Is Abdominoplasty Surgery Right For You?

The Various Types of Abdominoplasty 

This document by no means provides a full explanation of the procedure known as abdominolpasty, but is provoded as general background information.  A common cosmetic surgery procedure that is used to make the abdomen more firm is called an

Abdominoplasty, or more commonly, the “tummy tuck”.

Tummy tuck surgery involves the removal of excess fat, and associated skin which has been stretched, from the lower and middle abdomen area.  Its primary purpose is to to tighten the abdominal wall muscle. Patients with loose or sagging tissues usually a tummy tuck and it is most commonly the result of either the loss of an excessive amount of body weight, or a pregnancy which caused loss of muscle tone and the building  up of fatty tissue.

Types of Abdominoplasty

There are several kinds if abdominioplasty procedures, which are sometimes performed as stand alone procedures, and sometimes combined with one or more related procedures, depending on the needs of the case.  Some procedural names that are in common parlance are: complete abdominoplasty, partial abdominoplasty, High lateral tension tummy, extended abdominoplasty, the FAB Technique (Floating abdominoplasty), and circumferential abdominoplasty.

How long does it take?

The scope of these various operationalm procedures varies.  There are basically four types of procedures.  The most complex and complete procedures can take up to 5 hours for successful completion, while more minor procedures may be performed in as little as an hour.  Most partial, or “mini tucks” fall in the one to two hour range.

What is Involved?

Complete Abdominoplasty

A full or complete abdominoplasty generally , but not strictly, follows the following set of procedures:

abdominoplasty questionsIn order to expose the muscle tissue involved, an incision from hip to hip. just above the pubic area. An incision is made from hip to hip just above the pubic area.  Then the navel skin is isolated from the skin of the operating area with an additional cut.

In order to reveal the fascia and muscles to be tightened in the abdominal wall, the skin must be detached from it. Then sutures are used to tighten up the muscle fascia wall.

In some cases it is necessary to use liposuction to remove unnecessary tissue in certain areas od the abdominal wall structure.  Excess fluids are drained from this area, sometimes including the use of a compression garment and appropriate dressing.


Partial  abdominoplasty is also commonly called a mini abdominoplasty

A partial or mini abdominoplasty involves a much smaller incision.  This procedure does not require as full of a separation of the skin and fatty tissue of the lower abdomen from the muscle fascia.  Excess iskin is removed after it is stretched down.  In some cases the belly button is relocated and slid to a lower position on the abdominal wall, but this depends upon the case.  The transition zome of the abdominal wall might be sculped by liposuction, and then

The skin and fat of the lower abdomen are detached in a more limited fashion from the muscle fascia. The skin is stretched down and excess skin removed.  Sometimes the belly button stalk is divided from the muscle below and the belly button slid down lower on the abdominal wall ans sometimes liposuction is used to contour the transition zone of the abdomonal wall.

The flap is stitched back into place.  The combination procedure is known as a lipo-tuck.  The removal od excess skin is the progin of the reference to “tucking”.

An Extended abdominoplastyis more involved than a complete abdominoplasty

An extended abdominoplasty also includes a lateral thigh lift. This operation does the same muscle fascia contouring as a complete abdominoplasty while permitting even more improvement of the waist area.  The extended abdominoplasty also smoothsthe contour of the upper lateral thigh.

A High lateral tension tummy tuck

The high lateral tension tunny tuck is a time consuming and advanced procedure. It can take nearly 5 hours for completion.  While conventional abdominoplasty tightens muscles vertically. the high lateral tension abdominoplasty also is designed to tighten muscles horizontally. It results in a much flatter abodominal shape and a better formed waist line.

The FAB Technique, or the Floating Abdominoplasty invloves a smaller incision.

This is a relatively newer technique, and is also sometimes known as also known as an extended mini abdominoplasty.  The muscle tighening and shaping can all be done through a smaller incision.  The incision is njot around the belly button allows for tightening and shaping through a smaller incision that isn’t placed around the belly button, though the belly button is temporarliy detached to allow access to perform the operation.  This operation also removes excess skin  and tightens muscles from the strenum to the pubic area. In some cases liposuction may be invloved.

A circumferential abdominoplasty goes all the way around the body. also lifting the buttocks.

The incision is circumferential, and leaves a scar all the way around. Sometimes it is called a body lift, or a Belt Lipectomy. It is normally recommended for those who have lost a drastic amount of body weight.

Combination procedures are just what the name implies.

An abdominoplasty which lifts desired portions of the lower body can also be combined with breast procedures incuding augmentation, reduction, and lifting of the breasts.  Sometimes it is performed in combination with a hysterectomy, but this depends upon the reason driving the need for a hysterectomy.

The Risks

Of course abdominoplasty, like every medical operation, is associated with certain serious  and potentially life threatening risks.  One should take great care when making the decision to undergo any kind of abdominoplasty.  Experts recommend a serious comparison of the risks versus the potential benefits.

More detail is given in Wikipedia.