Abdominoplasty

AbdominoplastyA tummy tuck, also known as abdominoplasty, is a procedure that removes excess fat and skin from the abdomen. After weight fluctuations, pregnancy, and aging, women and men can be left with excess skin and fat on the lower abdomen and a protuberant upper abdomen. During an abdominoplasty, the six-pack muscles of the stomach are also tightened to achieve a flatter and more toned abdomen. Dr. Duggal’s signature technique involves several steps to improve the outcome and recovery including injecting a long-lasting numbing medication and placing progressive tension sutures which limit or eliminate the need for drains. Liposuction is often done during a tummy tuck to contour the waist, love handles, and remove excess fat from the abdomen to further improve the result.

Annapolis Abdominoplasty Before and After Photos
Annapolis Abdominoplasty Before and After Photos

  • What is an abdominoplasty?

    AbdominoplastyAn abdominoplasty, or “tummy tuck,” is a surgical procedure that removes excess skin and fat from your abdomen, and also tightens weakened or separated abdominal muscles (known as diastasis recti). The goal is to restore a tighter, flatter stomach and a better waist and abdominal contour.

  • Who is a good candidate?

    Abdominoplasty is ideal for patients who have lost weight or after childbirth and have loose skin on their abdomen. Being at or close to your ideal weight will give you the best result after abdominoplasty. Liposuction can be done in coordination with the procedure to improve waist and back contour.

  • What does the procedure involve?

    For an abdominoplasty, you will be put to sleep under general anesthesia. An incision will be made low on your abdomen, between your hip bones. Excess skin and fat on your lower abdomen will be removed, and your abdominal muscles will be repaired and sewed back together. Liposuction is often done on your upper abdomen and waist area, and then your upper abdominal skin will be smoothed and contoured over your abdomen. The incision is sutured closed with dissolvable sutures. Pain medication (Exparel) can be injected directly into the muscles of your abdomen to decrease pain post-operatively. Because sutures (called “progressive tension sutures”) are placed between the skin and the muscles, drains may not be needed after an abdominoplasty at the Sandel Duggal Center.

  • How is the recovery after an abdominoplasty?

    For most patients, you can go home the same day as the surgery, but some patients may want to stay overnight (especially if combining an abdominoplasty with other procedures). The majority of the discomfort after surgery is in the first few days, but you can expect some bruising and swelling for a few weeks. You will be encouraged to walk and do light activity the first week after surgery and can progress as you recover.

  • What are the risks of an abdominoplasty?

    Since an abdominoplasty is a procedure performed on healthy patients, the risks are low overall. Infrequently there can be wound healing complications or a wound infection. The majority of these are taken care of with dressing changes and possibly antibiotics. More significant wound healing complications are uncommon. Occasionally a collection of fluid can develop which requires drainage in the office or operating room. A rare complication is the development of a blood clot. For patients who are at a higher risk of blood clots, sometimes blood thinning medication is recommended for a few days after surgery to decreases the chances of this happening.

  • What are other procedures often combined with an abdominoplasty?

    An abdominoplasty is almost always combined with liposuction. It can also be done as part of a “mommy makeover”, which refers to any combination of procedures to restore a woman’s body after childbirth and breastfeeding. Most often abdominoplasty in this case is combined with a breast lift or a breast augmentation. It can also be combined with a labiaplasty.

    For patients who have experienced a significant weight loss, abdominoplasty may be extended into a circumferential body lift to remove excess skin circumferentially around the abdomen, flanks, and back. It could also be combined with removal of excess skin elsewhere on the body.

  • Why choose us?

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“An abdominoplasty is a wonderful way to restore a woman’s stomach after pregnancy and childbirth. Not only can we remove the excess skin and often the majority of any stretchmarks she has, but we can also tighten her abdominal muscles and restore a flat, strong abdomen.”

Claire Duggal, MD