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actual patient after surgery by Dr. Fialkov

see this patient before surgery by Dr. Fialkov

 

Plastic Surgery

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Abdominoplasty

(tummy tuck)


 

 

 

 

 

 

 

Commonly referred to as a "tummy tuck", abdominoplasty is a procedure designed to flatten and tighten the abdomen. Additionally it may tighten the waistline and reposition and improve the appearance of the navel. Abdominoplasty is very often combined with liposuction of the region to optimize the results. Old poorly healed scars and stretch marks may also be revised, removed or improved with the surgery.

Abdominoplasty is an ideal procedure for the correction of the skin laxity and "pot belly" that results from aging and pregnancy. This protuberant lower abdominal region is very often resistant to exercise and diet. The excess skin and fat are removed with the surgery, the navel made more youthful appearing, and the abdominal muscles around the waistline are tightened.

Before Surgery:

Some issues considered at the time of your consultation include:

  • Your general health, previous abdominal surgery, conditions and scars
  • Presence of history of hernias
  • Smoking, medications and allergies
  • Current weight, planned weight loss and stability of weight
  • The amount of skin laxity and the quality of skin elasticity
  • Fat deposits in the hip, flank and upper abdominal regions

The Surgery:

Abdominoplasty is usually performed under a general anaesthetic, but can (depending on the extent) be performed under local anaesthetic with sedation. The surgery generally lasts two to three hours. Once again, depending on the extent of the surgery and the individual patient, abdominoplasty may be performed as an out patient procedure, or require an overnight stay.

The incision made varies in length, but is generally a "bikini-line" incision, that is horizontal just above the pubic region.  The excess skin and fat are removed and the abdominal muscles are tightened to tighten the waistline.  The navel is repositioned and reshaped into a more youthful attractive configuration.  Temporary suction drains may be inserted at the end of the procedure.

There are risks and complications with all surgical procedures such as bleeding and infection.  Some specific complications related to abdominoplasty include blood clot formation, delayed wound healing and poor scarring.  The latter can generally be corrected with a "touch-up" procedure.  These as well as the other complications specific to abdominoplasty will be discussed at the time of consultation.

After Surgery:

  • Your will wake up wearing a support garment (like a girdle) which you must wear for the first four to six weeks depending on the extent of the procedure
  • 48 hours after surgery:  your first post-operative visit, incision check, you may begin showering after which you replace the garment.  Swelling, pain and bruising are at their maximum
  • 2 - 4 weeks following surgery:  most pain swelling and bruising is resolved, residual swelling slowly decreases but may take months to completely resolve.  Patient may return to work and normal daily activities.
  • 4 - 6 weeks following surgery:  remove compression / support garment, return to exercising, heavy lifting etc.  Results are very long lasting, barring any major fluctuations in weight.

 

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Looking for information on a facial plastic surgical procedure?

Please visit our new website dedicated to Facial Plastic Surgery:


 

 


 

Cosmetic Surgery .ca is a site designed to help you address your specific cosmetic surgery questions and concerns.  Whether it is the signs of facial aging or a part of your face or body with which you have always been unhappy, Cosmetic Surgery .ca will help you learn about the cosmetic procedures best suited to your needs.  Within the Cosmetic Surgery .ca site,  you will find descriptions of specific  procedures such as Rhinoplasty (nose reshaping or nose job), Abdominoplasty (tummy tuck), Blepharoplasty (eye lid surgery), Botox, Brow Lift, Fat Injection, Liposuction, Facelift,  and more In addition you will find before and after  photographs  of some of Dr. Fialkov's cosmetic surgery patients and links to other sites of interest. 

Cosmetic Surgery .ca also provides an opportunity for you to submit some of your specific queries  to the Cosmetic Plastic Surgery office of Dr. Jeffrey Fialkov, assistant professor of Plastic Surgery at the University of Toronto, and staff Plastic Surgeon at Sunnybrook and Women's Health Science Centre in Toronto.  This service, as well as information on Dr. Fialkov and his qualifications can be found by using the links to the left.

 

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 Last updated: 2008-08-07