Below is a brief description of abdominoplasty by Dr. James Rosing.
Extra fat in the stomach can be removed simply through liposuction, but when stretched muscles and loose skin are also present, it is best to consider abdominoplasty (tummy-tuck). An incision is made on the lower abdomen, just above the pubic bone, through which excess fat and skin are removed. Just prior to the procedure, I recommend patients wear an undergarment or bikini to ensure the scar will fall below the garment. Abdominal muscles and skin can be tightened to flatten the abdomen. Depending on the amount of skin excess, the belly-button may need an incision around it as well.
Muscle tightening, when required, is the cause of discomfort for patients undergoing abdominoplasty. In cases where muscle tightening is not performed, there is minimal postoperative pain. This is easily controlled with a combination of muscle relaxants and pain medication. Small drains are used to prevent fluid from accumulating, which are removed at the post-operative visit.
Below is a video explaining how Dr. James Rosing recommends either a standard tummy-tuck, mini abdominoplasty (mini tummy-tuck), or liposuction for patients desiring a procedure to improve abdominal skin laxity, fat excess, and loose abdominal muscles. A mini abdominoplasty (mini tummy-tuck) can be performed in-office for select patients.