Body


Abdominoplasty


A flat belly and narrow waist are often seen as tokens of fitness and good health.  And common knowledge says that with hard work, we can achieve the belly of our dreams. But the truth is, it’s downright impossible for some folks. Some have to contend with a stubborn layer of fat that can’t be removed through dieting or exercise. For others, pregnancy came and went, but loose skin and fat remains.

When all else has failed, a tummy tuck can help. A tummy tuck (abdominoplasty) is a surgical procedure that can help you achieve a narrow waist and tight core. And with the right surgeon, a tummy tuck can help you feel proud and confident about your body.

Dr. Josh Waltzman is a board-certified surgeon in Long Beach known for cultivating an outstanding patient experience. He’s a kind, compassionate surgeon who recognizes that a tummy tuck is more than a physical improvement – feeling whole is the ultimate goal of any patient. To that end, he’ll perform your abdominoplasty with the care and attention to detail you deserve.

Who Should Get a Tummy Tuck?

The ideal candidate for an abdominoplasty is someone who is close to their ideal weight but needs a little help refining their figure. Here are a few more characteristics that define the ideal candidate:

  • No major untreated diseases
  • Non-smoker
  • Wants to remove excess skin on the belly
  • Wants to remove stretch marks
  • Wants to remove C-section scars and fat hanging over the scars
  • Wants to reduce a thick, undefined waist
  • Is at a stable, healthy weight

That being said, there are a few other considerations for the tummy tuck:

Timing

We recommend that patients wait at least six months after giving birth and breast feeding before undergoing tummy tuck surgery. We want to make sure the patient’s hormones have stabilized and that their tissues have sufficiently healed. The patient’s weight will also need to be stable. Losing weight after an abdominoplasty could result in more loose skin.

Children

We also recommend that patients wait until they’re done having children to undergo surgery. Additional pregnancies can stretch out the tissues, possibly undoing the results of an abdominoplasty.

Why Get a Tummy Tuck?

Our abdomen is essentially an inner girdle made up of connective tissues and muscles. This girdle, also known as your “core,” holds our internal organs in place. It’s built to grow, especially during pregnancy and weight gain.

Unfortunately, it sometimes doesn’t bounce back. After weight loss or childbirth, the patient develops excess folds of skin, stretch marks, weak abdominal muscles, and fatty deposits.

That’s what a tummy tuck is for; it can address the causes of a large belly and help you attain a flatter, more appealing stomach.

What a Tummy Tuck Can Do

Remove Excess Skin and Fat

If you’re tired of deep folds of skin and pockets of fat in the belly, a tummy tuck can help. Dr. Waltzman will excise excess skin and sculpt the abdomen by removing skin and fat from the lower abdomen.

Narrow the Waist

A well-defined belly with a narrow waist is sometimes impossible to achieve. A tummy tuck can fix that by removing excess pockets of fat. It can also better highlight the abdominal muscles to create a more athletic look.

Tighten the Core

During pregnancy, the ligaments attached to the abdominal muscles stretch to make room for a baby. In a condition called diastasis recti, the connective tissues never snap back into place, causing the abdominal muscles to remain loose. Thus, the patient develops a weak core and a protruding stomach.

With a tummy tuck, Dr. Waltzman can tighten that separation between the muscles to flatten the stomach. Tightening the abdominal muscles also restores core strength.

Remove Side Effects of Pregnancy

Since the tummy tuck excises a sizeable amount of tissue below the belly button, an abdominoplasty can remove some stretch marks. Of course, it can only target stretch marks that exist below the belly button.

Women who undergo a C-section can sometimes develop excess tissue that hangs over their scar. A tummy tuck may not only smooth and tighten that tissue, but it can also correct the C-section scar.

Goals for Your Abdominoplasty

Dr. Waltzman believes in respecting the patient’s tissues. Rather than forcing a result where it doesn’t work, he tailors the tummy tuck to the patient’s unique anatomy. Dr. Waltzman will consult with the patient on their goals and work to create long-lasting results that are realistically possible.

What a Tummy Tuck Can’t Do

A tummy tuck cannot address other areas like the thighs or the hips. It should also not be thought of as a weight loss procedure.

