INTRODUCTION

The mini-tummy tuck (also known as the mini-abdominoplasty) is a less extensive version of the full abdominoplasty. The big difference is that in the mini version, the surgery is used to remove any excess of skin and fat on the lower abdomen that may become noticeable later in life, due to weight loss or pregnancy. It does not, however, deal with the muscles or the upper abdomen.

AM I A CANDIDATE FOR THIS SURGERY?

There is often a residual ‘tummy’ that remains following a pregnancy or significant weight loss. Depending on the skin tone, liposuction may be indicated. However, should the skin tone be inadequate (we estimate in over 70% of women), there would remain an unsatisfactory excess of skin following liposuction. The mini-abdominoplasty procedure can address the problem of both excess skin and fat.

If you believe you are a candidate consult you plastic surgeon. Only a qualified plastic surgeon should be practicing this procedure.

PROCEDURE

This surgery can be performed under general anesthesia or under sedation and takes roughly 2 hours to complete. You surgeon will determine which type of anesthesia to use depending on the amount of surgery required and the status of your health.

A curved incision is placed just above the pubis in order to be able to ‘pull down’ the skin of the lower abdomen. The skin and fat are lifted to the level of the umbilicus (‘belly button’) and then pulled down.

Excess skin and fat are removed and the wound is closed with sutures underneath the skin. Temporary drains may be left in place for a few days in order to minimize any fluid accumulation underneath the newly draped skin.

This surgery, when performed by qualified surgeons, can give spectacular results and is associated with an extremely high degree of patient satisfaction.

PREPARATION BEFORE SURGERY

Aspirin and all anti-inflammatory medication should not be taken for three weeks before surgery until two weeks after surgery. Anti-inflammatory medication and Aspirin causes thinning of the blood and may lead to excess bleeding during and after surgery. Tylenol (Acetaminophen), however, does not cause this problem and may be taken.

Alcohol in any form is not to be consumed for two weeks before surgery until two weeks after surgery. Alcohol has properties that dilate blood vessels and thin the blood that can contribute to excessive bleeding during and after surgery. Even a small amount can cause problems.

Cigarette smoking and nicotine intake in any form is strictly banned for the period of one month before surgery until one month after surgery. Cigarettes and nicotine contain properties that diminish oxygenation of skin and other tissues and can contribute to skin and fat necrosis (see below).

Should you have regular medications to take, ask your physician if you should take them before surgery or not. Certain medications can cause problems and only your surgeon can determine this.

AFTER SURGERY

You will have a dressing and drains following surgery and these will be removed a few days after surgery.

Avoid any activities that place strain on the abdominal wall. Avoid lifting objects that require the use of abdominal muscles. Do not lift objects heavier than a phone book. Your surgeon will advise you on the return to normal activities, generally re-established about four to six weeks after surgery.

POSSIBLE COMPLICATIONS

Possible Complications

CONCLUSION

The mini-abdominoplasty procedure is a great option for those with loose, hanging skin on the lower abdomen. By removing excess skin and fat this surgery can often give spectacular results with an extremely high degree of patient satisfaction.

This surgery can be offered to both men and women. For men, though, the abdominal hair distribution will be changed after surgery.