A flat and well-toned abdomen is something many of us strive for through exercise and weight control. Sometimes these methods cannot achieve our goals. Even individuals of otherwise normal body weight and proportion can develop an abdomen that protrudes or is loose and sagging. The most common causes of this include:

-Pregnancy

-Aging

-Significant fluctuations in weight

-Heredity

-Prior surgery

-Massive Weight Loss / Bariatric Surgery

Also known as abdominoplasty, a tummy tuck removes excess fat and skin, and in most cases restores weakened or separated muscles creating an abdominal profile that is smoother and firmer. It’s important to know that a tummy tuck is not a substitute for weight loss or an appropriate exercise program. Although the results of a tummy tuck are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight. For this reason, individuals who are planning substantial weight loss or women who may be considering future pregnancies may be advised to postpone a tummy tuck. Also, a tummy tuck cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised, generally those treated areas below the belly button.

A full tummy tuck requires a horizontally oriented incision in the area between the pubic hairline and navel or for some patients an upside down T-shape referred to as a "Fleur de lis." The shape and length of the incision will be determined by the degree of correction necessary and any previous surgery scars. Previous abdominal surgery may limit the potential results of a tummy tuck. In women who have undergone cesarean section, the existing scars may often be incorporated into the new scar. Through this incision, weakened abdominal muscles are repaired and sutured and excess fat, tissue and skin is removed. A second incision around the navel may be necessary to remove excess skin in the upper abdomen. Sutures, skin adhesives, tapes or clips close the skin incisions.

Your tummy tuck will result in a flatter, firmer abdominal contour that is more proportionate with your body type and weight. The final results may be initially obscured by swelling and your inability to stand fully upright until internal healing is complete.  Within a week or two, you should be standing tall and confident about your new slimmer profile.

Following your surgery, dressings or bandages may be applied to your incisions, and you may be wrapped in an elastic bandage or a compression garment to minimize swelling and to support your abdomen as it heals. A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

Insurance coverage is sometimes available for the panniculectomy surgery. Many factors determine your eligibility, including specific terms of your insurance policy and the amount of excess hanging skin. In many cases, a letter of predetermination may be required by your insurance company before surgery.