it be well-camouflaged but its arms have also to be symmetrical (of the same length and taking off at the same angle from their meeting in the midline).
I do not perform "mini tummy-tucks" as I do not believe in them.
Tummy Tuck: The Recovery Process
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and recovery time. As the body recuperates, the patient can expect some swelling, pain, and discomfort. Medication can be prescribed to relieve any pain caused by the procedure. All stitches (except for those around the belly-button) are under the skin and hence do not need to be removed. You will be expected to walk (with a bend to your mid-section) immediately following the surgery, regardless of the extent of skin and fat removed. You will be showering twice daily on the day after the operation. Normal activities can generally be resumed within two weeks. The striking results of the surgery should be long lasting.
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