Tummy Tuck

Author: Dr. Gordon Sasaki

In Los Angeles and Pasadena, women and men often attempt to achieve a firmer, defined abdomen that looks flat and toned through core exercise and weight management programs. There comes a time, however, when these efforts do not result in a sculptured look. The skin and fat bulges become more pronounced, showing through clothing. The most likely causes for these changes include pregnancies, significant variations in weight, previous surgeries, heredity, and aging. If you wish to obtain a tighter abdomen, abdominoplasty, often called a tummy tuck, at Sasaki Advanced Aesthetic Medical Center may be the procedure of choice to realize your goals.

What Is a Tummy Tuck?

A full tummy tuck is a surgical procedure that takes care of sagging skin, fat deposits, and weakened, separated muscles. A mini-tummy tuck is usually recommended to correct concerns below the navel. A mini-abdominoplasty results in a shorter incision above the pubic hair line without a naval incision. Dr. Sasaki’s consultation with you will enable you to understand if your surgical procedure requires all 3 elements to achieve the optimal result. Some patients present mainly with loose skin. Since the majority of patients present with generous amounts of loose skin, they will undergo surgical removal of their skin through an incision that extends along the lower abdominal crease line above the pubis. The vast majority of patients will require a complete abdominoplasty to deal with their loose skin, fat deposits, and separated abdominal muscles.

A full tummy tuck does not replace your healthy attempts to lose weight and keep fit. Your attractive surgical outcome may be compromised by later significant changes in your weight, surgical procedures, or pregnancies. Occasionally scars from previous surgical procedures may limit the potential results from an abdominoplasty. In some cases, the old scars can be used or eliminated by the new incision.

Dr. Sasaki

Dr. Gordon H. Sasaki

Triple Board-Certified Plastic Surgeon
Few plastic surgeons can match Dr. Sasaki's combination of expertise, compassion, and experience. He's a distinguished educator and a renowned innovator whose work and research have influenced a generation of plastic surgeons. Dr. Sasaki will work with you to make the improvements you desire.

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Your Tummy Tuck Procedure

Under general anesthesia, the surgical procedure begins by introducing tumescent anesthetic solution within the fatty layers to reduce bleeding and create an environment for safe liposuction. A designed ellipse of skin is marked from one hip, around the umbilicus, to the opposite hip extending across the pubic crease line below. Liposuction is performed in the superficial and deep fat levels of the entire abdomen. The skin incision is made on the upper marking, isolating the umbilical button. A layer of fat is retained on the surface of the separated rectus abdominis muscles, as the surgical dissection creates a narrow corridor that extends from the umbilicus to the midpoint of the rib cage and from the inner border of one separated rectus muscle to the opposite muscle. This maneuver preserves a significant number of blood vessels that keeps the skin in a healthy state.

The entire elliptical skin and superficial fat is then removed down to the pubic crease line, preserving a layer of fat on the entire muscle bed. This maneuver is very important to reduce fluid collections under the flap in the postoperative period by enabling the tissues to adhere to one another.

The separated muscles are brought together in the midline from the midpoint of the rib cage down to the pubis, tightening the abdominal wall. The skin and fascial edges are sutured together at the pubic hairline with repositioning of the umbilical button at its anatomic site.

Occasionally, Dr. Sasaki may recommend a mini-abdominoplasty procedure, which addresses the weakness to the lower abdominal wall below the umbilicus through a more limited lower abdominal incision, the weaken abdominal wall is strengthened by suturing the separated muscles to the mid-line position, liposuctioning of fat and a limited skin removal without any incision around the umbilicus.

Liposuction to the lateral flanks can be performed after the abdominoplasty procedure is completed to contour the torso in an aesthetic manner. There may be no need to insert a drain tube at closure depending on the estimated amount of anticipated drainage.

Recovery & Results

An elastic wrap or compression garment is applied to minimize swelling and support your abdomen during the new few weeks. Recovery will take from 3 to 6 weeks. Light walking is advised to minimize blood clot formation and to hasten your return to your daily activities. Dr. Sasaki will provide specific instructions on activities to assure an uncomplicated and successful outcome.

The doctor and his staff will carefully explain your procedure and your aftercare. During your preoperative visit, pain and antibiotic medications will be prescribed. Dr. Sasaki will discuss in detail possible risks and complications that include blood clots, blood collection under the skin (hematoma), fluid accumulation (seroma), infections, and poor skin healing above the incision line. A tummy tuck may be performed at an accredited outpatient surgical center or hospital under the care of an experienced board-certified anesthesiologist.

Are you ready to discover all the ways Sasaki Advanced Aesthetic Medical Center in Pasadena can enhance your appearance and confidence? Request a consultation using our online form or call  (626) 796-3373 for an appointment.

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