FAB Floating Abdominoplasty Explained
Floating Abdominoplasty, also known as the FAB. This procedure is best used in a woman, who’s had one or more children, and her main problem is that the muscles are widely spread apart. She doesn’t have a lot of extra skin, but has a big bulging tummy. People will often come up to her and say, oh, you’re pregnant. But, she’s actually not. Let me show you what I mean. So, just for orientation this is the pubic area, belly button, and here are the ribs. With the floating abdominoplasty, the fat, one of the benefits is the incision is actually the same length.
It’s short and it’s the same length as what I use for a mini tummy tuck, and we can put it as low as we want, okay? Usually just above the pubic area, okay. It will angle up a little bit along the groin, something like that, okay? It’s still fairly long, but it doesn’t go all the way to the side, like a full tummy tuck. But it’s literally, the same length, as a mini tummy tuck and if you have a Caesarean scar, let’s say this is the Caesarean scar here. Always put the incision below that, so that will get rid of this scar and it will be a fresh suture. Now what happens is, I go down to the muscles, and I lift all the skin and the fat off the muscles all the way up to the belly button. When I get to the belly button, this is a representation of that. This is the muscle, I’m lifting the skin and the fat off the muscle.
The feet are down here. So I’m coming up in this direction. Okay. Which is similar to coming up this way. And I’m getting to the belly button. This is the belly button on the outside of the skin. Okay. And it has a stalk that goes down to the muscles and it attaches to the muscles. So when I get to the stalk of the belly button, what I do is I release it from the muscle right down here at the base, then let the belly button come up.
That’s why it’s called a floating abdominoplasty, I let the belly button float up. And then I’ll continue lifting the skin and the fat off the muscle, all the way up to the ribs. What this allows me to do — It gives me exposure to the muscles all the way up and down to the tummy, so that I can suture them together from top to bottom, okay? I can stitch the muscles back together all the way down the abdomen. We’ll also pull this extra skin down and remove some of the extra. And, very similar to a mini tummy tuck, I can usually get out about half the distance between here and the belly button. So, something like this. We’ll remove that, this’ll help tighten the skin. We get rid of the skin fat stretch marks. This edge here, is gonna get pulled down to there, so that’ll help tighten the skin. And then finally, we’re gonna do some liposuction. And we’re gonna liposuction on the sides here.
These are the love handles, going around the sides. And I’ll also liposuction essentially, the rest of the abdomen, to thin out the rest all the way up and down. Now, when I’m finished most of the time as I’m finishing I will stitch the belly button back there to the muscle exactly where it was. On occasion, however, if I want to, I can actually move the belly button down a couple centimeters and actually say put it a couple centimeters lower. Why would I want to do that? First of all, there’s some patients who have very high belly buttons, kinda looks a little bit weird.
The other time that I’ll do this is when an individual has sort of, crinkly skin just above the belly button. If you move the belly button down, it’ll put this skin under stretch and it’ll get rid of some of the crinkliness. So, the advantages of this procedure is you’ve got a short incision. You do not have an incision around the belly button. There is no scar around the belly button. You deal with the entire abdomen, and if necessary, you can move the belly button down a little bit.