Tummy Tuck Abdominoplasty

During and after significant weight loss, people try using exercise to tighten the stomach and abdominal area. Unfortunately, diet and exercise can only do so much, and with extreme weight loss no amount of exercise will help tighten all the excess skin.

A tummy tuck, or abdominoplasty, is designed to remove that excess fat and sagging skin, and tighten the abdominal muscles. In most cases, a tummy tuck will help to restore weakened or separated muscles resulting in a smooth and firm abdominal profile. This helps patients regain a more youthful appearance.

Tummy tuck, however, is not a weight loss surgery nor is it able to remove fat deposited deep within your intra-abdominal cavity.  If your belly is large and feels very tight, with little lo0se skin, you most likely need to lose weight before you can have a tummy tuck

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Reasons to Consider Abdominoplasty

A large amount of weight loss and the resulting sagging skin is only one reason to consider a tummy tuck. Other causes of excess, loose and sagging skin include:

  • Aging
  • Heredity
  • Previous pregnancy
  • Prior surgery

It is perfectly normal to want to have sagging skin or a protruding belly corrected. In addition to wanting to remove the loose skin around the midsection, patients may also want to consider a tummy tuck to:

  • Correct a protruding stomach that is not consistent with the body’s proportions
  • Improve tone in the abdominal and stomach muscles
  • Eliminate skin problems in the skin fold under the abdomen
  • Remove those areas of fat that simply won’t respond to exercise or dieting
  • Correct prominent C-section scarring and stretch marks
  • Repair diastasis recti
  • Repair abdominal muscles that are overly stretched out

Are You A Candidate for A Tummy Tuck?

If you have an abundance of loose or excess skin on your abdomen, or have an excessive amount of external abdominal fat (fat that you can grab and pinch with your hands), you may be a candidate for tummy tuck surgery. In addition, most mothers have some amount of abdominal muscle stretching or muscle laxity due to childbirth. If you find you have one of these issues, or all three, a tummy tuck is the ideal way to correct these problems.

Tummy_Tuck

To be considered a good candidate for a tummy tuck procedure, you should:

  • Be physically healthy
  • Be at a stable weight
  • Be a non-smoker
  • Repair diastasis recti
  • Have realistic expectations as to what the procedure can do for your appearance

If you can pinch a large section of loose, sagging skin on your stomach, or you are are constantly bothered by the feeling that your stomach is too large, a tummy tuck may be the appropriate procedure for you.However, if you only have minimal excess skin and little weakness in the abdominal wall, you may be a candidate for a “mini” tummy tuck. Dr. Jugenburg will determine which procedure is best for you during your initial consultation.

One note about weight loss: a tummy tuck is not the right procedure for patients who want to lose weight. Tummy tuck should be considered after you have completed your weight loss.

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Your Tummy Tuck consultation

Choosing a cosmetic surgery procedure is always an important decision that should never be rushed. That is why Dr. Jugenburg always takes the time to get to know his patients and their reasons for wanting a Tummy Tuck during a consultation. During this meeting, you will have a general health check and discuss all the implications and outcomes of Tummy Tuck surgery to ensure that you are fully informed and prepared to enter the operating theatre. This is also a time when you can ask any questions that you might have about Tummy Tuck surgery in a private, but friendly clinic environment.

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A Complementary Procedure: Panniculectomy

While the tummy tuck, or abdominoplasty, is designed to create an abdominal profile that is smoother and firmer, an alternative procedure is a panniculectomy.  This is NOT a tummy tuck, this is an ‘amputation’ of the loose skin in patients who have lost >100lb and have medical problems due to the excessive skin.  This is NOT a cosmetic procedure and the results are not pretty.  This procedure can be performed alone or in combination with a tummy tuck, and is done to remove the skin hanging on the abdomen, called the “pannus” or apron. It runs from below the belly button, and is usually a result of losing significant amounts of weight – approximately 100 pounds or more.  It is often done at the same time as the tummy tuck.

While the tummy tuck tightens the underlying stomach muscles, the paniculectomy only removes the excess skin and fat required for medical reasons.

After losing a significant amount of weight, the patient is left with heavy, loose folds of skin around the abdomen, which end up sagging and losing their elasticity because they have been stretched over a long period of time. This can lead to ongoing problems, including:

  • Difficulty performing daily hygiene
  • Yeast infections or cysts in the folds of the skin
  • Lower back pain
  • Inability to comfortably wear clothing
  • Rashes above the pubic area along the groin and hips

Patients requiring panniculectomy have overcome obesity and have recently lost a significant amount of weight. They also may have post-pregnancy problems with excessive fat that is situated below the belly button. Depending on the amount of excess skin you have and the condition of your abdomen, Dr. Jugenburg will determine the best procedure or procedures to meet your specific needs.

