Plastic Surgery

Many women have a hard time loosing the pooch in their tummy following childbirth. Others have lost a lot of weight, but the skin around their abdomen simply will not tighten, even with exercise.

Abdominoplasty, commonly referred to as a “tummy tuck” can dramatically reduce the appearance of a protruding abdomen. Through this surgical procedure, excess skin and fat are removed from the middle and lower abdomen, while tightening the muscles of the abdominal wall.

The Procedure

There are many options available to correct a protruding abdomen. Dr. Orloff will make a recommendation for which technique to use based on the patient’s individual condition and the goals for the outcome of the treatment. Each treatment plan is customized to meet the specific needs of each patient.

With a full abdominoplasty, an incision is made from hipbone to hipbone, just above the pubic area. A second incision is made to free the navel from surrounding tissue. The skin is separated from the abdominal wall and a large skin flap is lifted to reveal the vertical muscles in the abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline. The skin flap is then stretched down and the extra skin is removed. A new hole is cut for the navel, which is then stitched in place. After surgery, the patient has a flatter, trimmer abdomen. Scars are permanent, but will fade with time.

Endoscopic Tuck

Dr. Orloff also specializes in the endoscopic tuck in which a very small incision is made to tighten up the abdominal muscles. This can be a wonderful option for those patients who have developed a pooch in the tummy but don’t have significant loose skin or fat.

Mini Tummy Tuck

Another option available is a “mini-tummy tuck” or partial abdominoplasty, which focuses on the area below the navel only. With partial abdominoplasty, the incision is much shorter and the navel may not be moved. The skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess skin is removed, and the flap is stitched back into place.

Liposuction

Dr. Orloff may also suggest the possibility of abdominoplasty with liposuction in adjacent areas for maximum results.

What Is the Recovery Like?

For the first few days, your abdomen will probably be swollen and you’re likely to feel some pain and discomfort which can be controlled by medication. You will be fully informed by Dr. Orloff and his staff as to how to care for your surgical wounds and what activities should take place after surgery. Exercise will help you heal better, however, vigorous exercise should be avoided until you can do it comfortably.