Abdominoplasty can be performed on women after pregnancy to eliminate the excess skin. By removing this skin, Dr. David Passaretti can narrow the patient's shape into the hourglass figure she had before pregnancy.
An abdominoplasty is an operation that is designed to undo, in general, all
the things that children have done to women during pregnancy. During
pregnancy, obviously as the child grows, the two muscles that normally go
up and down on your belly are stretched out and separated, and the skin is
also stretched out, frequently beyond its ability to compensate. So after
children many women have laxity in both the abdominal muscular wall as well
as the skin. Abdominoplasty, if properly performed, is designed to correct
both of those issues as well as improve the overall shape and contour of
the woman's abdomen.
During abdominoplasty, a low incision is made from hip bone down low to
where a c-section scar would be, and then back up to the other hip bone.
The entire skin is elevated up to the rib cage. The muscles that go up and
down, which have been stretched out through pregnancy, are sewn back
together to provide a tight, flat base for the abdomen. The extra skin is
then pulled down and removed. At the same time, I personally do
liposuction on virtually every patient that has an abdominoplasty. I think
that at its core, an abdomnioplasty is removing skin from the interior part
of the abdomen.
But, it can be much more than that. Many surgeons who just remove that
piece of skin, don't pay attention to the contouring aspects of the
abdominoplasty. When you perform liposuction at the same time, you can thin
the waist and narrow the shape, and return the woman to more of an
hourglass shape which she had before having children. Sometimes, you can
even make their shape a little bit better than before they had children.
So, abdominoplasty, when coupled with liposuction provides a huge
opportunity to really reshape and re-contour a woman's abdomen.
They are really only two types of abdominoplasty. The first, and by far the
most powerful operation is a full abdominoplasty in which a traditional
incision is made. Again, the skin is elevated all the way up the rib cage,
and the muscles are repaired. For some women who do not have laxity issues
above the belly button, we can restrict the surgery to below, making a
shorter incision, repairing a muscular defect below the belly button, and
removing a smaller amount of skin. Again, that applies to a relatively
small percentage of the population who have no laxity issues above their
Patients frequently ask, what is it that I can do to make sure my operation
turns out the best. Should I take medication ahead of time? Should I take
vitamins? The answer is you should properly plan to have a good recovery
time where you can really commit to yourself, which in particular is hard
for mothers. To make sure that you've got the time to recover. If you do
that, the operations go well, and people recover beautifully. But, it does
take a little bit of time.