Abdominoplasty or “tummy tuck”. This is often performed after several pregnancies, when the abdominal muscles have been overstretched, or after extreme weight loss – which can lead to a so-called “spare tyre” flab of skin hanging over the lower abdomen.
If a patient’s skin is no longer sufficiently flexible to contract around reduced tissue (e. g. after liposuction), a surgical procedure may be needed to contour the body aesthetically. However, there is a substantial risk of large, visible scars.
 Plastic surgery before and after |
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An abdominoplasty is a major procedure involving a large loss of blood. It requires general anaesthesia and lasts for approx. two hours. Two long, arching incisions are made along the bikini line, just above the public hair.
Tummy tuck plastic surgery (abdominoplasty)
The skin is cut right up to the lowest ribs, sparing out only the navel. Like in a facelift, the surgeon then pulls the undamaged skin downward and removes the excess skin. The fatty tissue excised can weigh up to ten kilograms. Secondary haemorrhaging may occur. The risk of embolisms and thrombosis is minimised by physical exercise, anti-thrombosis support garments and heparin injections. Three to ten days of hospital stay are common.

In contrast to conventional abdominoplasty, the endoscopic technique only requires several small incisions above the public hair area, each measuring up to five centimetres. This is especially recommended for men or women with a “potbelly”, i. e. a round, tight belly that has pushed the excess fatty tissue and lax muscles downwards. The endoscope and other surgical instruments are fed through the incisions. Long barbs with a miniature camera at the tip are used to sever the abdominal skin and tighten the muscles.