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Evolve Cosmetic » Cosmetic Surgery » Tummy-Tuck


Would you like a flatter, tighter tummy?

A Tummy Tuck removes excess fat, tightens the abdominal skin, and repairs separated abdominal muscles to restore a healthier, sexier tummy.
To achieve these amazing transformations, Dr. Samir performs the traditional tummy tuck procedure, the extended tummy tuck, as well as the new DRAIN-FREE tummy tuck for which he has built up a great reputation over the last 8 years that he has been performing this procedure. Thinner, lower, better hidden scars are the hallmarks of the drain-free tummy tuck. Our patients include men and women who lost weight and are left with loose abdominal skin, mothers who after childbirth have stretched abdominal muscles and others who despite their best efforts in the gym can’t get rid of that belly pouch.

Tummy Tuck


During and after significant weight loss, people try using exercise to tighten the stomach and abdominal area. Unfortunately, diet and exercise can only do so much, and with extreme weight loss no amount of exercise will help tighten all the excess skin.
A tummy tuck, or abdominoplasty, is designed to remove that excess fat and sagging skin, and tighten the abdominal muscles. In most cases, a tummy tuck will help to restore weakened or separated muscles resulting in a smooth and firm abdominal profile. This helps patients regain a more youthful appearance.
Tummy tuck, however, is NOT a weight loss surgery nor is it able to remove fat deposited deep within your intra-abdominal cavity. If your belly is large and feels very tight, with little loose skin, you most likely need to lose weight before you can have a tummy tuck.

A drain free tummy tuck is a surgical technique that was developed by Dr. Samir to improve the results of a traditional tummy tuck procedure. The differentiating feature of a drain free tummy tuck, is that Dr. Samir does not use surgical drains at the incision site after the surgery, and you will not need to have drains after the surgery. A traditional tummy tuck will require you to wear a drain for at least a week after surgery.
A drain free tummy tuck provides patients with a faster recovery, less discomfort, a lower and a better concealed scar that is thinner than one found in a traditional tummy tuck. During the surgery Dr. Samir uses advanced technique and tools, such as anesthetic blocks that not only help to keep you comfortable during your surgery, but help to reduce your pain after you wake up from your surgery as well. Learn more about drain free tummy tucks here.
If you have an abundance of loose or excess skin on your abdomen, or have an excessive amount of external abdominal fat (fat that you can grab and pinch with your hands), you may be a candidate for tummy tuck surgery. In addition, most mothers have some amount of abdominal muscle stretching or muscle laxity due to childbirth. If you find you have one of these issues, or all three, a tummy tuck is the ideal way to correct these problems.
To be considered a good candidate for a tummy tuck procedure, you should:
Be physically healthy
Be at a stable weight (BMI under 30)
Be a non-smoker
Have realistic expectations as to what the procedure can do for your appearance
If you can pinch a large section of loose, sagging skin on your stomach, or you are are constantly bothered by the feeling that your stomach is too large, a tummy tuck may be the appropriate procedure for you..However, if you only have minimal excess skin and little weakness in the abdominal wall, you may be a candidate for a “mini” tummy tuck. Dr. Samir will determine which procedure is best for you during your initial consultation.

One note about weight loss: a tummy tuck is not the right procedure for patients who want to lose weight. Tummy tuck should be considered after you have completed your weight loss.
The patient on the left has a lot of loose skin that can be easily pinched and grabbed. That is an ideal candidate for a tummy tuck.
The patient on the right has a large belly that feels full and tight. It protrudes out a lot. If you try to push into it, it feels relatively hard. There is not a lot of loose skin you can grab, as you can in the other photo. This person is NOT a candidate for a tummy tuck and must lose weight before being considered. If a tummy tuck is done at this stage, it will do little to improve the appearance of that belly

Understanding Internal vs External Fat
When seeking a tummy tuck, brazilian butt lift, or liposuction of the abdominal area, it is important to be able to differentiate between the internal fat and the external fat.
Internal fat (visceral fat) is the fat contained within the abdominal cavity (the body cavity which contains the stomach, liver, intestines – vital digestive organs) and is closely wrapped around your internal organs.External fat (subcutaneous fat) is the fat that is under your skin and can be removed via liposuction or cutting out during surgery.

For a lay person, it may be impossible to differentiate internal and external fat when looking at a human body. Two people may look similar, may appear to have same bulging belly and love handles. But because of their different fat distribution, they would get two very different results after a body contouring plastic surgery.
So what exactly is Internal Fat and why can I not remove it? Internal fat is the fat within the abdominal cavity. A ‘beer belly’ would be the most extreme example of this, where a large belly is very protruding, feels very hard, and all the fat (visible volume) is internal. Because this internal fat is closely wrapped around the digestive organs, any attempt at liposuctioning or cutting it out would damage these organs and lead to death. For this reason, internal fat is not removed. If you have a large amount of internal fat, the only way to remove it is via diet and exercise. For morbidly obese patients, bariatric surgery such as gastric bypass, gastric sleeve, lap band, or other procedures that limit you ability to intake calories may lead to weight loss.
External fat is the fat that is under your skin. It is not wrapped around any vital organs, so liposuction and cutting it out is possible. This is the ONLY type of fat that a Plastic Surgeon can sculpt, shape, or remove.

