Length of Surgery
7,000-9,000 Plus HST
Tummy Tuck is a cosmetic surgical procedure which removes excess skin and fat from the abdomen, tightens the abdominal musculature and re-positions your belly button to create a tighter, flatter abdominal region.
Summary of Surgery:
Type of Anesthesia:
2 weeks off from work
6 weeks before resuming physical activity
Table of Contents
What is a Tummy Tuck?
A Tummy Tuck, termed abdominoplasty, is one of the most frequently performed types of cosmetic surgery. An abdominoplasty help restores, reshapes and tightens the abdomen by removing excess fat from the abdominal area, repairing separated abdominal muscles (rectus diastasis) and tightening the skin in the area.
Different types of abdominoplasty that can be utilized according to your needs and goals. Mini-abdominoplasty, standard abdominoplasty and extended abdominoplasty are all surgeries that is offered at the Canadian Plastic Surgery Centre to help you achieve the look and feel you desire, helping you walk out in confidence. Each of the surgeries are described below.
Tummy Tucks and Future Pregnancies
Although a tummy tuck does not interfere with later pregnancies, women considering children in the future may wish to wait until they are finished having children, as further pregnancies may result in future skin laxity and repeat muscle separation.
Tummy tuck surgery is valuable option for individuals with a wide range of body sizes. Anyone with significant weight loss, whether through exercise and diet or through bariatric weight lost procedures (i.e. gastric bypass surgery), and/or is post-pregnancy can benefit from and abdominoplasty
If you have an abundance of loose or excess skin in your abdomen or have an excess amount of external fat (fat that you can grab or pinch with your hands), you maybe a candidate for a tummy tuck surgery.
At the Canadian Plastic Surgery Centre, Dr. Chivers will assess you to provide you with the best surgical options for your goals. Good candidates are:
in good health
at a stable weight and does not intend to lose additional weight
have excess skin or external fat in the abdominal region or flanks
individuals with stretch marks in the lower abdomen
have a weakened abdominal musculature
are a non-smokers
must have realistic expectations to what a surgical procedure
Can a Tummy Tuck HELP me lose weight?
One common misconception is that a tummy tuck is a weight loss procedure. Tummy tucks are NOT performed for weight lost reason. While some excess external fat (subcutaneous fat) is removed, the amount of weight lost from the procedure is not significant. The purpose of an abdominoplasty is to sculpt and tighten the abdominal area while maintaining a patient’s current weight. If you are looking to lose weight for health reasons, a viable option is to undergo a bariatric surgery (i.e. gastric bypass or gastric sleeves) or through natural diet and exercise. It is through these methods that fat within the abdominal compartment (visceral fat) is reduced contributing to weight lost.
The difference between subcutaneous fat and visceral fat and why it makes a difference?
The difference between subcutaneous and visceral fat is the location of the fat, but each type of fat has different health implications. Subcutaneous fat is found directly beneath the skin whereas visceral fat is found within the abdominal compartment, located between your organs. Although unsightly, subcutaneous fat has limited implications on an individual’s health. However, individuals with large amounts of visceral fat are found to have increase risk for cardiovascular disease, diabetes, colorectal cancer and other chronic illness. Lastly, subcutaneous fat is located in areas that can be molded and operate on through liposuction or excised by cosmetic surgeons, whereas visceral fat is inaccessible.
This has significant implications for patient’s who would like to undergo abdominoplasty to reduce their abdominal girth. Although subcutaneous fat can be removed through body contouring procedures, visceral fat that causes large abdominal girth can only be lost through diet, exercise or with the help of bariatric surgeries. Abdominoplasty is typically an option for patients who has lost a significant amount of weight lost and are at a stable weight for at least 6 months after their weight loss through natural means or with the help of bariatric surgery.
