360° Abdominoplasty

Abdominoplasty (Tummy Tuck Surgery)

Who is a Candidate for Abdominoplasty?

• Those with abdominal sagging after pregnancy
• Those with excess skin after significant weight loss
• Those with abdominal muscle separation (diastasis recti)
• Those with abdominal deformity not improved by diet and exercise
• Patients seeking body contouring after post-bariatric surgery
• Those with stretch marks and loose skin in the abdominal area

Abdominoplasty Techniques Used

Classic Abdominoplasty (Full Tummy Tuck)

• Excess skin from the lower and upper abdomen is removed
• Abdominal muscles are repaired
• The navel is aesthetically repositioned
• A horizontal incision is made along the lower abdomen within the bikini line
• Can be combined with liposuction if necessary

Reverse Abdominoplasty

• An incision is made along the inframammary fold
• Excess skin is lifted upwards
• The lower abdomen is preserved

Fleur-de-Lis Abdominoplasty

• Horizontal incision in the lower abdomen
• Vertical incision along the midline (T-shaped scar)
• The abdominal circumference is tightened both horizontally and vertically

360° Abdominoplasty (Belt Lipectomy / Circumferential Body Lift)

• The incision encircles the abdomen 360°
• Removes excess skin from the front, back, and waist
• Defines the waistline and hip contour

Preoperative Preparation

• General health evaluation
• Blood tests
• Abdominal wall examination
• Quit smoking at least 6–8 weeks prior
• Ensure weight stability
• Adjustment of blood-thinning medications

Surgical Procedure

• Performed under general anesthesia
• Duration: 2–5 hours (depends on technique)
• Abdominal muscles are repaired
• Excess skin and fat are removed
• Can be combined with liposuction if necessary
• Drains may be placed
• Compression garment is applied

Postoperative Recovery

• Tightness and swelling are normal in the first days
• Return to daily activities within 5–7 days
• Heavy exercise prohibited for 4–6 weeks
• Abdominal garment worn for approximately 6 weeks
• Swelling decreases over 2–3 months
• Final results become apparent in 3–6 months

Possible Risks and Complications

Early Period

• Hematoma
• Infection
• Seroma
• Wound dehiscence
• Skin circulation problems

Late Period

• Visible scarring
• Asymmetry
• Sensory changes
• Contour irregularities
• Need for revision surgery

Durability of Results

• Results are long-lasting if weight stability is maintained
• Pregnancy or significant weight gain may affect results
• Healthy lifestyle and regular exercise increase longevity