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Tummy Tuck

What is a Tummy Tuck?

A tummy tuck is a great way to address loose or sagging skin, muscle stretch, and excess tissue across your upper and lower abdomen. It’s commonly included in a “Mommy Makeover,” a combination of multiple surgical procedures like breast augmentation that help a mother regain her pre-pregnancy body.

Pregnancy takes an enormous toll on the structures within your abdomen. The muscles and fascia in your abdomen stretch to accommodate your growing belly, but those tissues don’t always return to their pre-pregnancy shape.

When your abdominal muscles separate the condition is called rectus diastasis. For some women, this creates an abdominal “pooch” that no amount of diet and exercise can resolve. During a tummy tuck, I suture your abdominal muscles back together to create a flat abdominal profile.

Many men and women pursue a tummy tuck after losing a significant amount of weight. Being overweight or obese can also stretch your abdominal tissues out of shape. In other cases, genetics creates an unappealing abdominal shape.

Who Is a Good Candidate for a Tummy Tuck Beverly Hills?

A tummy tuck addresses the problem areas of anybody who has excess skin in their abdomen, particularly below the belly button. These patients may notice that when they are sitting even slightly slouched down that they have significant skin overlap in their lower abdomen. They may also notice that if they bend over, particularly in the shower, they have significant skin and potentially fat hanging loose and making them feel self-conscious. Their clothes may fit well except in the lower abdomen.

These can be frustrating moments that can be upsetting, particularly if they or otherwise fit. These patients are typically post-pregnancy and cannot remove that lower loose skin no matter how hard they try.

Another typical patient population is anyone who has gained weight and then lost significant weight only to have the skin continue to hang loose because it will not “shrink” down to the body.

Tummy Tuck Beverly Hills Tummy Tuck Procedure

You will be asleep for the entire procedure and will be very comfortable. I usually combine liposuction with my tummy tucks and start with this process.  Once liposuction has been completed, I create an incision across the lower portion of your belly, within your pubic hairline. The low incision helps to keep it hidden within the underwear line. For a classic tummy tuck, I make an incision around your belly button and separate it from the skin that will be removed.

I then carefully separate your skin from the muscle beneath and lift it up. This allows me to access the muscles, fascia, fat cells, and other tissues that create your abdominal shape and tone. I remove excess fat, repair and tighten any muscle looseness, and make the adjustments needed to create a flattering and attractive abdominal shape.

Once I am pleased with the results, I pull down on the abdominal skin and remove the excess portion that overhangs the lower incision. This allows me to smooth your skin over your newly contoured abdomen. Usually I am able to remove the skin that extends between your belly button and your pubic region.

I care to close the incision in a way that reduces visible scarring. The incision line will sit near your pubic hairline, and once healed it will be easy to conceal even with a bikini.

Different Types of Tummy Tucks?

Because there are many different types of abdomens, amount of fat, amounts of skin and muscle looseness, and the locations of the trouble areas, there are multiple ways to treat these different issues. Some of the common terminology for these different surgeries include the classic abdominoplasty, a mini tummy tuck, and extended abdominoplasty, fleur-de-lis abdominoplasty, and a body lift.

  • Classic tummy tuck

    This classic procedure involves separation of the belly button from the abdominal skin and a low incision. The abdominal muscles are tightened as necessary. The skin is then pulled tightly down to the lower incision and any excess skin is removed. The belly button is brought through the skin but stays in essentially at same location because it was never detached from the abdominal wall itself.

  • Mini tummy tuck

    This variation is ideal for patients with little to no excess looseness of their upper abdomen but only lower abdominal skin laxity. Although this can be done in anybody, it is probably overused. Most people benefit from having muscle repair and tightening of the upper abdomen. There is a risk of having a tight lower abdomen but a loose upper abdomen if the procedure is performed in the wrong candidate.

  • Extended tummy tuck

    This procedure is best suited for patients with excess skin not only in the front of their abdomen but also on their sides as well. This occurs more frequently in patients who may have lost a significant amount of weight and now have rolls on their sides. This is actually a great procedure for contouring the flanks by reducing a boxy appearance that occurs in some tummy tucks. The trade-off is having a longer incision but it still hides within the underwear line.

