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What is a Tummy Tuck with Muscle Repair?

We often talk about performing a tummy tuck with muscle repair and I would like to clarify what we mean by that.

The muscle in question is the rectus abdominis muscle which is the six pack.

Although the six-pack looks like horizontal lines across your abdomen, it is actually a vertically orientated muscle that goes from your rib cage straight down to your pubic bone.

There are two rectus abdominis muscles which sit side-by-side.

At intervals along the length of the muscle there are ridges called tendinous intersections.  It is these that create the appearance of the six-pack.

These muscles can be spread apart when the intra abdominal contents increase and swell up.

This commonly occurs during pregnancy and when putting on weight.

When the swelling goes down, sometimes the muscles don’t come back together again leaving a gap between them.

This is known as divarification of the rectus muscles.

It is not that the muscles actually need to be repaired but more that they need to be brought back together.

If you are wondering whether you need to have your muscles repaired or not then you can demonstrate divarification of the rectus muscles by lying flat on your back and performing a straight leg raise.

This will tense the rectus muscles and if they are not sitting next to each other, you will be able to see a bulge or feel a gap between them above your belly button.

It is routine to repair the rectus abdominis muscle when performing a full tummy tuck or a fleur-de-lis tummy tuck.

This is because the operation involves releasing the skin and fat all the way up to the rib cage, so the whole length of the rectus abdominis muscle is exposed.

This is not the case with a mini tummy tuck because the belly button is left in place and we can only access the lower abdomen below the belly button.

This means that we cannot repair divarification of the rectus muscles when performing a mini tummy tuck.

Patients sometimes ask specifically to have the muscles repaired when requesting a tummy tuck but this is something that we will assess and repair routinely for anyone having a full tummy tuck or a fleur-de-lis tummy tuck.

If you are having your rectus abdominis muscles repaired, it can be a little bit uncomfortable and so do not be surprised if you wake up after surgery with discomfort centrally above your belly button and it can be uncomfortable to cough because this will put tension on the muscle repair.

Sometimes people think that they have a hernia but divarification of the muscle is not strictly a hernia in itself.

A hernia is a defect in the abdominal wall whereas divarification is a weakness in the abdominal wall.

Most plastic surgeons will be comfortable repairing hernias or divarification of the rectus muscles and so whatever the cause of the weakness or bulge in your abdominal wall, we should be able to fix it for you.

If you have any questions about tummy tuck with muscle repair or tummy tucks in general, you can comment below or email me at info@staianoplasticsurgery.co.uk.

I perform a live Q&A every Tuesday at 7pm on Facebook and so you can catch me there if you want to ask a question.

If you want to come to the clinic for a consultation then you can contact us here or phone (0121) 454 3680. We would love to see you.

You can download my tummy tuck guide here.

 

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Mini tummy tuck with muscle repair

If you are considering a mini tummy tuck with muscle repair, then you will have a bulge in your lower abdomen with separation of your rectus abdominis (six pack) muscles.

A mini tummy tuck is good at addressing the fullness in your lower abdomen but one of the main benefits is that it does not give a scar around the belly button.

This means that we cannot get above the belly button when we perform a mini tummy tuck.  However, the laxity in the six pack muscles is usually above the belly button, so this cannot be reached with a mini tummy tuck.

This means that muscle repair during a mini tummy tuck is limited and for a full muscle repair, a full tummy tuck is needed.

Benefits of a mini tummy tuck

There are obvious benefits with a mini tummy tuck:

However the extent of skin excision that can be performed is also limited due to the limited scarring.

Limitations of a mini tummy tuck

If you have fullness across your whole abdomen and particularly above the belly button with separation (divarification) of the rectus muscles, it is a full tummy tuck that will be needed to address this completely.
While nobody wants the extra scarring and recovery associated with a full tummy tuck, the possibility of a mini tummy tuck with muscle repair is not one that can be realistically achieved.

If separation of the rectus muscles is a significant problem for you, then you will be better off having a full tummy tuck.

Can you have muscle repair with a mini tummy tuck?

