Excess tummy skin and fat can be really frustrating. You may find that this excess heft persists no matter how actively you pursue diet and weight loss. Tummy tuck surgery – also called abdominoplasty – removes excess abdominal skin and fat. The surgery also tightens a weakened abdominal wall.

This cosmetic procedure is popular across the country, and works well for both women and men. Dr. Jeffrey Roth can help you decide if the procedure is right for you. Contact us today to arrange a consultation in Las Vegas.

What Does a Tummy Tuck Do?

Abdominoplasty produces a flatter, smoother tummy. Many abdominoplasty recipients feel more confident about their bodies following the procedure. Oftentimes, the skin laxity and stubborn fat is associated with:

  • Pregnancy
  • Weight loss
  • Aging
  • Genetics and natural body type

Your body weight should be stabilized at or near its ideal for best results. Losing a lot more weight after surgery will change the results. It is much better to look at a tummy tuck as putting the finishing touches on your efforts to tone your abdomen than as a way to lose weight; in fact, tummy tuck is not a weight-loss method.

A tummy tuck may be combined with liposuction, which removes stubborn deposits of fat from specific areas of the body. The combined approach may allow you to achieve the best possible results. The liposuction may be used in the belly area, to reach areas of fat not included in the tummy tuck removal; or, the liposuction could be applied to an area like the back or hips to create a continuous result.

Diastasis Recti Repair as a Part of Abdominoplasty

Most often affecting women who have been pregnant, diastasis recti is a condition in which stretched-out connective tissue allows the abdominal muscles to separate. It is a harmless condition, although it makes it difficult or impossible to achieve good tone in the abdomen. It arises when the connective tissue thins and separates to allow the muscles to accommodate the growing baby. For some women, the condition naturally repairs itself in the year or so following childbirth. For others, the muscular spreading persists.

Because there is a gap in the central area of the belly muscles – right around the place where the belly button is – there may be a “pooch” or bulge caused by the lax tissue and muscle. You may notice the bulge all the time, or when you try to flex those muscles. Many women feel like the pooch of tissue makes it look like they are still pregnant even years after delivering. It can feel really discouraging when no number of crunches will restore toned abs.

One of the great things about abdominoplasty is that it easily incorporates diastasis recti correction. In addition to removing fat and skin, Dr. Roth will place sutures in the connective tissue (fascia) overlying the abdominal muscles, which will pull the muscles back together and keep them there. The result is a firmer, tauter abdominal wall.

Mini vs. Full Tummy Tuck

An experienced plastic surgeon like Dr. Roth utilizes the right surgical technique for your body and your objectives. One of the clearest distinctions to be made is between a mini and full tummy tuck:

  • A mini tummy tuck is confined to the small region immediately below the belly button. A relatively small incision is made across the pubic region.
  • A full tummy tuck is much more comprehensive, removing tissue above and below the belly button. Incisions are made circularly around the navel and across the pubic region.

Rely on Dr. Roth’s experience as you decide which technique will be right for you.

How Many Sizes Can I Lose with a Tummy Tuck?

It’s really difficult to predict. While some people find they go down several sizes after a tummy tuck, others may experience little to no change in pant and dress size. Clothing size alone should not be the benchmark for the success of your procedure. Instead, Dr. Roth wants to focus on creating the tummy appearance you want by removing excess fat and skin. It is entirely possible that you will get the results of your dreams but more or less fit into the same clothes. It is highly individual.

Find Out if You’re a Candidate for Abdominoplasty

If you are interested in a tummy tuck and live in or around Las Vegas, Nevada, please contact the practice of Dr. Jeffrey Roth to arrange a consultation. After discussing your goals and what you would like to change, Dr. Roth will be able to determine if abdominoplasty will achieve those outcomes.

Dr. Roth will first listen to your concerns and goals. He will then gather a thorough medical history. Past medical events may impact your surgery, anesthesia, and recovery. Current issues such as; medications, herbal remedies, allergies, smoking, drug use, bleeding and scarring tendencies, will be reviewed. Chronic issues, (e.g. diabetes, high blood pressure, auto immune disease), are also important.

