Dr. Adil Ceydeli

Aesthetic Fellowship Trained, Board Certified Plastic Surgeon

Abdominoplasty (Aka Tummy Tuck) in Panama City

One of the most satisfying procedures in plastic surgery is abdominoplasty. Weight gain/loss, pregnancy, and age-related skin laxity are the main reasons why a woman may lose her toned tummy. There are three main anatomical components of the abdomen that contribute to deformity, i.e., the skin, the fat, and the abdominal wall muscles/fascia. All of the three above components are almost always somehow involved and need to be addressed during a tummy tuck, especially if the etiology is pregnancy and/or weight gain/loss.

The abdominal wall muscles/fascia always stretch with pregnancy, and rarely tone back to their pre-pregnancy level. The individual abdominal muscles (running up and down on either side) may remain strong; however, they commonly separate at the midline during pregnancy, and the fascia between these muscles become thin and do not withstand intraabdominal pressure as much as when the muscles were close together at the midline. The end result is loose tone and abdominal bulge, especially around the belly button and lower abdomen. The commonly heard complaint is “no matter how hard I work out, and no matter how many sit-ups I do, I can’t get rid of this bulge.” Working out can make these muscles individually strong and toned, but unfortunately no amount of exercise bring these muscles close together again at the midline. This is essentially a situation very similar to having a hernia, and is called diastasis recti (separation of abdominal muscles), and the only treatment is to tighten the fascia by performing an abdominoplasty. Bringing these muscles back together at the midline with tightening of the fascia helps tone the abdomen, makes a sexy groove above the belly button (champagne groove), creates an aesthetically pleasing “innie” belly button, and redefines the waistline.

Excess loose skin is another ever-present problem of a deformed tummy, again mainly caused by stretching due to pregnancy and weight gain/loss. Aging makes matters worse due to further loss of skin elasticity, and skin does not snap back as it does in youth. The only way to get rid of excess, loose skin, anywhere on the body, is to remove it. If it didn’t regain tone after pregnancy, then the chances of skin tightening by itself without help is close to zero… anywhere on the body. If there is too much loose, relaxed skin on the face, the problem will not resolve, regardless how many fillers or fancy lasers are used, unless the skin is tightened by a good facelift. If the skin of the breasts is loose and breasts are droopy, they will not be toned and lifted by implants; the only way to fix this is skin tightening by a breast lift. The same applies to the abdomen. Excess loose skin has to be removed by a tummy tuck, and no other method – no laser, fat freezing, or even liposuction – can fix that problem. Women often have numerous stretch marks, especially on the lower abdomen, along with loose skin. Most if not all of these stretch marks are removed with a strategically placed incision. So instead of numerous stretch marks extending up and down, which look like wide, discolored scars, with the result is a well hidden scar below the bikini line, which no one can ever see unless you are in the buff. Placing the incision low enough will also tighten the mons pubis area, producing a youthful, tight genital region.

The third component of abdominal deformity is excess fat. This is probably the only problem that can be improved by diet and exercise. Unfortunately, there is almost never excess fat without one or two of the other components (loose abdominal wall and excess skin). During a tummy tuck, the fatty tissue below the belly button (aka the blub) is removed. Liposuction is used to further remove excess fat on the flanks (love handles). Again, if you have isolated excess abdominal fat, especially around the love handles, and you have toned abdominal muscles with little or no excess skin, then diet/exercise will be the solution. Then, if that doesn’t work, the most you would need is isolated liposuction. However, this is true only if loose skin and stretched muscles don’t accompany the excess fat.

Abdominoplasty is an out-patient procedure. You go home the same day, since the most important thing after surgery is to be active and walk to prevent blood clots. The first night is usually the worst, and it gets better every day. Within a week, you can return to work, but only if heavy lifting is not required. It is important to wear a Spanx-type tight garment along with an abdominal binder for few weeks to give extra support and comfort during the healing period. Even though most people think of a tummy tuck as a major and very painful procedure, it really is not, once the first few days after surgery have passed. None of my patients have reported regretting the surgery. They love their toned tummy, and their happiness reflects on their faces. Their self-esteem improves significantly, and they all say they would do it again in a heartbeat.

To see before and after pictures for tummy tuck, click here.

Our plastic surgery clinics are located in Panama City and Destin, on Northwest Florida’s Emerald Coast. Also serving Panama City Beach and Tallahassee, Florida and Dothan, Alabama

 
  • Our Office Location

    Panama City, Florida

  • Our Office Location

    Panama City, Florida

  • Our Office Location

    Panama City, Florida

  • Our Office Location

    Panama City, Florida

  • Our Office Location

    Panama City, Florida

  • Our Office Location

    Panama City, Florida