Patients are considered candidates for panniculectomy if they have:

  • Excessive fat that presents health problems, like skin rashes, ulcers or other skin disorders
  • Weight that’s been stabilized for at least one year
  • An ongoing diet and exercise plan
  • An approval from OHIP is require prior to considering this surgery

What Can You Expect With Tummy Tuck Surgery

The best way to determine if a tummy tuck (and/or a panniculectomy) is the right procedure for you is to have an initial consultation with Dr. Jugenburg. You will have an opportunity to discuss your goals and expectations with the doctor, and ask any relevant questions you have about the surgery.

During your initial consultation, Dr. Jugenburg will:

  • Review your medical history and any medications you are taking
  • Discuss the part of your body that you would like treated
  • Provide recommendations based on you needs and your goals

Dr. Jugenburg will listen to your needs, expectations, and your desired outcome from the surgery. Dr. Jugenburg will review all the surgical options that are available to you, and you will be able to tour our state-of-the-art facility and meet with our caring staff that will be part of your team.

There are actually several different types of abdominoplasty, and Dr. Jugenburg will determine which option is best for you. This is based on the amount of loose skin, excess fat and the laxity of the stomach muscles. The options include:

  • Review your medical history and any medications you are taking
  • Discuss the part of your body that you would like treated
  • Provide recommendations based on you needs and your goals

Dr. Jugenburg will listen to your needs, expectations, and your desired outcome from the surgery. Dr. Jugenburg will review all the surgical options that are available to you, and you will be able totour our state-of-the-art facility and meet with our caring staff that will be part of your team.

There are actually several different types of abdominoplasty, and Dr. Jugenburg will determine which option is best for you. This is based on the amount of loose skin, excess fat and the laxity of the stomach muscles. The options include:

  1. Tummy Tuck (Complete Abdominoplasty): in this procedure, an incision is made above the pubic hairline, another is made around the belly button, and the muscles that run vertically on each side of the stomach’s front wall are tightened. The skin removal and the muscle tightening are the most critical steps in improving the contour of the stomach. Liposuction may be performed along with the complete tummy tuck, depending on the amount of fat that needs to be removed.
  2. Mini Tummy Tuck (Partial Abdominoplasty): a mini tummy tuck is done for patients who have mild to moderate stomach contour changes and have minimal excess skin and little weakness in the abdominal wall.
  3. Circumferential Abdominoplasty: if there is a large amount of excess skin and fat in the back and hip area as well as the abdomen, circumferential abdominoplasty is performed. This helps to improve the body’s contour in three dimensions.

The tummy tuck surgery will be performed in our certified and state of the art medical facility located inside the luxurious Royal York Hotel., Tummy tucks generally take anywhere from 1 to 3 hours. The length of your surgery will depend on your body type and the amount of work that is required.

Differences Between A Mini Tummy Tuck and A Tummy Tuck

There are many differences between a mini tummy tuck and a full tummy tuck. The main differences is that with a mini tummy tuck the area at and above the navel is not treated, so there is no scar or repositioning of the ravel. Other differences include:

DifferencesMini Tummy TuckTummy Tuck
Goal:Can tighten the muscles in the lower abdomenTreat muscle separation above and below the navel and remove excessive or loose skin in the belly.
Procedure:Incision above the public bone. Excess fat is removed; skin and muscles are tightened.The surgeon separates the navel from the rest of the tissue and abdominal wall; the flap created is stretched down, and excess tissue is removed
Suitable for:Those with an abdominal wall that does’nt protrude significantlyWomen with stretched skin from multiple pregnancies or those who have lost a significant amount of weight.
Anaesthesia:General anesthesia or local with sedationGeneral
Scarring:Thin scarLonger scar from hipbone to hipbone
Recovery:1-3 weeks4-6 weeks

Drain-Free Tummy Tuck

A drain free tummy tuck is a surgical technique that was developed by Dr. Jugenburg to improve the results of a traditional tummy tuck procedure. The differentiating feature of a drain free tummy tuck, is that Dr. Jugenburg does not use surgical drains at the incision site after the surgery, and you will not need to have drains after the surgery. A traditional tummy tuck will require you to wear a drain for at least a week after surgery.

A drain free tummy tuck provides patients with a faster recovery, less discomfort, a lower and a better concealed scar that is thinner than one found in a traditional tummy tuck.

During the surgery Dr. Jugenburg uses advanced technique and tools, such as anesthetic blocks that not only help to keep you comfortable during your surgery, but help to reduce your pain after you wake up from your surgery as well.  Learn more about drain free tummy tucks here.

Tummy Tuck: Surgery Details

The procedure begins with general anesthesia. You will be completely asleep during the surgery.

In a traditional tummy tuck, an incision is made horizontally in the area between the public hairline and the belly button. The amount of excess skin will determine the length of the incision.

Tummy_Tuck2

The skin will be dissected up toward the rib cage, the muscles are tightened and the belly button is repositioned while excess skin is removed.This helps to dramatically improve the appearance and strength of the abdominal area. Dr. Jugenburg may recommend having liposuction along with the tummy tuck to provide optimal results.

