Abdominoplasty - Type of Tummy Tuck Video

Learn about the different types Tummy Tuck surgeries and procedures
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Hello! My name is Adrian Richards and I am Plastic and Cosmetic Surgeon. And today, I am going to be talking a little bit about the different types of tummy tucks. This is the procedure which is also known as abdominoplasty and an apronectomy. So it's slightly confusing terminology. So tummy tucks are basically divided into three types of surgery. A scar revision, a mini tummy tuck and a full tummy tuck. So who is generally thinking about a tummy tuck is really people who have being pregnant and particularly that had more than one child and pregnancy stretches or see the skin of the abdomen, and also causes some trauma to the muscles, particularly separation of the rectus abdominis muscles which are the two main vertical muscles in the stomach, in the tummy, which tend to move apart slightly after pregnancy. Okay, so three types of abdominoplasty. The first one is a scar revision. So often people who have had cesareans, because cesarean scars tend to adhere to the muscle underneath the skin. So you tend to get an overhang of skin and some subcutaneous tissues, some fatty tissue overhanging the scar. Because the scar is tendon, so the most simple thing we can do is scar revision, which basically removes the cesarean scar, back to fresh tissue other side, freeze it up from the muscle underneath and the skin is sewn together, fresh skin sewn together so you get nice flat appearance without the overhang. And nothing is down to the tummy button in a scar revision. So the old cesarean scar will be gone. The scar will be slightly longer than the older cesarean scar, that generally works very well and very little down time. Okay, the next stage up is what's called a mini tummy tuck. Now this is used, basically on people who haven't got enough tissue to remove all of the skin from the cesarean scar or where this is cesarean, cesarean scar, would it been if you haven't got one to the tummy button. Okay. So in a mini tummy tuck, the lower tissue is removed and the belly button is left unchanged, so no cut around the belly button. The belly button is moved slightly downwards with no scar around the belly button. And lips or semi-circle of skin is removed including cesarean scar, if you have got one. Scar is slightly longer than the cesarean scar and it tightens up the lower part of the tummy. Okay? And the muscles can be repaired during mini tummy tuck, if they need to be. Moving on, a full tummy tuck can be performed and in that procedure, all of the tissue is removed between the cesarean scar and the tummy button. The tummy button, the tummy button wall is then bring downwards and sewn to the area above the pubic hair, the belly button is cut out, left on a stoke and then the skin of the tummy comes down and the belly button is brought down through a new hole, so you have to create a new incision for the belly button to come through. So your belly button in the same place is your belly button is now but the skin is broke down in a new hole, for the belly button. And that's a full tummy tuck. Okay, now in a full tummy tuck, with any of these procedures, you are going to have liposuction and liposuction is normally performed to the flanks. So to the side areas if you need it when you are having a tummy tuck. There is a procedure called an extended abdominoplasty, and this is really for people who don't have excess tissue in the front but have the tissue in the side. And I'll talk about that and a body lift in which the tissue is removed all the way around in the separate video. So hope that's been informative, thanks for watching the videos and we hope to see you soon.

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