Also known as abdominoplasty, a tummy tuck removes excess fat and skin, and in most cases restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging.
The most common causes of this include:
- Significant fluctuations in weight
- Prior surgery
The best tummy tuck candidates are patients who are at or near their ideal weight (for their height) and suffer from excess skin and weak or bulging abdominal muscles. Many of these patients also suffer from stretch marks on their abdomen from the rapid growth of their child. If a patient has significant fatty tissue or is significantly above their ideal weight, a tummy tuck may not be the right surgery. The excess fat does not allow the skin to move freely, and thus, the skin removal is significantly limited.In these patients, liposuction is usually the more appropriate procedure that can often be followed by a tummy tuck months later.
For patients who have excess skin and weak muscles as well as a little excess fat, Dr. Goldberg will combine liposuction with a tummy tuck procedure to treat excess skin, weaken muscles and excess fat deposit. However, the area that is lifted and tightened (your upper and lower abdominal skin) cannot undergo liposuction at the same time. This is for a medical concern related to the blood supply to the skin and not taking unnecessary risks with elective surgery. Only your hips and flank can undergo lipsuction in this combined procedure. Even though it is a cosmetic elective surgery, Dr Goldberg wants to perform the safest surgery and give you the best and lasting results.