Tummy tuck surgery is valuable option for individuals with a wide range of body sizes. Anyone with significant weight loss, whether through exercise and diet or through bariatric weight lost procedures (i.e. gastric bypass surgery), and/or is post-pregnancy can benefit from and abdominoplasty. Abdominoplasty creates a flatter abdomen, strengthens abdominal muscles and eliminates stubborn fat .
Patients who elect to have an abdominoplasty is put to sleep under general anesthesia and the surgical area and scars is dependent on the specific procedure performed.
Types of Abdominoplasty
Mini-abdominoplasty – is an option for patient’s with excess skin and fat located directly below the belly button and pubic area and does not have a bulging of the abdomen from muscle weakening (rectus diastasis). This surgery removes a small amount of skin and fat without moving the belly button. There is a small abdominal scar, typically hidden at the bikini line.
Standard abdominoplasty – is an option for patients with loose skin, excess fat and abdominal budging due to weakening and separation of abdominal musculature. This surgery involves a long incision at or beneath the bikini line from hip to hip and dissection of the abdomen along the subcutaneous plane from the pubis to the sternum. Skin is pulled downwards to tighten the whole area and excess skin is excised on the lower edge. Additionally, the rectus muscles are tightened to decrease the abdominal bulge and the belly button is repositioned. Liposuction may also be used to smooth the contours of the flanks and abdomen for better aesthetic outcomes.
Extended abdominoplasty – is an option for patients similar to those who need a standard abdominoplasty but have additional excess skin and fat on the side and flanks of the abdomen that requires removal. The incision is longer than that of a standard abdominoplasty to include the flanks past the hip area.
Fleur de Lis Abdominoplasty – is option for patients similar to those who need a standard abdominoplasty but have addition skin and fat in the upper abdomen area below the rib cage. Patient’s who have this surgery will have an inverted T scar that runs down the midline and across the hips. This procedure allows for maximal removal of excess skin and fat from the upper and lower abdomen reduction of the waste circumference.
Abdominoplasty vs. Panniculectomy
An abdominoplasty is sometimes mistaken for a panniculectomy as both function to remove skin from the lower abdomen. However, panniculectomies are medically necessary procedures that removes excess skin in the lower hands of the abdomen that develops after major weight loss. This excess skin often causes severe irritation, infection and back pain that can be restrictive to a patient’s lifestyle.
Recovery from an abdominoplasty typically requires 6 weeks. However depending on the extent of the procedure, a patient may recover faster from surgeries that are less extensive.
Post-Operative Instructions at a Glance
Dressings are changed the day after surgery and at 1 week.
Pain medication and antibiotics are prescribed for the first week following surgery. Any post-operative pain is typically mild to moderate.
Patients are able to walk the day after surgery.
Drains inserted during the procedure are painlessly removed at 1 week.
Incisions are to be kept dry for the first week. Patients can shower after that.
Patients are able to return to light duties at work typically after 2 weeks.
Ends of dissolving sutures are trimmed at 3 weeks.
Abdominal binder given to the patient is to be worn for 6 weeks and until the final follow-up.
Patients are able to resume full activities and to exercise after 6 weeks.
Immersion of incisions in baths, hot tubs, pools, oceans should be avoided for 6 weeks.
A Brazilian Butt Lift, also known as a buttock augmentation, is a complimentary procedure to abdominoplasty as it can help build the upper poles of the buttocks using fat grafting procedures. This surgery takes your own natural fat and redistributes it into the upper poles of the buttock region, which creates a fuller profile for patients who desire a rounder curvature.
After massive weight loss, a lot of patients are affected by loss of volume and sagging in the breasts. Breast lift is a common complimentary procedure as it helps bring tissue upward to create volume in the upper pole of the breast and treats irritation and maceration in the skin folds beneath the breasts.
Breasts, composed of fatty tissue and mammary glands, fluctuates with an individual's weight. After significant weight lost, many women find a significant loss in breast volume. A variety of different implant can help recover the volume and accentuate the curvatures of your abdomen attained from your abdominoplasty.