Muscle repair is a part of a full tummy tuck, but it is not routinely performed during a mini tummy tuck.

If you need muscle repair, then the obvious answer would be to have a full tummy tuck, however, not everyone is a suitable candidate for a full tummy tuck.  You need to have enough loose skin in your abdomen because all of the skin from the belly button to the pubic area is removed.  If you look at before and after photographs, you can see how much skin and fat is removed which means that the rest of the skin of your abdomen needs to be able to stretch and pull down to close the defect.

If you do not have enough loose skin for a full tummy tuck and just want a mini tummy tuck to address your lower abdomen, then the muscle could be reached by dividing the base of the belly button which is known as ‘floating the belly button’ although this runs potential risks for the future if you were to need a full tummy tuck.

It is a difficult situation if you are considering a mini tummy tuck with muscle repair and I discuss it in one of my Facebook Live Q&A’s below:

Summary

If you have just a mild fullness in the lower abdomen with separation of the abdominal muscles, you are in a slightly complicated situation because mini tummy tuck with muscle repair comes with its limitations.

It is always best to talk to a fully trained plastic surgeon with experience in body contouring so that you can go over the pros and cons of full versus mini tummy tuck with and without muscle repair.

For more information about tummy tucks you can download our free guide and if you have any questions you can contact us on 0121-454 3680.

I do a live Q&A every Tuesday at 7 pm on Facebook so feel free to comment or ask a question.

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The Barbed Suture

What is a barbed suture?

A barbed suture is a suture which has very fine barbs all the way along its length.  This means that when you pass it through the tissues, the barbs catch and it will not pull back.
So that if you use it on either side of a wound and pull it tight, it will hold the tension and keep the wound closed without having to tie a knot in the suture.

These days patients ask a lot more detailed questions than they used to.

I guess it is one of the benefits of the information superhighway – that we can all become experts with a few clicks and a couple of hours on Google.

I welcome this and encourage patients to do their research.

…but sometimes people do go in to details and start worrying about things that aren’t really important.

…like ‘will you use a barbed suture for my tummy tuck?’

 

What’s that all about?

Most people don’t even know what they are asking much less why it might (or might not) be a good thing to use.

Having said that, it is always good to ask questions because you will be able to gauge from the reaction whether your Consultant is approachable and comfortable to engage.

…but I wouldn’t hold too much store on the reply.

Like most things, there are pros and cons.

Some surgeons use barbed sutures a lot, while others never use them.

Personally, I am in the latter category and I never use them.

Not because I think they are bad, I can see the benefits
…but I also see the downsides.

The Pros and cons of barbed sutures

The Pros Of Barbed Sutures

The great benefit in using a barbed suture is speed.

…and it is better to be quick than slow when performing surgery.

If you have a large open wound, like with a tummy tuck or a breast reduction, you can pass a barbed suture and close it very quickly because as the barbs pass through the tissues, they catch and won’t pass back and this keeps the tension on the wound without needing to tie knots.

If you use a normal (non-barbed) suture, then you have to tie a knot in the suture to keep the tension on.

This means that you have to tie multiple interrupted sutures rather than just passing one barbed suture.

…and this takes time.

BUT there is a benefit in tying multiple interrupted sutures.

The Cons Of Barbed Sutures

One of the challenges in closing tummy tucks or breast reductions is that we need to take care of the alignment of the tissues to prevent a dog ear and ensure that the closure is neat.
This is easier when doing interrupted sutures where you can adjust and correct as you go.

Once you have passed the barbed suture, you can’t adjust it.

The other worry that I have with the barbed suture is that the whole integrity of the wound closure is held on that one suture.

With multiple interrupted sutures, if one knot fails, it will not have a significant effect.

Furthermore, if you are unfortunate enough to get an infection, then we may need to remove the suture.

This is bad enough if it was just one deep suture, but if you are unlucky enough to get an infection in a barbed suture, it is very hard to treat because they are difficult to remove.

At the end of the day, a barbed suture is not going to be the difference between a good and a bad result.

