Abdominoplasty (Tummy Tuck)

The Abdominoplasty (Tummy Tuck) procedure removes excess skin from the abdomen which will have usually resulted from weight loss or pregnancy. It does leave a scar which is hidden in the waist and also a very discrete scar around the umbilicus. The rectus muscles are tightened together in order to enhance a narrower waist. This can be combined with liposuction to the flanks in order to decrease the lateral zones. Below is a three month result for a post-pregancy patient with diet resistant excess skin.

Abdominoplasty usually involves a 2 night stay with drains in for up to 5 days.



Liposuction around the love handle area was combined with abdominoplasty to restore this patient’s abdominal contour



During this procedure, there is also an opportunity to repair small hernias or divarification (splitting) of the rectus muscle. This is where the abdominal musculature has been stretched so much (usually with pregnancy) that no amount of exercise will correct the appearance. As such, the patient’s normal abdominal appearance mimics the distension of an early pregnancy.



Although this patient had a large divarification, her skin was too tight for a full closure, necessitiating a small vertical scar just above the pubic hairline



The example above shows a patient with marked divarification and the effect of repair afterwards at three months. Although this patient had a large divarification, her skin was too tight for a full closure, necessitiating a small vertical scar just above the pubic hairline



This patient had a large muscle divarification and umbilical hernia repaired
with her abdominoplasty and left this review:

After having 2 huge babies my tummy still looked like I was 6 months
pregnant 3 years after having my final child. As Mr Lam said just by looking
me you could fit a fist into my stomach. I thought about it at least every
waking hour and was getting increasingly upset about strangers asking me how
far gone I was.

He said I didn’t need Lipo which was great as the other surgeons built it
into the price without telling me, so I knew he wasn’t trying to charge me
more than what was necessary.
I was in Claremont for 2 nights. The surgery went to plan, the nursing and
medical staff were also fantastic.
My drains were removed before going home.
The results are nothing short of mind blowing. I can see my feet! I have a
waist again and a super flat tummy. I was back running and normal duties by
5/6 weeks. The scar has healed very nicely. I would strongly recommend Mr
Lam to anyone considering surgery. It’s not an exaggeration to say it’s been
life changing for me to get my confidence back and it’s all thanks to Mr
Lam.

The full review is on https://www.iwantgreatcare.org/doctors/mr-david-lam
dated 9th May 2017


The patient below had a midline and a Caesarian section scar which was tethering and causing a W shaped fold. These scars can be removed together with the abdominal skin excess to flatten the area. Result at two months.

Fleur de Lys Abdominoplasty

For post-bariatric (masssive weight loss) patients who have had a gastric band or bypass procedure, the volume of skin excess may be in both horizontal and vertical directions. In this case a Fleur de Lys pattern of excision is required where the scar is shaped like an upside-down letter T.Examples of this procedure and the more extensive belt lipectomy are shown in the Massive Weight Loss Surgery section.

Each patient will require individualised evaluation to see which is the best procedure in their case.