Sudden massive weight loss and pregnancy can cause the skin over the abdomen to droop. This can also occur in people who have had BARIATRIC SURGERY to lose weight. Looseness of the abdominal muscles which can lead to hernias can also be treated at the same time. Unlike liposuction which is meant for removing fat only, abdominoplasty is more extensive and involves removal of fat, tightening of the musculature and removal of excess skin.
In some cases, liposuction surgery can be combined with excision of just the excess abdominal skin below the belly button ( this is called Mini Tummy Tuck). When a full tummy tuck is planned, contour liposuction is best performed at the same time. Liposuction (SAL) helps shape the thighs, back and sides. Abdominoplasty takes care of the loose abdominal skin. Occasionally minor touch up Liposuction is required later.
Thorough liposuction of the abdominal skin is first carried out. The excess skin then moves more easily and the skin to be removed is marked. The incision is marked within the bikini line and the excess skin is excised, the belly button is then cored out. The abdominal muscles are tightened in the midline and if required in the lower abdomen. If there is a hernia that is also repaired at the same time. The belly button is brought through good skin and the incision closed in layers over a suction drain. Contrary to what you may think, the belly button is not removed during the operation.