The are good surgeons and bad surgeons and there are surgeons who use barbed sutures and those who don’t – they are not mutually exclusive.
It is more important to look for a good surgeon and that depends on a variety of factors.

  • Qualifications and experience
  • Attitude and empathy
  • Surgical expertise
  • Aftercare

The ins and outs of the techniques they use is a minor factor.
Yet some patients give disproportionate weight to it because it is a lot more tangible than these other attributes.

I still think it is good to be informed and to ask questions about your treatment about how and why something is going to be done.
…but try not to get too hung up on it.

Barbed sutures have a place, but in themselves, they will not give you a good result (or a bad result).

Spend timing choosing your surgeon, this is the most important decision for you to make.

If you need help finding a fully trained plastic surgeon, you can get my book ‘Never Accept A Lift From Strangers – how to choose the best plastic surgeon for your cosmetic breast surgery’.

It is available through amazon or my website .

As ever,  if you have any questions, you can always join me on Facebook where I do a live Q and A every Tuesday at 7 o’clock or call us on 0121 454 3680 if you would like to have a chat.

If you have any questions, feel free to get in touch or leave a comment and I would be happy to get back to you.

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Brazilian Tummy Tuck

Brazilian Tummy Tuck vs Standard Tummy Tuck

I have just been asked to talk about the Brazilian tummy tuck.
There are often catchy names and new techniques that come out and I can see how someone considering a tummy tuck might want to know about the latest developments.
However, when you look in to it, you actually find that it is often just a variation on a theme.

I have looked at the ‘Brazilian Tummy Tuck’ to see how it differs from a standard tummy tuck.

What Are The Differences?

  1. Limited undermining – a tummy tuck involves undermining up to the rib cage to free up the upper flap of skin and allow it to be pulled down to close the defect.  They say that the Brazilian Tummy Tuck involves limited undermining centrally, just enough to create a space to allow repair of the rectus abdominis muscles (the 6 pack) which is often a standard part of any tummy tuck.However, the days of wide undermining have long past and we have been performing limited undermining just through a narrow tunnel for some time and in this respect a Brazilian Tummy Tuck is no different to a modern full tummy tuck.
    This is nothing new.

  2. Minimising dead space so no need for drains – they say that because undermining is limited with a Brazilian Tummy Tuck, there is less space underneath the skin flaps and so less room for fluid to occur in terms of seroma (this is known as the dead space).This means there is less need for drains.As you can see from 1. above, we already limit the dead space and have been moving towards not using drains for some time.Personally, I do still use suction drains to encourage the skin flap to stick down and I know that patients don’t like them, but I have an extremely low seroma rate and I am keen to keep it that way.
    I have spoke before of the pros and cons of drains vs glue.
  3. Liposculpture of the whole abdomen – this is perhaps the one area where I feel there may be some difference between a standard tummy tuck and a Brazilian Tummy Tuck.It is common to perform liposuction laterally to the hips and flanks when performing a tummy tuck, but we tend to steer clear of the front of the stomach because of concerns about the blood supply to the skin flap that we have raised.Contouring of the front of the stomach is often not required because when the skin gets pulled down, this tends to stretch it and improve the shape. However, with a standard tummy tuck, if there is excess fat in the upper part of the tummy, then you may need liposuction to this at a later date, however this is often not needed.

Don’t Believe The Hype

Anytime you hear about a revolutionary new technique that only one a small selection of surgeons perform, you need to question why everyone isn’t doing it!

It could be that it requires a particular device or special training
…or it could be that it isn’t that revolutionary and people have been doing it for years, but just haven’t given it a name.
I always say that the most important thing you can do is to choose your surgeon, remember, Never Accept A Lift From Strangers.

Of course you should research techniques and procedures too, but try to cut through and look for tangible differences rather than hype and hyperbole.

You need to find a surgeon with an eye for detail, who cares about his or her outcomes and will listen to you to achieve the result that you want.

Brazilian Tummy Tuck may have something to offer, but look at the results and see if you think they are significantly different to those achieved by others.

