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Tummy-tuck : how is it done?

1.If necessary we perform a lipo on the flanks first,because this is a zone that influences the general aspect of the lower abdomen.

2.I inject large amounts of fluid under the skin, in order to make the dissection easier and to reduce bleeding.

3.Then I draw the incision as low as possible, well within the underpants in order to have a hidden scar no matter what garment you wear.

4.I make an incision, which needs to be broad in order to remove a large segment of skin. This goes from hipbone-to-hipbone and as high as the navel,depending on how much skin needs to be removed

5.Subcutaneous tissues are dissected up to under the breasts.

6.The navel is circumcised but stays in the same place and remains connected with the deeper tissues. It is not transplanted as many people think.

7.I put a corset of strong non-resorbable sutures on the fascia of the abdominal muscles, to correct the muscular sagging. This is an important step for a good result. It makes the tummy flatter.

8.I remove the redundant skin and close the wound in two layers:

9.It's important to keep the navel natural looking. It is sutured somewhat deeper than the level of the surrounding skin.

10.Depending on the oozing of blood, 2 drains can be inserted. I personally do not do this often, because they clog easily within an hour after the operation. It is better to prevent postoperative bleeding by coagulation of vessels.

 

Note

I don't like to do a full liposuction with a tummy-tuck. It's all about the remaining blood supply

 

A liposuction can however be performed about 6 months after the tummy-tuck

 

 

T238Diastase

Row of internal sutures on the fascia of the muscles

Row of internal sutures on the fascia of the muscles

Rows of sutures on the abdominal muscles

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Scars above the pubic area and in the navel