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A full tummy tuck, or complete abdominoplasty, targets loose skin above and below the navel for a comprehensive correction. During surgery, excess tissues are removed, the belly button is repositioned, and separated abdominal muscles are tightened. It produces dramatic, long-lasting results across the entire midsection. People with moderate to severe sagging and muscle laxity after major weight loss are good candidates for this procedure.
An extended abdominoplasty is a variation of a traditional tummy tuck that also targets the flanks or “love handles.” This comprehensive surgery can remove excess skin and fat from the abdomen, sides, and lower back areas. The extended incision allows Dr. LaBarbera to reshape the entire midsection for the most dramatic results after massive weight loss. This procedure is designed for tummy tuck candidates with lots of loose, hanging skin around their abdomen and back.
A fleur-de-lis abdominoplasty got its name from the unique incision pattern made during this procedure. It combines a traditional tummy tuck incision with a vertical resection up the middle of the belly. This method allows Dr. LaBarbera to tighten and remove loose abdominal skin from all areas after significant weight loss. The scarring is carefully positioned to be hidden by most clothing. Fleur-de-lis tummy tuck produces the most dramatic change for people who have lost over 100 pounds.
A tummy tuck should only be considered after reaching a stable body mass following significant weight loss. Preparation for the procedure begins with an initial consultation to discuss goals and expectations as well as medical history. Dr. LaBarbera conducts a physical examination of the abdominal area to assess skin elasticity, identify fat deposits, and determine if a patient is eligible for this procedure. He may order lab tests or imaging scans to get a complete picture of the candidate’s health. After a thorough examination, Dr. LaBarbera explains the specifics of a post-weight-loss tummy tuck, such as the technique, incision placement, expected results, and healing. The patient should prepare their home for recovery with comfort items, easily accessible food, and assistance with daily activities. Stopping smoking and vaping for three weeks before and after surgery is crucial to achieve the best outcome.
Dr. LaBarbera first marks the areas to be treated. This includes drawing the new position of the belly button, the incision lines, and the corrected abdominal contours. These markings guide the precise surgical cuts.
General anesthesia is typically used so the patient is fully asleep and comfortable during the procedure. This involves giving a combination of medications through an IV line to induce an unconscious state without pain or awareness. This condition is maintained by delivering anesthetic gases through an endotracheal tube. Vital signs are monitored closely throughout the surgery.
Dr. LaBarbera makes a horizontal incision just above the pubic area. A second cut may be created around the belly button to free it from the surrounding skin. These two incisions are typical for a full abdominoplasty. A fleur-de-list tummy tuck also includes an additional vertical cut. Dr. LaBarbera discusses the incision pattern with each patient during the consultation.
Dr. LaBarbera uses a scalpel, surgical scissors, and other instruments to remove sagging tissues from the target area. He may also employ liposuction to eliminate unwanted fat and contour the patient’s figure.
After weight loss, many individuals are left with stretched belly muscles contributing to sagging. Dr. LaBarbera can address this cosmetic issue by suturing the muscles and creating a more toned abdominal profile.
The belly button is repositioned through a small hole in the newly tightened skin and muscles. It is then sutured in the new position.
Finally, Dr. LaBarbera closes both the pelvic and belly button incisions with stitches and applies surgical dressings. Temporary tubes may be placed to drain fluid buildup. Bandages and compression garments help facilitate healing.
The first 24 hours after surgery should be dedicated to resting and managing discomfort. Patients experience swelling and bruising around the incision sites, which is normal. Prescription drugs are used to control pain levels. Patients usually need assistance standing, sitting, and moving around. While some discomfort is inevitable, proper medication can effectively manage all symptoms. Therefore, the recovery experience is generally not very stressful, especially after a few days. Patients may take a break from everyday activities, watch movies, and spend more time with their loved ones.
During the first week, swelling and bruising continue to improve. We recommend increasing mobility with short, frequent walks to stimulate circulation and prevent blood clots. Discomfort is still present but decreases a bit each day. Drainage tubes are typically removed at the end of the first week. Patients may still require help standing and moving.
The swelling gradually goes down, and bruises fade. Discomfort becomes mild enough for patients to stop using prescription medications. They can return to desk jobs or other light activities after 7-14 days. During this period, scars still look reddish and raised.
Most swelling should be resolved by weeks 4-6. Patients typically feel much improved physically and can increase their activities. Scars remain reddened and are still healing. Some numbness may persist around the incision sites. Patients usually return to light exercise and more active walking.
Scars continue maturing. They will eventually fade and flatten, becoming paler. Any persistent numbness should show improvement. Patients may resume more intense cardio exercise.
Scars fade in color and are less noticeable a year after surgery. The final tummy tuck results become visible as the remaining swelling goes away. Patients can participate in any exercise and activities at this stage without restrictions. Some numbness may remain long-term.
After substantial weight loss, many patients are left with excess skin in the abdominal area. A tummy tuck removes this loose tissue, eliminates stretch marks, and repairs separated or weakened muscles. It can create a smoother, flatter, and tighter abdominal profile.
In addition to the physical improvements from a tummy tuck, many patients experience a boost in self-confidence. Removing the sagging skin after major weight loss makes them feel more comfortable in fitted clothing and satisfied with their appearance. This renewed confidence can have wide-ranging positive effects.
Unlike temporary fixes, such as restrictive garments, the results of a tummy tuck procedure are permanent (though future pregnancy or significant weight fluctuations may impact the outcomes). Patients can enjoy their slimmer, firmer midsections for years to come. Periodic maintenance through healthy lifestyle choices helps sustain the refreshed look.
Excess abdominal skin is prone to rashes, infections, and irritation due to moisture and friction. A tummy tuck removes this problematic tissue, preventing further skin inflammation.