So how can you determine if your fat is internal or external?
Pinch it. If you can pinch it, you can treat it with plastic surgery. When you do pinch, however, realize that you are pinching a layer of fat that is folded over (see the video on this page) therefore in effect the real fat thickness is half of the pinch thickness.

Weight Loss before Your Tummy Tuck
Some patients may have excessive amount of internal fat which cannot be corrected by Plastic Surgery. If your BMI is over 30 or Dr.Samir determines you have excess internal fat and would benefit from weight loss prior to your tummy tuck, you will be asked to lose a certain amount of weight before we can proceed with your surgery.

Muscle repair
Muscle repair (repair of rectus diastasis) that takes place during a tummy tuck repositions separated abdominal muscles which were stretched and separated during a pregnancy. In mild cases of rectus diastasis, abdominal workouts and physio may be helpful. However for many of the women we see, no amount of sit ups, physio, diet or exercise will correct the separation. In such patients, muscle repair (diastasis repair) is the only effective treatment.
Choosing a cosmetic surgery procedure is always an important decision that should never be rushed. That is why Dr. Samir always takes the time to get to know his patients and their reasons for wanting a Tummy Tuck during a consultation. During this meeting, you will have a general health check and discuss all the implications and outcomes of Tummy Tuck surgery to ensure that you are fully informed and prepared to enter the operating theatre. This is also a time when you can ask any questions that you might have about Tummy Tuck surgery in a private, but friendly clinic environment.
The best way to determine if a tummy tuck (and/or a panniculectomy) is the right procedure for you is to have an initial consultation with Dr. Samir You will have an opportunity to discuss your goals and expectations with the doctor, and ask any relevant questions you have about the surgery. During your initial consultation, Dr. Samir will:
1.Review your medical history and any medications you are taking
2.Discuss the part of your body that you would like treated
3.Provide recommendations based on you needs and your goals
Dr. Samir will listen to your needs, expectations, and your desired outcome from the surgery. Dr. Samir will review all the surgical options that are available to you, and you will be able to tour our state-of-the-art facility and meet with our caring staff that will be part of your team.
There are actually several different types of abdominoplasty, and Dr. Samir will determine which option is best for you. This is based on the amount of loose skin, excess fat and the laxity of the stomach muscles. The options include:
Tummy Tuck (Complete Abdominoplasty): in this procedure, an incision is made above the pubic hairline, another is made around the belly button, and the muscles that run vertically on each side of the stomach’s front wall are tightened. The skin removal and the muscle tightening are the most critical steps in improving the contour of the stomach. Liposuction may be performed along with the complete tummy tuck, depending on the amount of fat that needs to be removed.

Mini Tummy Tuck (Partial Abdominoplasty): a mini tummy tuck is done for patients who have mild to moderate stomach contour changes and have minimal excess skin and little weakness in the abdominal wall.

Circumferential Abdominoplasty: if there is a large amount of excess skin and fat in the back and hip area as well as the abdomen, circumferential abdominoplasty is performed. This helps to improve the body’s contour in three dimensions.

The tummy tuck surgery will be performed in our certified and state of the art medical facility located in Chembur, Tummy tucks generally take anywhere from 1 to 3 hours. The length of your surgery will depend on your body type and the amount of work that is required.
A full tummy tuck involves a scar that typically runs from hip to hip. We make every effort to keep the scar as low as possible so that when you wear your pants or a bikini, the scar is hidden. There is also a scar around the belly button. A mini tummy tuck does not have a belly button scar.These scars take several months to fade, and a fully healed after one year.

Can the scar be shorter?
The tummy tuck scar length varies in length from patient to patient. The length is determined by your existing fold. If you look in a mirror and see the fold where your skin folds over, this determines the extent of your scar. If you try to cheat and make it shorter, you will end up un-natural looking folds/lumps on the sides. If you are unsure about how long your scar would be, you can always send us your picture for an assessment.

Differences Between A Mini Tummy Tuck and A Tummy Tuck


There are many differences between a mini tummy tuck and a full tummy tuck. The main differences is that with a mini tummy tuck the area at and above the navel is not treated, so there is no scar or repositioning of the ravel. Other differences include:Tummy


Differences

Mini Tummy Tuck

Tummy Tuck

Goal:

To tighten the muscles in the lower abdomen

Treat muscle separation above and below the navel; remove excessive or loose skin in the belly.

Procedure:

Incision above the public bone. Excess fat is removed; skin and muscles are tightened.

The navel is separated from the rest of the tissue and abdominal wall; the flap created is stretched down; excess tissue is removed

Suitable for:

Those with an abdominal wall that doesn’t protrude significantly

Women with stretched skin from multiple pregnancies or those who have lost a significant amount of weight.