Look at Before And After Photographs

Click the photo below to see an enlarged image of one of my tummy tucks and you can see more of our before and after results here.

 

You must be the ultimate judge, but I would urge caution about the surgeon who reports to have the next big thing because it just may be his or her ego!
I spoke about the Brazilian Tummy Tuck on one of my LIVE Q&A sessions on Facebook that I do every Tuesday at 7pm, you can watch the clip below:

Leave a comment below or contact us on 0121-454 3680 if you have any questions or would like further information.

Download My Tummy Tuck Guide

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Post-operative compression garments

After body contouring surgery such as breast re-shaping, a tummy tuck, gynaecomastia correction and liposuction, we utilise post-operative compression garments to give support and help with swelling.

The reason for the garment is to aid your recovery and to make you feel more comfortable.

There is often swelling following body contouring and when the tissues swell it can be uncomfortable, not to mention looking unsightly.
This is particularly important to be aware of if you have just had liposuction to get rid of those persistent fat pads that you have always hated and then two weeks after surgery you look in the mirror to see that they are still there!

Do not be alarmed, the results of any sort of body contouring can take two to three months before they start to settle and full recovery in terms of sensation and maturation of scars can take a year or more.

We will size you up in the operating theatre and will usually put the post-operative garment on you as soon as we have finished surgery so you will wake up wearing it.

It should be comfortable and supportive, not tight and restrictive

…so if you find that when you take it off you breathe a sigh of relief, then let us know, because it might be that you will need a larger size, especially if it leaves red marks or irritates the skin because we do not want it to cause problems.

It is often a major life event having body contouring surgery and so patients will stick to our post-operative guidance religiously which is to be commended, but when we say you should wear the garment for six weeks day and night, this does not mean that you cannot take it off to give yourself a breather or to have a shower.
It is fine to take the garment off for short periods and if you find it is bulky and uncomfortable, you may choose to use an alternative in the form of a tight figure-hugging t-shirt or body contouring pants.

You will always have open access to Vicki our clinic nurse, if you have got any questions about your garments, so please do not hesitate to give her a ring.

After the six weeks has passed, most of the swelling will be starting to subside and so you can start to take the garment off at night and at certain times of day if you find it more comfortable.

However, patients often feel secure when wearing the garment, particularly if they are going out in crowded places or have a busy day ahead.

You can play things by ear and see how you feel and continue to wear the garment if you wish.

We will work closely with you in the first few months and advise you about how to optimise your healing.

The garment is one part of the post-operative regime that we offer to make sure you get the best result possible and feel fully supported.

As ever,  if you have any questions, you can always join me on Facebook where I do a live Q and A every Tuesday at 7 o’clock or call us on 0121 454 3680 if you would like to have a chat with us.

If you have any questions feel free to get in touch or leave a comment and I would be happy to get back to you.

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Eat, drink and be merry (as long as you don’t eat too much)

Christmas is a popular time of year for surgery and you might think that odd because you do not really want to be heaving the turkey in and out of the oven whilst loosening your support bra or clutching your abdominal binder.
I can understand the appeal because it is a time where businesses shut down so we all have some time off to rest and recuperate.
You may need to take little or no annual leave and recovery could be done over the festive period.
However, one of the problems with body contouring surgery is that we always tell people that they need to maintain a stable weight, because weight fluctuations after surgery can have an unpredictable effect on the result. 
You see, the problem with putting on weight is that it stretches the skin, and if you then go on to lose it, the skin may stay stretched and lose its elasticity which is why people need body contouring in the first place.
Just because you are having a tummy tuck or a breast lift does not mean that your body will be protected from weight fluctuations.
Your body will behave in the same way as it would have before, but you will be reset to a better place with your tummy and breast skin much tighter.
If you are planning on any weight fluctuation, then it is always best to do this before surgery.
Now I realise that life is not always as predictable as that, much as we would love to have a stable body weight, we all have times in our lives where our weight fluctuates.  However, the festive period is a particular time for indulgence and so you have to be extra careful if you are considering cosmetic surgery.

