Tummy Tuck or Abdominoplasty

Many factors such as pregnancy, localized fat deposits, hormones and previous surgeries contribute to protuberance or pooching out of the belly. In the past, many of these problems were treated with just one operation, the full tummy tuck or abdominoplasty. In this operation the belly button was reset after the  abdominal skin was undermined or freed up so it could be brought down to an incision hidden in the swimsuit line to rid the patient of excess skin and fat.




Today’s modern approach to belly deformities is much different. Each individual patient is studied to see which of a series of tummy tuck procedures might be right for them. In fact, in many cases, the only thing that is required is abdominal liposuction to rid the patient of excess fat with no need to remove any skin.



In others, a mini tummy tuck is recommended, where only a small incision is hidden at the top of the pubic hair to allow a small amount of skin to be removed with access to the lower abdominal muscles which need tightening. This is frequently combined with liposuction to achieve a better result by reducing fatty deposits at the same time.



In some individuals, the only deformity is letting go of the abdominal muscles. This is quite common in thin individuals who have been pregnant. In these individuals, two very small incisions are used at the level of the pubic hair and around the belly button which are almost invisible. Through these two small incisions, an endoscope, or lighted tube attached to a camera is used to allow the surgeon to retighten the loose muscles. Recovery time is much shorter.


Finally, only the patients with significant excess of skin, excess fat and looseness of muscles need undergo a full tummy tuck or abdominoplasty. However, if indicated, this operation can give dramatic improvement of form, with flattening of the belly, removal of old scars and stretch marks in appropriate candidates.



Recovery from the full tummy tuck or abdominoplasty is usually   three to six weeks. Strenuous physical exercise is avoided for the same period of time. Possible complications of these procedures should be discussed with your surgeon according to the procedure you need. Smokers must stop smoking for two weeks before and after the surgical procedure, no exceptions. 

If you think you are a candidate for a tummy tuck procedure, call our office today and set up a consultation to see if one of these procedures is right for you. 





Excellence in Cosmetic Surgery for the New Millennium 

R. Gregory Smith, M.D., P.A.

(904) 285-5571

You are only a phone call away from an amazing transformation


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Ponte Vedra & Palencia
Cosmetic Surgery
R. Gregory Smith MD, PA
(904) 285-5571
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Ponte Vedra & Palencia Cosmetic Surgery

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621 Market Street

St. Augustine, FL 32095

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