Excess fatty tissue (“love handles”) in the flank region is not addressed by tummy tuck alone. It is brought out through the abdominal skin after the excess skin has been removed. The belly button stays attached to the abdominal wall during the procedure to maintain its blood supply. During tummy tuck, the rectus muscles are stitched together and tightened through what is called the rectus plication. Patients may feel this muscle separation when performing a sit-up and often report decreased core strength. Often following pregnancy or significant fluctuation in body weight, patients may develop a “rectus diastasis”, which is a separation or gap between the abdominal muscles centrally. The soft tissues are redraped and excess skin and fat is removed at the level of the lower incision. Skin and fatty tissue are elevated above the abdominal wall to the level of the rib cage and xiphoid process. An incision is made along the lower abdomen from hip to hip and around the belly button. It is performed under general anesthetic. Tummy tuck is a surgery that removes redundant skin and fatty tissue of the abdomen. What is the difference between tummy tuck and liposuction surgical techniques? Clinical examination will determine whether tummy tuck, liposuction, or sometimes a combination of both surgeries may best help a patient achieve his or her aesthetic goals. Tummy tuck surgery involves resection of excess skin and fat, whereas liposuction removes fatty deposits only. Tummy tuck and liposuction may improve definition and contour of the abdomen through very different techniques. They are both types of body contouring surgery. Patients commonly ask what is the difference between tummy tuck and liposuction.
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