What is a tummy tuck?
Also known as abdominoplasty, a tummy tuck is removal of the lower abdominal excess skin and fat. It also involves tightening the abdominal wall or abdominal muscles to create an internal corset to repair what is called diastasis recti.
This is often paired with liposuction to the upper abdomen, flanks, and even back. It can also be performed at the same time as other cosmetic surgery such as breast surgery, arm lift, or BBL.
Patients with a lot of excess skin particularly after massive weight loss may benefit from removal of skin in the vertical and horizontal dimension called a flour de lis or inverted T abdominoplasty. This leaves you with a scar along the lower abdomen as well as a vertical scar at the midline of the abdomen.
Many patients need a tummy tuck after child birth due to the stretching of the skin and abdominal muscles so therefore this is sometimes referred, in combination with breast surgery, a "Mommy makeover." This does not mean it's limited to women after child birth. It is also necessary after weight loss as skin can not be "tightened" with working out harder. Men also require this operation with excess skin.
What is Diastasis Recti?
Diastasis recti is a separation of the abdominal muscles as you can see here in this image.
This occurs with pregnancy naturally to make room for the baby. Sometimes the AB muscles will return to normal position with exercise or physical therapy; however, in MANY cases especially with multiple pregnancies, the AB muscles never return to normal and must be surgically repaired.
Repair of diastasis is performed during abdominoplasty when present to tighten the abdominal wall. This actually not only helps with the aesthetic contour, but it also helps with core strength, urinary incontinence, and quality of life.
See scientific article here:
Do I need a Tummy Tuck?
Although all bodies are beautiful and often tell the story of the creation of our precious babies, the results of aging, weight loss, and pregnancy leave the abdominal wall with skin that will never tighten and (see above) Diastasis recti.
The photo above shows skin that is loose with a diastasis and also distorted belly button. The only way to correct this amount of loose skin is removal with surgery. If you desire improvement in excess skin and restoration of abdominal wall strength and function, you need an abdominoplasty (aka Tummy tuck).