Anaesthesia:

General or local with sedation

General

Scarring:

Thin scar

Longer scar from hipbone to hipbone

Recovery:

1-3 weeks

4-6 weeks




Reasons to Consider Abdominoplasty
A large amount of weight loss and the resulting sagging skin is only one reason to consider a tummy tuck. Other causes of excess, loose and sagging skin include: Aging
Heredity
Previous pregnancy
Prior surgery
• It is perfectly normal to want to have sagging skin or a protruding belly corrected. In addition to wanting to remove the loose skin around the midsection, patients may also want to consider a tummy tuck to:
• Correct a protruding stomach that is not consistent with the body’s proportions
• Improve tone in the abdominal and stomach muscles
• Eliminate skin problems in the skin fold under the abdomen
• Remove those areas of fat that simply won’t respond to exercise or dieting
• Correct prominent C-section scarring and stretch marks
• Repair diastasis recti
• Repair abdominal muscles that are overly stretched out

Tummy Tuck: Surgery Details
The procedure begins with general anesthesia. You will be completely asleep during the surgery.
In a traditional tummy tuck, an incision is made horizontally in the area between the public hairline and the belly button. The amount of excess skin will determine the length of the incision.
The skin will be dissected up toward the rib cage, the muscles are tightened and the belly button is repositioned while excess skin is removed.This helps to dramatically improve the appearance and strength of the abdominal area. Dr. Samir may recommend having liposuction along with the tummy tuck to provide optimal results. After the excess fat and skin are removed, the remaining skin from the upper abdomen is released and pulled down over the open area to close it. Skin is tightened, muscles are tightened as required, and the belly is flatter. Once the procedure is completed, the incision will be sutured and bandaged. You may be given an elastic bandage or compression garment to wear in order to minimize swelling to support the abdomen as it heals.



Recovery From Your Procedure
The tummy tuck surgery will leave your abdomen bruised and swollen, which will diminish over a period of one to two weeks. Because patients retain some water following the procedure, there will be some temporary weight gain. This is normal, and will dissipate quickly.
Recovery from tummy tuck surgery requires rest and taking it easy. The first two days following the surgery are usually the most uncomfortable. After the first two days you’ll notice a dramatic improvement in how you feel. Because of the innovative surgical techniques used by Dr. Samir, your discomfort will be easily controlled with prescription medication only. During your recovery you should avoid strenuous physical activity; this is especially important if your abdominal muscles have been repaired from diastasis recti. You may need to limit your physical activity from four to six weeks. After your tummy tuck procedure, you will have a flatter, firmer abdominal contour that is proportionate with your individual body type and weight. The actual results will be hidden due to swelling at first, but you will begin to see your new slimmer profile within one to two weeks after surgery. Depending on the surgery, it may take anywhere from several weeks or months to see the final results. During recovery it is critical that you refrain from smoking. Smoking deprives your body of oxygen, which increases the risk of wound breakdown and infection following the surgery.
The goal of a tummy tuck is to provide you with a tighter, smoother and more attractive abdomen. Your love handles will be smaller, and you will look more fit, youthful and healthier.

Panniculectomy
While the tummy tuck, or abdominoplasty, is designed to create an abdominal profile that is smoother and firmer, an alternative procedure is a panniculectomy. This is NOT a tummy tuck, this is an ‘amputation’ of the loose skin in patients who have lost >100lb and have medical problems due to the excessive skin. This is NOT a cosmetic procedure and the results are not pretty. This procedure can be performed alone or in combination with a tummy tuck, and is done to remove the skin hanging on the abdomen, called the “pannus” or apron. It runs from below the belly button, and is usually a result of losing significant amounts of weight – approximately 100 pounds or more. It is often done at the same time as the tummy tuck.
While the tummy tuck tightens the underlying stomach muscles, the paniculectomy only removes the excess skin and fat required for medical reasons. After losing a significant amount of weight, the patient is left with heavy, loose folds of skin around the abdomen, which end up sagging and losing their elasticity because they have been stretched over a long period of time. This can lead to ongoing problems, including: Difficulty performing daily hygiene
Yeast infections or cysts in the folds of the skin
Lower back pain
Inability to comfortably wear clothing
Rashes above the pubic area along the groin and hips
Patients requiring panniculectomy have overcome obesity and have recently lost a significant amount of weight. They also may have post-pregnancy problems with excessive fat that is situated below the belly button. Depending on the amount of excess skin you have and the condition of your abdomen, Dr. Samir will determine the best procedure or procedures to meet your specific needs.
Patients are considered candidates for panniculectomy if they have:
• Excessive fat that presents health problems, like skin rashes, ulcers or other skin disorders
• Weight that’s been stabilized for at least one year
• An ongoing diet and exercise plan
• An approval from OHIP is require prior to considering this surgery



Clinic Address

Flat no 102 first floor,The central,
Near Railway Level Crossing,
Chembur Station Road,Chembur(E),
Postal Colony Chembur East, Mumbai-400071.

+91-09082569534

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