Abdominoplasty (Tummy Tuck) Philadelphia

tummy_tuckAbdominoplasty, also known as a “tummy tuck,” is a widely popular surgery. Tummy tucks help to flatten and shape the abdomen and waist by removing excess fat and skin while tightening the muscles of the abdominal wall. These muscles commonly separate after childbirth which is called a diastasis of the abdominal muscles. Patients love the look of their new flat stomachs after surgery under our doctors’ exceptional care.

Dr. Ryan Hoffman is available for a consultation for a tummy tuck procedure at your convenience.

Who is a good candidate for a tummy tuck?

The best candidates for abdominoplasty are in good physical condition with pockets of fat or loose skin that haven’t responded well to diet and exercise. We can also help older, slightly obese people whose skin has lost some of its elasticity. Heavier patients may also cosmetically benefit from an abdominoplasty, but may not have as good a contour post operatively.

Abdominoplasty can also be useful for women with stretched skin and muscles from pregnancy. Stretch marks that are between the belly button and pubic area are commonly removed during abdominoplasty procedures. Results from the tummy tuck procedure can be diminished if the patient becomes pregnant at a later time. This can usually be corrected with a minor procedure 3 months after delivery.

If patients are losing weight prior to an abdominoplasty, we encourage patients to be at a stable weight for about three months prior to undergoing the procedure. Fluctuations in weight over shorter periods of time will yield sub-optimal results from surgery.

Customized Treatment for Optimal Cosmetic Results

We take the time during every pre-operative consultation to learn what his patients want to achieve from a tummy tuck both for their bodies and for their self-confidence. By listening to what patients have to say and closely examining them rather than performing a one-size-fits-all procedure on every person, we provide patients with completely customized treatment that takes into account their specific goals.

The Tummy Tuck Procedure and Recovery

Abdominoplasty takes approximately two to five hours under general anesthesia. The surgeon will make two incisions: one from hipbone to hipbone close to the pubic area, and another around the navel. They will separate the skin from the abdominal muscles, which are then pulled together and stitched into place for a firmer abdomen and narrower waist. They will then stretch the skin flap down and over the newly tightened muscles, remove excess skin, and reattach the navel in a natural position. The abdomen is closed with buried sutures, and drains are placed. The drains usually come out within one week after the procedure. Patients are moving around the next day after surgery. Swelling from the surgery remains for some time, but results are seen immediately.

Tummy Tuck Results

Abdominoplasty will leave a scar spanning the lower abdomen from hip to hip and a scar around the belly button. The incision can usually be concealed by underwear; most conservative bathing suit bottoms can also cover the scar.

With a balanced diet and regular exercise, results are long-lasting.

Risks of Abdominoplasty

Though rare, post-operative complications from surgery are possible. They may include infection, blood clots, and poor healing, which may require further surgery.

Patients who have had previous abdominal surgery should know that their old scars could be raised, stretched or generally more noticeable after the procedure. A scar revision procedure after abdominoplasty may minimize the appearance of an unsightly scar.

Short scar abdominoplasty (“Mini Tummy Tuck”)

For patients with just a small amount of excess skin, a short scar abdominoplasty or mini tummy tuck is an option. This procedure utilizes a shorter incision usually the size of a C-section scar to tighten the abdominal skin. The skin is lifted to the level of the belly button and then redraped. The excess skin is then removed. Liposuction is used to sculpt the remainder of the abdomen.

No Drain Tummy Tuck

Though drains are often used to help minimize swelling over the first few day of the procedure, Dr. Hoffman is able to use a technique that eliminates the need for drains.  This is achieved by using special sutures and suturing techniques under the skin to allow rapid healing without the need for drains.  This can be particularly helpful for people with young children who have to get back to their daily activities more quickly and who can’t afford to be slowed down by the presence of drains.   The operative time may  be increased in a drainless tummy tuck, but to some people it is worth this extra time.  Dr. Hoffman can review the benefits of using drains versus not using drains during your consultation.

Post Op Abdominoplasty


For all Liposuction patients, follow the above instructions for after drain removal.

Please follow this link to review before & after (Tummy Tuck) plastic surgery photos of actual patients.

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