  • Fleur-de-lis tummy tuck

    This procedure is primarily intended for patients who have experienced massive weight loss. They have so much skin that not only do they have rolls that hang but also a large circumference of excess skin wrapping around their bodies. This is best treated with both a lower abdominal incision (like a classic tummy tuck) and a vertical incision that gets rid of the excess tissue in the upper and mid abdomen. Although the scar is now visible on the abdomen, this surgery has a powerful ability to cinch in the waste. Many of these patients are upset with the appearance of their abdomen with excess skin and are willing to trade the significant rolls for a thin scar in the middle of their abdomen.

  • Body lift

    This is a procedure that aims to remove extra abdominal skin as well as lift the posterior region including the buttocks. Like the extended tummy tuck and the fleur-de-lis tummy tuck, this is intended mostly for patients who have experienced massive weight loss. When they lose their weight they end up developing looseness of their tissues throughout their body and their buttocks can drop and be unsightly in addition to all the other changes in their body. A body lift lifts the buttocks and removes excess abdominal skin in one surgery.

It will be important to have an in person consultation in order to assess which surgery is the right one for you. We will go over all of the options and make sure that it helps you achieve your goals.

About Nicholas Lahar, M.D. – Tummy Tuck Surgeon Beverly Hills

Nicholas Lahar - Plastic Surgeon Beverly Hlills

Lahar Plastic Surgery

Nicholas Lahar, MD

Plastic Surgeon located in Beverly Hills, CA

A firm, toned abdominal profile is a goal shared between both men and women of all ages. At Lahar Plastic Surgery in Beverly Hills, California, Nicholas Lahar, MD, performs outstanding tummy tuck Beverly Hills procedures that can help you feel more confident about your body. This is a complex procedure, but when you’re ready to explore a tummy tuck in more detail you can simply book a consultation online or over the phone.

Tummy Tuck FAQS

In order to minimize your pain after surgery, I have implemented a special pain protocol that you begin even before surgery. The pain protocol uses special medication’s that reduce pain in a non-narcotic fashion. This reduces the amount of pain your body feels during the surgery and even after surgery. My goal is to minimize and even completely remove the need for narcotic pain medication.

I also use a special medication called Exparel that I inject into your surgical areas. This is a long lasting local anesthetic that works for 3 to 5 days to reduce the amount of pain that you have and therefore your need for narcotic pain medication. Typically, most surgeons prescribe narcotic pain medications to help with postoperative pain. Unfortunately narcotic pain medication’s have significant side effects like constipation, feeling tired or dizzy, and the risk for addiction.

A tummy tuck is a good option for many, but there are cases when the procedure is unlikely to yield lasting positive effects. Women who are unsure if they’d like to have additional children may want to postpone a tummy tuck until after they are finished adding to their family.

Those who struggle with weight and have not found a weight management plan that works for them should also consider if this procedure is right for them. Gaining weight after a tummy tuck will mar your results and could require additional surgical intervention to regain a flat abdominal profile.

A tummy tuck is best suited for nonsmokers, as smoking robs your body of its ability to heal properly. There is a serious risk of losing the skin below your belly button if you are a regular smoker and undergo this procedure.  You should stop smoking, vaping, or taking any nicotine products for at least a month prior to surgery and two weeks after surgery.  And then quit altogether! You should also make sure you are in good health prior to scheduling your tummy tuck.

This is a relatively and unfortunately, misconception that people have about how the body responds to weight loss and the post-pregnancy body. The skin after being damaged and stretched does not always respond very well once the stretch is gone. People may lose significant amounts of weight but still have loose abdominal skin. Additionally the muscles may be loose. While the muscle can grow stronger with exercise, if they are physically separated, they will not function as well. Ultimately, in these patients skin removal is required to achieve a completely flat abdomen and no amount of weight loss will truly flatten the abdomen.

I was trained in the performance of drainless tummy tucks and performed them for a little while. I did not actually have many problems with this surgery but what I did notice was that the patients were much more swollen and I felt like it inhibited their recovery. Additionally, I have added more liposuction to my procedures and therefore a place more fluid into the abdomen during these procedures than I used to.

Therefore with these two main findings I have began using drains in my tummy tucks again and find it to be better for the healing and result.

Tummy Tuck Beverly Hills Tummy Tuck Beverly Hills Consultation

To explore this option in greater detail, call Lahar Plastic Surgery today to set up a consultation. Online booking is fast and easy, or you are always welcome to call the office to check appointment availability.

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