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Consistent weight fluctuations, aging and pregnancy could produce looseness of abdominal skin and excess of cutaneous - subcutaneous tissue. This condition is able to seriously impair the everyday life, sexual activity and sports.
Abdominoplasty or “tummy tuck” procedure aims to:
- remove the excess of abdominal skin and fat
- eventually repair any defect in the abdominal wall, including diasthasis of the recti abdominis muscles (the abdominal muscles could be weakened or separated)
- eventually repair small hernias of the abdominal wall
In severe cases, when the excess of skin and fat is consistent, the procedure could be extended to the whole trunk, including the posterior surface. In this case the procedure is called circumferential abdominoplasty.
In milder cases, a partial abdominoplasty (or mini-abdominoplasty) could be indicated. This procedure is less invasive and produces smaller incisions.
Abdominoplasty, as mentioned before, could be associated to ancillary procedures:
- Liposuction (lipo-abdominoplasty). This procedure allows to remove localized fat and re-contour the abdominal profile.
- Repair of the abdominal muscles. Weight loss and pregnancy could weaken and separate the recti abdomen muscles. This issue alters the contour of the abdominal wall, creates a convex deformity and increases the risk of herniation. During abdominoplasty, the surgeon can repair this weakness and dilatation, restoring a normal contour and function of the abdominal wall.
- Hernia repair (hernioplasty). Hernia is a bulging of internal organ through the wall that usually contains that organ. Weight loss and pregnancies are often associated with weakness of the abdominal wall, thus leading to the formation of hernias. When hernias are small they can be corrected during abdominoplasty.