The most common causes of loose and sagging tummy are aging, significant weight fluctuations, weight loss surgery (bariatric surgery) and heredity. Excessive weight loss that occurs due to dieting, exercise or bariatric surgery can result in loss of tissue elasticity. This sagging of skin usually takes place around the face, neck, upper arms, abdomen, breasts, buttocks and thighs. Now, this distorted body contour can be restored with body contouring procedures such as:
Abdominoplasty or tummy tuck procedure involves loss of excess fat and skin. The procedure also helps in creating an abdominal profile that is smoother and firmer through weakened or separated muscles integrity. Abdominoplasty is often combined with liposuction so as to achieve better shape and contour.
Firstly, the liposuction of abdominal skin is carried out. Then the incision is marked over the loose or sagging skin. The incision is made within the lower transverse crease of the abdomen /bikini line and the excess skin is then removed. The umbilicus is also circumscribed. Then the abdominal muscles are tightened in the midline, starting first from the upper abdomen then proceeding to lowermost part. If abnormal protrusions of fat or intraabdominal contents are found then they are repaired during this placation procedure. The separation of muscles in the midline can also be repaired during the procedure. The umbilicus is then fixed and brought through good skin and then stitched in the midline. The Abdominoplasty incision is then closed ensuring that the scar is not highly visible. Before the incision is closed, a small tube drain is placed beneath the skin and this is removed after a few days. Then the stitches are bandaged.
The stitches are kept dressed for more than a week. Doctors advise the patient to resume movement and walk to lower down the chances of seroma formation. A patient can feel mild discomfort in the lower abdomen for a few weeks but slowly the pain decreases. They are then advised to wear a pressure garment for almost six weeks for faster recovery.
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The procedure beings with the surgeon making an incision that goes from hip to hip along the lower public area, made in an area that will allow the resulting scar from the procedure to be hidden under a bathing suit or underwear. The surgeon will then uplift the loose skin from the abdominal wall, at which point the loosened rectus muscles that normally give the abdomen its strength are tightened and repaired.
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