Our aim is always to do what is right for you and so we are always happy to have a conversation about when the right timing is for your surgery.

You may have compelling reasons to want surgery over Christmas and that is absolutely fine.
You are not alone as it is one of our busiest times for operating.
It is all about informed consent and for you to weigh up the pros and cons in your own mind as to when the best time for surgery is.  We will accommodate you whatever.

If you need time to think or just want to enjoy Christmas, then get out your mince pies and yule logs and go for it.
I do not want to be a party pooper and even if you do have surgery, there is no harm in the occasional mince pie!

I am only talking about significant weight fluctuations and the importance of some degree of stability.

We have had a busy Christmas and we look forward to making some new bodies for the New Year.
Whether or not you go for it with the stuffing or you just stick with the sprouts, I hope you have a wonderful Christmas and let’s look forward to a fantastic 2019.

If you have any questions, you can always join me on Facebook where I do a live Q and A every Tuesday at 7 p.m. and I will be available live to interact and discuss any issues.
Feel free to leave a comment below, or drop us an e-mail.
If you want to come for a free no obligation consultation with one of our plastic surgeons, please call or email us or fill in the on-line contact form.

Merry Christmas and Happy New Year.

What happens to my belly button during a tummy tuck?

It is often a great source of mystery to patients as to what happens to their belly button when they have a tummy tuck.
They often think it gets moved or a new one is made.
In fact, just before we published this blog post, someone asked this question on one of my Facebook Live Q&A sessions:

The two commonest forms of tummy tuck are a mini tummy tuck and a full tummy tuck.

A mini tummy tuck involves removing the skin and fat just above the pubic area.

For patients who have some fullness, usually following a pregnancy, possibly with a Caesarean section scar and overhang above it, a mini tummy tuck removes the overhang, flattens the contour of the lower abdomen and nothing is done to the belly button, leaving one scar in a similar position to the Caesarean scar, although slightly longer.
The belly button itself does not have any scars around it and remains in broadly the same position, although it may get pulled down a bit.

In contrast, a full tummy tuck involves removing all of the skin from just above the belly button to the pubic area, so the belly button has to be re-positioned.

This involves making a cut around the belly button where the umbilical stalk is attached to the abdominal wall whilst the skin is re-draped.
When the lower abdominal apron is removed and the wound is closed, a hole is made in the skin fat at the position of the umbilical stalk and the original belly button is poked through this hole and sutured in place.
So whilst the skin around the belly button will be new, the skin inside the belly button is the same skin that was there pre-operatively.

This is probably best demonstrated in before and after photos, so you can see the position of moles originally in the upper abdomen and then get pulled down when the skin is tightened, and then the belly button is brought through into the new piece of skin.

It is only in very rare cases that the belly button is removed.

In these situations it can either be simply left off completely or a new belly button can be re-created using plastic surgery techniques.

The aim is always to put the scar inside the belly button so it is not too visible and we go to great lengths to fashion the skin around the belly button so that it sits in a slight depression, with a superior hood to give a natural and aesthetically pleasing contour to the central part of the abdomen, which is one of the nuances of tummy tuck surgery, and one of the main areas where care and planning are required in order to transform the abdominal contour and to get a great result.

For more information download our guide about tummy tucks or call us or e-mail us.

You can also join me on Facebook where I do a live Q and A on Facebook every Tuesday at 7 p.m. where I will be available live to interact and discuss any issues and to answer them to the best of my knowledge and abilities.

Feel free to leave a comment below, or drop us an e-mail.

If you want to come for a free no obligation consultation with one of our plastic surgeons, please call or email us or fill in the on-line contact form.

When can I go back to work after surgery?

 The major surgery which we do at the Staiano Clinic, such as breast augmentation, breast reduction, breast lifts, gynaecomastia and tummy tucks have a dramatic effect on your body both physically and mentally and you should allow enough time to recover from them.

Surgery often involves tightening or stretching the skin, so it can feel tense and swollen for some time and you should avoid exerting yourself.
Not only does this run the risk of putting tension on the wound and the possibility of the wound not healing up as well as we would like, but it will also increase the swelling and the swelling can take some time to subside.