Dr. Roth will examine you and will describe not only what he sees, but also how it relates to your appearance or other issues. He will then explain what might be done to improve each area medically or surgically. You may not wish to take advantage of every treatment that is available, but at least you can know about available options and what each might offer.

Many things can effect the success of the procedure, the subsequent healing process, and final result. Clearly, issues effecting your general health and ability to heal can impact the process, but more subtle issues and practices can also make a significant impact.. It is imperative that patients refrain from ingesting any medications or other substances that could potentially cause surgical complications. A list of medications should be reviewed and selected medications discontinued at least two weeks prior to the procedure.

Patients undergo a general physical examination prior to their surgery. This is to ensure that no underlying medical problems exist that may interfere with the safety of their surgery. The Anesthesiologist may have specific criteria to be met. Appropriate consultation, (Cardiology, Pulmonary, etc.) may be requested to address any issues. Any issues, however trivial they may seem, should be reported. For example, a seemingly innocent minor infection can result in a surgical wound infection, and so must be treated prior to surgery. Likewise, hypertension must be under control. Blood pressure medicines are typically taken right up to the time of your procedure. Cigarette smoking has a significant impact on wound healing and needs to be discontinued prior to the operation. Some procedures will not be done in those who smoke. Serious wound healing complications can occur in patients who are exposed to smoke, even passively. The risk of wound healing problems decreases after one quits. Appropriate timing of surgery after cessation of tobacco exposure can be discussed.

Preoperative photographs are taken. They assist in the planning of the procedure and in reviewing the improvement afterwards. Postoperative photographs are generally taken at 3 and 6 months after your procedure as well.You will be asked to sign a surgical consent, which enumerates the risks of the procedure in detail. Some of these risks have been reviewed here, but are also discussed at the consultation.

Appropriate prescriptions are written, (e.g. pain pills, so that you will be able to take them when you return home).

You will need to arrange for someone to drive you to and from the surgery center. Patients cannot drive after surgery, and for 10 days afterward. Recently sedated patients will not be placed into taxis for transport home. Medical transportation can be arranged in the event that you cannot find someone. It is also mandatory to have someone stay with you for at least 24 hours after surgery, for your comfort and safety. This will be less of an issue if the determination is made that you will stay in an observation unit overnight after the procedure.

After arrival at the surgicenter. The nursing staff will register you and have you change into the appropriate gown.

The choice of anesthetic will be made with input from the Patient, Surgeon and Anesthesiologist. Continuous monitoring of your vital signs is carried out throughout the operation.

There are different ways to perform the Tummy Tuck, (Abdominoplasty). These are determined by the individual's anatomy, tissues, and goals.

The procedure takes a variable amount of time, depending on the extent of your particular anatomy, tissues, and procedure. Appropriate arrangements will be made so that you'll be observed for the first night after the procedure.

Remember that any surgical procedure requires a certain period of recovery from the surgery and anesthetic. Individuals vary, but it is possible to experience soreness, swelling, and bruising.

You will need to have someone drive you home from the surgery center. Again, Less of an issue if it is decided that you will stay overnight in an observation unit. You should also have someone stay with you the first couple of days after you go home. You will also need someone to drive you to your visits to the Doctor. Remember, no driving for 10 days after the procedure. Any discomfort following abdominoplasty, is usually controlled well with the prescribed pain medication.

Since excess tissue will be taken from your abdomen, it will be difficult for you to completely "straighten up" for a few days. Tightness will progressively disappear. You must change your position and walk around the house every few hours. The post operative garment, (elastic abdominal binder), will provide gentle pressure to give you stability and support, and to reduce swelling. You may shower after removal of the dressings 2-3 days after the procedure. Many patients wear the binder for several weeks and some choose to wear it for several months. You should be able to gauge your comfort level.