After the excess fat and skin are removed, the remaining skin from the upper abdomen is released and pulled down over the open area to close it. Skin is tightened, muscles are tightened as required, and the belly is flatter. Once the procedure is completed, the incision will be sutured and bandaged. You may be given an elastic bandage or compression garment to wear in order to minimize swelling to support the abdomen as it heals.

Following your surgery you will recover in one of the beautiful Fairmont Royal York Hotel rooms. You will receive a care package from us and our staff is available to you while you stay with us. Should you desire, full room service is available to you.

You will see Dr. Jugenburg’s nurses the day after your surgery and at specified intervals during the weeks following your surgery. This is done so that the doctor and his team can personally monitor your recovery process, and to ensure that you have the best results possible.

Recovery From Your Procedure

The tummy tuck surgery will leave your abdomen bruised and swollen, which will diminish over a period of one to two weeks. Because patients retain some water following the procedure, there will be some temporary weight gain. This is normal, and will dissipate quickly.

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Recovery from tummy tuck surgery requires rest and taking it easy. The first two days following the surgery are usually the most uncomfortable.  After the first two days you’ll notice a dramatic improvement in how you feel. Because of the innovative surgical techniques used by Dr. Jugenburg, your discomfort will be easily controlled with prescription medication only.

During your recovery you should avoid strenuous physical activity; this is especially important if your abdominal muscles have been repaired from diastasis recti. You may need to limit your physical activity from four to six weeks.

After your tummy tuck procedure, you will have a flatter, firmer abdominal contour that is proportionate with your individual body type and weight. The actual results will be hidden due to swelling at first, but you will begin to see your new slimmer profile within one to two weeks after surgery. Depending on the surgery, it may take anywhere from several weeks or months to see the final results.

During recovery it is critical that you refrain from smoking. Smoking deprives your body of oxygen, which increases the risk of wound breakdown and infection following the surgery.

The goal of a tummy tuck is to provide you with a tighter, smoother and more attractive abdomen. Your love handles will be smaller, and you will look more fit, youthful and healthier.

Tummy Tuck FAQs

  • You will discuss your medications with Dr. Jugenburg during your initial consultation, and the doctor may have you stop taking certain medications prior to your surgery. Do not smoke for at least two weeks before the procedure, and at least two weeks after. Be sure to drink a lot of water in the days leading up to your surgery.

  • After the incision is made, excess skin and fat will be removed, and the muscles in the abdomen will be tightened. The remaining skin from the upper abdomen is released and pulled down over the open area to close it. Skin is tightened, muscles are tightened as required, and the belly is flatter. Your incision is sutured, and bandages are applied.

  • The traditional tummy tuck is done for patients with large amounts of excess skin and fat, along with significant weakness in the abdominal wall. A “mini” tummy tuck is for patients who only have mild to moderate stomach contour changes and have minimal excess skin and little weakness in the abdominal wall. Dr. Jugenburg will determine the best procedure for your particular situation.

  • There will be pain, bruising and swelling following the surgery. But because of the innovative surgical techniques employed by Dr. Jugenburg, your pain will be controlled with prescription medication. After the first two days you will notice a dramatic difference in how you feel. You will be required to refrain from strenuous activity following your surgery from four to six weeks.

  • You will notice a marked improvement immediately after your surgery. As the swelling subsides over the next several weeks, the results of the procedure will be in full effect. It may take as long as 3 months to see final results.

  • This varies from patient to patient. If you have a job that requires physical exertion, you may have to wait from 2-4 weeks to return to work after surgery. Dr. Jugenburg will discuss this with you during your consultation.

  • If you maintain a healthy lifestyle that includes a healthy diet and regular exercise, the results you obtain with your abdominoplasty should remain. Please remember that no cosmetic surgery procedure is a permanent solution, as your body will continue to age.

  • We feel that you should wait to have the tummy tuck until after you are finished having children, as this will help to both maximize and prolong the results achieved with the procedure.

  • Abdominoplasty is often combined with other procedures, such as breast augmentation, breast lift, breast reduction and liposuction. Having these procedures at the same time as a tummy tuck helps you avoid multiple surgeries. Dr. Jugenburg will be happy to discuss these procedures during your consultation.

  • Because of the innovative surgical techniques used by Dr. Jugenburg, you will have less discomfort, a lower and better concealed scar and a scar that is thinner than one found in a traditional tummy tuck.

  • Lightexercise can begin within about 6 weeks. More strenuous exercise, including running or heavy lifting, can usually begin within 12 weeks after your surgery.

  • As with all cosmetic surgeries, there are some risks involved. These risks include bleeding, infection and collection of fluid under the skin, swelling and blood clots. Our operating suite is state-of-the-art, and we do everything we can to minimize the risks associated with surgery. Most importantly, Dr. Jugenburg and his team have various protocols in place to prevent complications from occurring.

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