Abdominal repair

Alternative names:

abdominoplasty; cosmetic surgery of the abdomen; tummy tuck

Definition:

Optional surgery to treat flabby, stretched-out abdominal muscles and skin to improve appearance and strength. Excessive fatty tissue and loose skin are removed from the middle and lower sections of the abdomen and the abdominal muscles are tightened.

Description:

Cosmetic repair of the abdomen can be helpful in improving appearance, especially after massive weight gain and loss. Abdominoplasty can help flatten the lower abdomen, tighten stretched skin, and strengthen abdominal muscles.

The patient is admitted to the hospital and the surgery is done in the operating room. General anesthesia is used to keep the patient deep asleep and pain-free. An incision is made across the abdomen, just above the pubic area. Excess skin and fat are removed from the abdominal wall, from the pubic area to the rib cage, around the umbilicus and the abdominal muscles are tightened. The incision is stitched (sutured) closed. Small flat tubes (drains) may be inserted and used for a few days to allow fluid to drain out of the incisions. A firm elastic dressing is applied to the abdomen.

Indications:

Extremely loose and flabby abdominal skin and muscle, usually following massive weight gain and loss. Abdominoplasty can be helpful when:

• diet and exercise have not corrected severe muscle weakness (which may occur after multiple pregnancies), or
• the skin and muscle cannot regain its normal tone (which can occur with massive obesity in young people and slight obesity in older people)

Abdominoplasty is not used as a substitute for weight reduction.