Tummy Tuck, Panniculectomy and Bariatric Surgery – Weight Loss Surgery
There are two different layers of fat within the abdominal wall. The more superficial one lies on top of the six buck muscle. The deeper one which is called visceral is deep to this muscle group. If there is excess fat then what happens is that this along with the overlying skin hangs over the lower growing pubic area and it forms what looks like an apron hence the name apron stomach.
If a healthy diet and regular exercise do not make a significant difference in the appearance of an apron stomach then a body contouring consultation might be indicated. Panniculectomy is an operation that aims to remove the excess skin and fat from the lower abdominal area which is called the pannus. This happens through an operation that uses an incision that extends from hip bone to hip bone.
The aims of panniculectomy surgery is to improve the contour in the lower abdominal area, improve personal hygiene and facilitate physical activity. A tummy tuck is an operation that aims to remove loose saggy abdominal skin which is very common following a pregnancy or weight loss. It also aims to tighten, weakened or separated six buck muscles and overall improve the contour in the lower abdominal area. If you have a tummy tuck you should be expecting a smile like scar just above the pubic area and also a fine scar around the belly button.
Patients wishing to have a tummy tuck operation will see me for an initial consultation during which I will be able to understand the aims and objectives and also jointly we will be able to decide what kind of tummy tuck operation there are good candidates for. If they decide to proceed with the operation they will go through a meticulous preoperative assessment in order to make sure that they are safe to have a general unaesthetic or sedation.
Before the operation I will take time to mark the incision lines on the tummy and then during the operation I will be able to remove the excess skin and fat. If appropriate tighten the six buck muscles and use appropriate sutures which in most cases are absorbable and the supporting garment. In terms of the recovery period most of my patients will need to take about two weeks off and avoid rigorous exercise for six to eight weeks. I’m also particularly keen for all of my patients to wear a compressive garment for six to eight weeks in order to reduce the swelling and provide support to the healing wounds.
Body contouring falling significant weight loss can either happen in multiple stages each operation targeting a specific area of the body or in a combined manner which means that a number of different areas are targeted during a single surgical episode. The amount of excess skin and fat that is removed during these operations vary hugely and it can be as little as a less than one kilogram but in certain cases as much as 10 to 15 kilograms within one surgical episode.