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Tummy Tuck

Abdominoplasty, a surgery designed to remove excess fat, tighten skin and repair stretched out muscles in the abdomen, is commonly referred to as a tummy tuck. Hawaii patients who would benefit from a tummy tuck are women who have had one or more pregnancies, and who plan to have no further pregnancies – or, men or women who have lost significant weight (either through bariatric surgery or diet and exercise) and are in need of a tummy tuck for skin tightening.

Undergoing Tummy Tuck Surgery at our Honolulu Practice

There are four major components of a tummy tuck:

  • Repair of the abdominal muscle separation (rectus diastasis)
  • Rejuvenation of the belly button (umbilicus)
  • Excision of some or all stretch marks present on the abdomen
  • Tightening of abdominal skin, excision of excess skin, and associated fat

There are also some added benefits of a tummy tuck:

  • You may overcome chronic low back pain by the correction of rectus diastasis.
  • By tightening skin on abdomen, you also tighten skin on anterior thighs, elevate the vulva, elevate the mons pubis, partially tighten loose skin of inner thighs.
  • Preventing and/or correcting most post pregnancy cases of stress incontinence (you laugh, you urinate; you cough, you urinate), and therefore often overcome the need for adult diapers.
  • Reposition upward the external female genitalia to include the clitoris. This puts the clitoris in a more favorable position for friction during sexual intercourse.

Selecting a Tummy Tuck Surgeon in Hawaii

The only surgeons qualified to perform abdominoplasty are board certified plastic surgeons. This surgery requires every bit of technical skill and artistry, and requires a broad understanding of wound healing, liposuction, a great deal of facility with knots, types of thread, use of drains, what the patient should and should not do pre-op and post-op and what the patient should and should not take pre-op and post-op. Tummy tuck surgery is not conceivably learned in a weekend course. Other surgeons may have an understanding of the abdominal area, but a cosmetic outcome and a great looking belly button truly require all the positive surgical traits of a board certified plastic surgeon.

More Information for Honolulu Tummy Tuck Patients

Here you will find a more detailed explanation of each component of abdominoplasty:

LIPOSUCTION in one way or another is used in almost every tummy tuck. Most plastic surgeons liposuction the hips or flanks (muffin tops) to get a better waistline and often decrease the need for a long tummy tuck scar. Liposuction can be used to blend the edges of a tummy tuck to prevent what is known as “dog ears”.

CREATION OF A COSMETICALLY APPEALING BELLY BUTTON. Technically, belly buttons should take anywhere from 30 – 45 minutes to create just the right size, defat all skin that is going to be pulled down to meet the original belly button base. Time consuming dissolvable sutures need to be placed in hidden locations to prevent scarring, and thereby preventing   damaging the beauty of a well done umbilicus.

CORRECTION OF SEPARATED ABDOMINAL MUSCLES (RECTUS DIASTASIS). Abdominal muscle separation is a normal component of pregnancy. If the abdominal muscles did not separate during pregnancy, the uterus would be forced to go straight upward, prevent the diaphragm from functioning correctly, and lead to the death of the mother before she delivered. Abdominal muscles come back together 30% of the time after the first pregnancy, only 10% of the time after the second pregnancy, and almost never after the third pregnancy. These muscles need to be repaired for both functional and cosmetic reasons.

WOUND HEALING AT THE ABDOMINOPLASTY SUTURE LINE. How do you get a great, almost imperceptible scar after the skin resection and necessary tightening that is done in an abdominoplasty? First of all, the suture repair has to start very deep with permanent sutures that sew together a system known as the superficial fascial system. Then below the surface are put strong, dissolvable upside down staples. This unique system is known as Insorb, and dissolvable inter-dermal (just below the skin) barbed sutures are used, and finally a surgical adhesive similar to superglue.

Hawaii Tummy Tuck Patients: After Your Procedure

Surgery doesn’t end at surgery.  Surgery ends when the abdominoplasty scar is as good as the patient’s genetics will allow.I tape this wound with a very strong form of post-operative surgical tape known as Proxy Strips. These last for two weeks at a time, to help get rid of redness and elevation, and help teach the new collagen fibers how to come in both flat and strong.In a matter of weeks, you should begin to enjoy the results of your tummy tuck.

To learn more regarding your options as a Honolulu tummy tuck patient, contact Oahu Plastic Surgery Center today to schedule an initial consultation at our office in Honolulu. Dr. Schlesinger will be glad to speak with potential Hawaii tummy tuck patients during that time.

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