Abdominoplasty (or tummy tuck) is used to remove excess loose skin and fat. This is the most complete stomach surgery as it removes all the excess skin between the navel and pubis.
It is necessary to use abdominoplasty whenever there is a significant relaxation of the skin with excess fat and stretch marks or scars.
Abdominoplasty can act on three faults at the same time :
- An excess of fat around the stomach: It appears with age in men, mostly from their forties, and in women after the menopause.
- Excess skin: What is visible is the classic abdominal apron following pregnancy or significant weight loss.
- A spacing of the abdominal muscles (diastasis of the rectus of the abdomen) of congenital origin or following a caesarean.
If the amount of excess fat is significant and the skin sagging is moderate without stretching of the muscles, liposuction of the stomach is enough to cause limited retraction of the skin, but which is sufficient all the same.
In case of significant amounts of excess fat and skin with muscle relaxation, it becomes necessary to perform abdominoplasty.
How the procedure works
The abdominoplasty operation is done under general anaesthetic and requires a hospital stay of one to two nights. It takes between one to three hours depending on the extent of the work to be done.
The procedure consists of three very distinct phases.
Liposuction of the stomach
The surgeon begins by sucking up the fat on the abdomen and sides. Liposuction helps to refine the area of the abdominal wall in the stomach before eliminating the excess skin.
Two types of procedures are available depending on the extent of the sagging skin.
- If the amount of sagging skin is minimal, the surgeon performs mini-abdominoplasty. He removes the excess skin from the area below the navel without having to touch the muscles. This technique reduces the risk of bleeding and gives a moderate scar and shorter follow-up.
- If the amount of sagging skin is significant, the surgeon performs full abdominoplasty. He removes the surplus skin from the lower part of stomach and he redrapes the upper half by tightening it again, which is then stretched to cover a surface which has almost doubled. The navel then emerges at its normal height, from an orifice made in the lowered skin.
A scar remains, the length of which depends on the amount of skin removed. It is located as close to the bottom of the pubis as possible and may extend from one hip to the other. Its length is predictable before the procedure. It must normally be able to be concealed by underwear of an appropriate size. In case of full abdominoplasty, there is also a small circular scar around the umbilicus.
Firming the muscles
The surgeon restores the tension in the muscles of the abdominal wall. This tightening of the rectus of the abdomen (diastasis) creates a solid abdominal belt, flattens the stomach area and refine the waist.
At the end of the procedure, the practitioner inserts a modeling bandage which must be changed regularly over the next 15 days.
After the procedure
A pressure dressing and drains are set up and kept for one to two days before being replaced by a retaining sheath that the patient will wear day and night for one to two months.
The sutures are removed after 15 to 20 days. The scar is often pinkish during the first two to three months and then gradually fades for one to three years without ever completely disappearing.
The result is immediately visible. The excess fat and skin have disappeared completely, together with the stretch marks, and the stomach is flat. It will become final after two months when the oedema located above the scar has completely diminished. The stomach is then flat and taut, and the waist is thinned.
The physical and psychological change is often extraordinary. The person can wear clothes closer to the body, dares to wear a swimsuit on the beach and regains confidence in sexual relationships once again.
|Intervention||Anaesthetic||Stay||Prices including VAT*|
|Abdominoplasty||General||1 to 2 nights||€5,500 to €8,000|
|Other fees||Prices including VAT*|
|Consultation with the surgeon||€50|
|Consultation with the anaesthetist||€100|
* 20% VAT