A tummy tuck, or abdominoplasty, is one of the most common cosmetic surgery procedures performed today. Factors such as multiple pregnancies, genetics and even substantial weight loss can contribute to the development of loose skin, fat deposits, and stretch marks in the abdominal region.
To smooth out the abdomen, the surgeon makes a low abdominal incision across the pubic area, from hip to hip, and sometimes from the navel down. The excess skin together with the subcutaneous fat is then pulled over the abdomen, cut and removed. The navel remains intact and attached to the abdominal wall so the surgeon must make a new opening that is the new proper position. If loose skin and muscle weakness are limited to the area below the navel, a slightly different procedure – which usually leaves a smaller scar and no scarring around the navel – may be performed. Abdominoplasty can be combined with liposuction to help reduce the areas of fat accumulation. The skin and fat excision is sometimes called Panniculectomy but many times the surgeon will have to include repairing the separated abdominal wall muscle that could positively help tighten the bulging of viscera which could not be corrected by Panniculectomy only