If you overdo it in the early stages then it can be a false economy in the long run and you would have been better off giving yourself more time to let things settle to start off with, and although cosmetic surgery has an image of a lunchtime procedure with no downtime, if you are seeking a dramatic change in the shape of your body then you should expect and plan for a period of rest and recuperation.

The First Week

The first week after surgery is always uncomfortable.

Everything feels tight and tender and you will not feel like doing much.

You will be able to potter around the house and look after yourself, but you should plan for little more.

After the first week you will come back to have the dressings removed and you usually do not need any dressings after this time.

However, everything will still be quite fragile and you should continue to take things easy in the second week, although you may be able to work from home for short periods.

Depending on the procedure you have had done and how you are feeling, you should be able to drive after two to three weeks although occasionally you are able to drive after one week.

You should always check with your car insurance company to make sure you are insured and talk to us as we will be able to guide you.

Every individual is different and you should listen to your body, so that if things are uncomfortable or start to swell, then you should ease off and rest.

It is important not to be too immobile and we always encourage you to keep your legs and arms moving, either by walking around or gently exercising while sitting, as well as taking deep breaths to expand up your lungs.

We encourage you to cough if you feel like you have anything on your chest.

After Two Weeks

After two weeks you may be able to resume gentle activities and you may be able to go back to work as long as it is not too strenuous.
If you have had surgery to your upper body, now is the time you can start exercising your lower body on the exercise bike or the stepper at the gym, but you should avoid too much activity with your arms.

Two To Four Weeks

Between two and four weeks you will start to feel better, although the scars will still be quite fragile and the tissues will still be quite swollen.
We normally advise people to wait at least four weeks before starting to massage their scars with cream, as they might be quite red and firm at this stage.

Four To Six Weeks

After around four to six weeks you can start engaging in more strenuous activities including heavy lifting or upper body exercises at the gym.  I would stress that this is the time to start these activities which does not mean that you should go straight in, doing the same level that you were pre-operatively.  It is merely that you can start to gently see how you feel and gradually build up.  If it is uncomfortable or the tissues swell then you should stop and give yourself more time to rest.

Three Months

It takes about three months before the shape and the scars really start to settle and there can be numbness or altered sensation, which can take many months to subside.

Twelve Months

At around twelve to eighteen months, you will be getting an idea of what the final results should be like, but it is not uncommon to still have some degree of settling after this.

We keep a close eye on you in the clinic and encourage you to get in touch if you have any concerns about how you are healing.  We realise that everyone is an individual and this is just guidance.
If you have any questions or concerns then we’d love to hear from you.  You can e-mail us or call us.
Or you can ask our director, Jonathan Staiano, a question LIVE on Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.

Tummy Tuck or Liposuction?

If you are thinking of a tummy tuck or liposuction, it might seem that they are poles apart in terms of downtime, scarring and price. 
It is very common for people to come to the clinic requesting liposuction to their tummy, because let’s face it, most of us carry a little bit of extra fat in this area and would be very happy to be rid of it.

Liposuction

Liposuction  is certainly a great technique for removing the fat and the beauty of it is that the scarring is very limited and once it fades can be very difficult to see.

Sometimes people think that with liposuction the fat can come back, but this is not true.

The fat is removed permanently and in fact we all have a certain number of fat cells in our bodies no matter whether we are fat or thin, and it is just that fat people have an enlargement of their fat cells compared to thinner people.
They do not actually have more fat cells, and so when liposuction is performed the fat cells are removed and this is a permanent effect.
Having said that, liposuction or any surgery for that matter, does not protect you from the future and so if you were to put on weight then the fat cells that remain would get larger and so you are not guaranteed a stable result.
You need to ensure that your weight is stable because weight fluctuations can have an unpredictable effect on the results of surgery.
It is very common for people to be unsure whether they need a tummy tuck or liposuction or maybe even a combination of the two –

the difference lies in the fact of whether they need to have skin removed or not.

