Types of abdominoplasty

Endoscopic abdominoplasty

Endoscopic surgery has become very popular in the last couple of years because it is much less invasive then standard abdominoplasty. The only tourble is that in patients with loose belly skin, this procedure will not suffice. Endoscopic abdominoplasty is performed with the help of small camera, called an endoscope, which is attached to the surgical instruments. The procedure is performed through a small incision, usually suprapubic incision or in the umbilicus. This procedure also includes another operation called liposuction which also removes the fat. After a drain is placed, the incision is closed.

Mini-Tummy Tuck (Partial or Modified Abdominoplasty)

It is a very effective procedure especially for the patients who need skin and fat removal only and no new umbilicus placement. The good thing about this type of abdominoplasty is that it usually results in a shorter scar. Complete abdominoplasty usually takes two to five hours, depending on the extent of the work required. Partial abdominoplasty may take an hour or two.

Dermolipectomy

Dermolipectomy is the removal of redundant skin and excess fat and it is very similar to the previous type of operation but requires repositioning of a new belly button. The important thing is  that there is no muscle tightening. 

Full Abdominoplasty

This is definitely the most invasive technique. It is generally reserved for patients who have very lax muscles and excess amounts of skin. In the full abdominoplasty a new navel will be made instead of the original one. Patients should be aware that there is more pain and swelling, as well as bruising during and after this procedure due to the amount of work to be performed for proper correction. 

Reverse Abdominoplasty

This is a very uncommon procedure, because, in most cases, it is being done in conjunction with breast reduction or mastopexy. The incision is made along the breasts field in a shape of the inverted letter V. The patient should know that there are pros and cons to each technique so check with your surgeon what is best for you. 

Vertical Scar Abdominoplasty

This is also a very popular technique which combines lower abdominal transverse incision with a midline vertical incision up the abdomen. This technique is usually reserved for those who need a substantial skin excision and waist tightening.

After the operation

In the first few days, the patient’s abdomen will probably be swollen and some pain and discomfort could occur, but in most cases it can be controlled by medications. Depending on the extent of the surgery, you may be released within a few hours or you may have to remain hospitalized for two to three days. Surface stitches will be removed in 5 to 7 days, and deeper sutures, with ends that protrude through the skin, will come out in two to three weeks. The dressing on your incision may be replaced by a support garment. Most people are able to return to work between two to four weeks after the operation, but vigorous exercise is not recommended for at least six.