Although you will be up and around in a day or two, you should plan to take it a little slower the 2-3 weeks. After the first two weeks you may resume moderate walks. We will examine you after the procedure, and the stitches will be removed from around the belly button 5-7 days after surgery, the remaining sutures in the skin 14-28 days after surgery. If your work is sedentary, you will probably return to work in 10-14 days after discussing this with the Doctor, knowing that you may be sore. Do not plan on resuming aerobic or strenuous excercise for about 5-6 weeks after surgery. Let your body be your guide. Sun exposure is discouraged for at least the first few months.

The extent of the operation may effect the length of recovery. The "Mini Tummy Tuck", (Mini-Abdominoplasty with Abdominal Wall Plication), is not as extensive an operation. Recovery is usually significantly faster.

Everyone responds differently to an operation. It may take some time for the healing process to let you accurately appreciate the operation. With proper peri-operative care, you should be able to maximize the healing process and help to achieve your goals.

Remember that any surgical procedure requires a certain period of recovery from the surgery and anesthetic. Individuals vary, but it is possible to experience soreness, swelling, and bruising.

You will need to have someone drive you home from the surgery center. Again, Less of an issue if it is decided that you will stay overnight in an observation unit. You should also have someone stay with you the first couple of days after you go home. You will also need someone to drive you to your visits to the Doctor. Remember, no driving for 10 days after the procedure. Any discomfort following abdominoplasty, is usually controlled well with the prescribed pain medication.

Since excess tissue will be taken from your abdomen, it will be difficult for you to completely "straighten up" for a few days. Tightness will progressively disappear. You must change your position and walk around the house every few hours. The post operative garment, (elastic abdominal binder), will provide gentle pressure to give you stability and support, and to reduce swelling. You may shower after removal of the dressings 2-3 days after the procedure. Many patients wear the binder for several weeks and some choose to wear it for several months. You should be able to gauge your comfort level.

Although you will be up and around in a day or two, you should plan to take it a little slower the 2-3 weeks. After the first two weeks you may resume moderate walks. We will examine you after the procedure, and the stitches will be removed from around the belly button 5-7 days after surgery, the remaining sutures in the skin 14-28 days after surgery. If your work is sedentary, you will probably return to work in 10-14 days after discussing this with the Doctor, knowing that you may be sore. Do not plan on resuming aerobic or strenuous excercise for about 5-6 weeks after surgery. Let your body be your guide. Sun exposure is discouraged for at least the first few months.

The extent of the operation may effect the length of recovery. The "Mini Tummy Tuck", (Mini-Abdominoplasty with Abdominal Wall Plication), is not as extensive an operation. Recovery is usually significantly faster.

Everyone responds differently to an operation. It may take some time for the healing process to let you accurately appreciate the operation. With proper peri-operative care, you should be able to maximize the healing process and help to achieve your goals.

Tummy Tuck (Abdominoplasty) Gallery

As you research your cosmetic surgery procedure, Before and After pictures can help you understand your options and set realistic expectations for your surgical outcome.

These pictures are all from actual patients shown Before and After surgery (your results may vary) mean more to the practice than any accolades or awards.

Frequently Asked Questions

What does a Tummy Tuck Procedure do?

A tummy tuck, also known as abdominoplasty, removes excess skin and fat from the abdomen. Connective tissue in the abdomen is usually tightened with sutures as well.

Can the Abdominoplasty or Mini-Abdominoplasty be combined with other procedures?

Yes. This occurs frequently, (especially in the case of the Mini-Abdominoplasty). this can be discussed at the consultation.

How is a “pain pump” used in this procedure?

The small catheters are placed into the surgical area while you’re asleep. The reservoir is about the size of a baseball, and it fits into a fanny pack. It delivers medicine through little catheters to where you need it most. Patients typically take less pain medicine by mouth, and generally are more mobile, faster.

Can I have a baby after an Abdominoplasty or Mini-Abdominoplsty?

Yes. The body typically secretes the proper hormones, allowing the abdominal wall and other structures to relax and create enough space for the baby.

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