The tummy tuck is commonly combined with other procedures like liposuction. If the patient wants a more comprehensive procedure or wants to target additional areas along with the abdomen, they can also opt for the following procedures:

Tummy Tuck Scars

A tummy tuck will leave a scar slightly above the pubic bone. The scar typically goes from hip to hip, but it depends on how much work on the abdomen needs to be done. The scar can be easily hidden by underwear – even by bikini bottoms in most cases.

Since the belly button needs to be moved in a tummy tuck, an incision needs to be made around the belly button. Of course, the resulting scar will exist around the natural borders of the belly button, so it’ll be nicely hidden and fade with time.

Your Consultation for a Tummy Tuck

Dr. Waltzman achieves his remarkable results by meticulously planning each tummy tuck. The planning process begins during the consultation, where you will be able to meet with Dr. Waltzman himself.

Consultations with Dr. Waltzman are in relaxed and supportive environments. It’s where he’ll answer your questions or concerns about the tummy tuck. Because he wants you to have a complete understanding of what abdominoplasties can or can’t do, he’ll go through every aspect of the procedure in detail. You’ll also have Dr. Waltzman’s full attention and never be rushed through your appointment.

Dr. Waltzman will use the consultation as an opportunity to determine if you’re a candidate for the tummy tuck. You should be prepared to discuss your aesthetic goals, your medical history, and what medications you’re taking. He’ll also perform a thorough exam of your tissues to determine which path to take.

He’ll make his recommendations and discuss the different risks and complications that may occur. He wants the patient to be an active participant in the tummy tuck, so he’ll give you all the tools you need to make an informed decision.

How Is an Abdominoplasty Performed?

Your tummy tuck will be performed either in a hospital where Dr. Waltzman has hospital privileges or at an outpatient surgery center. Abdominoplasties are performed under general anesthesia.

In the first step of the procedure, he’ll make an incision in the area between the belly button and pubic bone. He’ll also make an incision around the bellybutton. Then he’ll lift up the skin from the underlying tissues and remove excess skin and fat. The next step is tightening the muscles, and then moving the belly button to its new position.

After that, we require a trusted family member or friend drive you home following your tummy tuck.

What Is a Tummy Tuck Recovery Like?

Dr. Waltzman will create personalized post-surgery instructions for you to follow. Typically, patients go home on the same day as the surgery, and then spend the first recovery day resting at home. You’ll probably need to take at least a week off from work – but it’ll all depend on how physical your job is.

After the tummy tuck, you will experience some level of bruising, soreness, discomfort, and swelling. You will also feel some numbness at the incision site. All of these symptoms will dissipate over time. Every patient is different, but it can take up to 3 months for swelling to completely resolve.

Your tummy tuck is a chance to remake your figure. It’s a major transformation –  so don’t trust anything less than a talented, skilled plastic surgeon like Dr. Waltzman. To learn more about the tummy tuck and what it can do for you, contact Waltzman Plastic & Reconstructive Surgery to schedule a consultation.

Frequently Asked Questions About the Tummy Tuck

How Should I Prepare for My Tummy Tuck?

Dr. Waltzman will give detailed instructions for how you can best prepare for your tummy tuck. In general, patients are given a list of substances to avoid before their surgery. The list includes common substances such as Vitamin E, garlic, ginger, and fish oil, but it also contains over-the-counter medications such as Tylenol.

Your tummy tuck will take your entire core out of commission, so it’ll be difficult for you to complete basic tasks for the first 1-2 weeks.  That’s why we recommend that patients arrange for additional help with chores or childcare for about a week during the recovery.

How Long Will My Results Last?

Your results will be permanent, but keep in mind – your results may be compromised if you gain weight after your tummy tuck. To help maintain your results, Dr. Waltzman suggests sticking with a healthy diet and a regular exercise regimen.

Is the Tummy Tuck Recovery Painful?

Your tummy tuck recovery should not be painful, but pain is subjective. Different people will have different reactions to the surgery.

By and large, our patients report the recovery as being tolerable. Patients will feel discomfort in the form of soreness and bruising, but that’s why all patients are given prescription medication. Our patients do report that the tummy tuck feels much less uncomfortable than they anticipated, and many of them switch to over-the-counter medication after several days.