Tummy Tuck

A tummy tuck is a bigger operation than liposuction and involves removing not only the fat but also the skin of the abdomen, and this causes a tightening of the skin and a significant improvement in the abdominal contour.
At the same time as the tummy tuck the rectus abdominis muscles (the six pack) can also be brought closer together, as these muscles are often splayed apart after childbirth or if you have put on weight and no amount of diet or exercise will bring them back together.
At the time of a tummy tuck this distance between the rectus muscles known as diastasis or divarification of the recti muscles can be repaired by suturing them back together.  You can read more about muscle repair with tummy tuck here.

The downside of a tummy tuck is that not only is it a bigger operation with more downtime, it leaves a scar in the lower abdomen and may also leave a scar around the belly button.

For this reason, a balance has to be made as to whether the downside of the scarring offsets the upside of the removal and tightening of the skin and improvement in abdominal contour.

As a rule, for patients who have a mild amount of excess fat in the abdomen that they just cannot shift through diet and exercise, it might be that liposuction will be sufficient.
However, you are relying on the skin to recoil once the fat is removed and so the best candidates will have good quality skin which has not been significantly stretched with previous weight fluctuations or pregnancies, so is more suited to younger patients who do not smoke.
All these factors will increase the ability of the skin to snap back once the fat has been removed.
The limitation of liposuction is that if that skin does not recoil and snap back, then it can leave redundant skin which can look unsightly and cause distress –

this is where a tummy tuck comes in.

In fact the ideal candidate for a tummy tuck is someone who has been pregnant or lost weight because both of these cause a temporary fullness in the tummy which is then removed in the same way that liposuction can remove the fullness in the tummy.
The problem is when the skin does not recoil it leaves redundant overhanging skin which needs to be removed.
The difficulty always comes in borderline cases and it may be that a mini tummy tuck would be suitable to limit the scarring on the abdomen, but still remove skin.
However, this is limited to the area between the pubic bone and the belly button.
There are some techniques reported to cause some degree of skin retraction and some types of assisted liposuction like VASER or laser liposuction.
These treatments give energy to the fat before it is sucked out and this energy causes heat which reports to cause a degree of skin retraction which is so important in the abdomen.
Other forms of non-surgical liposuction such as CoolSculpting also report to give some degree of skin retraction and so these could be considered.
There are certain areas where liposuction works particularly well because the skin is thicker and so recoils better, and this is particularly in the hips and the flanks.

It is not uncommon to combine a tummy tuck with liposuction to the hips and flanks if the whole area needs to be contoured.

As with any body contouring surgery, you often find that it is not a case of one size fits all and whether you have a tummy tuck or liposuction, you really need to have a bespoke plan made according to your particular body shape, the quality of your skin, and also your plans for the future, as sometimes liposuction can be performed as a holding procedure if you are planning to have children in the future and so do want to go all out and have a tummy tuck now.

We are the only clinic in the UK that is owned and run by a plastic surgeon that specialises in breast and body contouring so if you would like to come along and have a chat with one of our surgeons, call us now or e-mail us to arrange a consultation.
You can download our guide with frequently asked questions about tummy tucks here.
If you have any questions our Director, Jonathan Staiano is on LIVE o Facebook at 7 o’clock every Tuesday evening, so feel free to drop in.
To see further examples of our work and reviews from patients check out our Tummy Tuck page.

Ideal Weight For A Tummy Tuck

What is the ideal weight for a tummy tuck?
Well like most things in medicine there is not an absolute answer to this question however there are a couple of things you can take into account when deciding when might be the right time to have a tummy tuck. First of all there is the absolute value of your BMI and then almost more importantly is that your weight is stable and that you are happy with the weight you are at.
If you want to find out more about this, watch Jonathan’s vlog.

If you would like to read testimonials and see examples of Jonathan’s work, visit our tummy tuck page. Or if you have any questions after watching this video you can download our tummy tuck guide here or you can give us a call on 0121 454 3680 or email us at info@staianoplasticsurgery.co.uk.