Follow Us!

  • White Facebook Icon
  • White Instagram Icon
  • White YouTube Icon
  • Twitter Clean

 

© Medi Makeovers 2018. You may not copy, publish or use any of the content on this site without written permission from Medi Makeovers.

Disclaimer: Medi Makeovers is a medical tourism facilitator and in providing any medical information to its clients and prospective clients relies on medical, surgical and other recommendations supplied by the hospitals and clinics in Thailand that Medi Makeovers is accredited with. Medi Makeovers provides this information to its clients and prospective clients on behalf of these hospitals and clinics and in good faith, however, this must not be construed as Medi Makeovers offering or providing medical advice. Regardless of the wording, no information expressed in this website is to be interpreted as Medi Makeovers or its personnel offering or providing medical advice or recommendations. All pricing is in Thai Baht and all other currencies shown are the estimated currency conversion. You must check the currency conversion closer to your procedure date as you will pay for your procedure in Thai Baht.

WHAT IS A TUMMY TUCK?

 

Abdominoplasty or "tummy tuck" is a procedure used to make the abdomen thinner and more firm. The surgery involves the removal of excess skin and fat from the middle and lower abdomen, and tightening of the muscle and fascia of the abdominal wall. This type of surgery is usually sought by patients with loose or sagging tissues after pregnancy or major weight loss.

 

A Tummy Tuck is done when:

  • Pregnancy has made the muscles loose, excess skin and stomach skin sag

  • Weight loss has created excess skin and made the stomach skin sag

  • Hereditary issues cause excess skin

 

 

AM I A GOOD CANDIDATE?

 

 

  • You are physically healthy and at a stable weight

  • You have realistic expectations

  • You are a non-smoker

  • You are bothered by the appearance of your abdomen

  • You've got flab, stretch marks or excess skin in your abdomen that does not improve with diet or exercise

  • If the shape of your abdomen has been affected by pregnancy or massive weight loss

 

One or more of the following feelings or conditions may indicate that you are a good candidate for a Tummy Tuck:

PROCEDURE DETAILS

 

The type of 'tuck' you will require will be determined by your surgeon. Scarring is different for everyone as not everyone has excess skin in the same places.

 

FULL TUMMY TUCK

 

This is the most commonly performed type of tummy tuck surgery. This involves the creation of a hip-to-hip incision, as well as incisions around the belly button. Because they address the patient's entire abdominal area, they often involve 'creating' a new belly button to ensure natural looking results. Abdominal liposuction is commonly added to this procedure.

 

MINI TUMMY TUCK

 

Also called partial abdominoplasties, are intended for patients who are within 10 percent of their ideal body weight and are content with making alterations only to the part of the abdomen that is below the navel. Mini tummy tucks require only a single small incision. They usually do not involve repositioning the navel. Partial abdominoplasties result in less dramatic changes to the appearance of the abdomen than other types of abdominoplasty surgery, but also offer a shorter recovery time than most tummy tuck procedures.

 

EXTENDED TUMMY TUCK

 

Involves the removal of 'love handles' on either side of the waist as well as the removal of fat and excess skin from the stomach area. The incision is usually low so that even if the scar extends behind the hips, it will not be visible, even when one is wearing low-rise clothing. This procedure allows for the treatment of a larger area than the traditional tummy tuck. In order to address the lifting of the entire lower body area, a circumferential tummy tuck is usually required.

 

CIRCUMFERENCIAL LIFT

 

This is a type of body lift. Circumferential tummy tuck surgeries are often sought by patients who have undergo gastric bypass surgery. Massive weight loss is often accompanied by a significant loss in skin elasticity. Some insurance companies will cover part of the cost of a circumferential tummy tuck surgery. The presence of sagging skin may be a health issue as well as an aesthetic one, as fungus can form between the folds of the skin. Circumferential abdominoplasty can involve the removal of excess skin from the thigh, buttocks, and hips, as well as the central abdominal area. The scars for this type of procedure extend to the back.

FLEUR DE LIS LIFT

This  involves an incision running laterally across the abdomen, from one hip to the other, just above the pubic bone, and  this procedure utilizes an additional incision, running vertically down the midsection, to better address the lax abdominal tissue. This is for clients who have very large amounts of excess skin and need more than an Extended Tummy Tuck. If you have experienced a significant weight loss, this may be the procedure for you - this will restore a smooth, curvaceous figure as it also addresses the upper abdomen as well.

 

REVERSE TUMMY TUCK

This procedures involves incisions at the top of the upper abdomen - just near or at the breast crease. This is usually done possibly after a full tummy tuck has been done previously and you have either lost more weight, or you may just have excess skin on the upper abdomen only. See diagram above. It may also possibly involve tightening of the abdominal muscles.

With our hospitals, these procedures are only performed under general anaesthetic. The length of the operation will depend on the extent of the surgery, but the surgeon will advise you of the length of the surgery during your consulation.

Generally speaking, this surgery involves:

  • The surgeon makes a horizontal, curved incision (cut) near the pubic hairline that runs from one hip to the other for Full Tummy Tuck.

  • Extended Tummy Tuck means the incision site will be longer to remove excess skin and avoid 'Dog Ears'

  • Circumferential Lift - the incision site is 360 degrees around your body

  • Fleur De Lis incision sites are the same as a Full Tummy Tuck but also run vertically down the mid section to remove excess skin

  • Reverse Tummy Tuck - incision is across the top of upper abdomen

  • The skin and fatty tissue are lifted from the underlying tissue.

  • The surgeon will stitch and tighten slack or separated abdominal muscles.

  • Excess fat is removed.

  • Excess skin is trimmed.

  • The navel is repositioned.

  • The wounds are closed with stitches, tape or clips.

 

YOUR RECOVERY + AFTER CARE

 

When you wake up after tummy tuck surgery, your abdomen may be very swollen and it may be throbbing. Don’t wait for pain to be unbearable before you take your pain medication. Take your pain medication on time because that stops the pain before it gets too bad. You will actually use less pain medication if you take it on time than if you wait for the pain to become severe. And pain interferes with healing. There is absolutely no reason to be tough and suffer through the pain. As the days go on the swelling and pain will dissipate. You may have bruising, but this is normal. Abdominoplasty involves loosening the skin from its previous attachments and re-draping it. That action, along with the incisions, means that some nerves were cut. Sensation will usually come back gradually over the course of several months. Sometimes, the first thing you will feel in areas that were numb is itchiness or tingling.

 

Sleep with your head and shoulders elevated for the 14-21 days. You will be laying down a lot because you will be sore and will have problems standing upright for at least one month. Sitting may be more comfortable, but still might be a bit much for you. Sleeping may not be a problem, since some pain medications can make you sleepy. Getting up and down from a sitting position or in and out of bed will be difficult and will hurt. Remember, everything will continue to get easier as the days pass. Full recovery after tummy tuck could be several months.

 

You MUST Wear Compression Garments

 

Our surgeons require you to wear a compression garment around your abdomen. You MUST wear this compression garment for a minimum of three months – it is a good idea to purchase two or three garments so you can wash and wear. This may be in the form of a wide binder that goes around your abdomen or a girdle-like garment that pulls on or zips up the side. Either will compress your abdomen a bit and help in healing and controlling the swelling.

 

We encourage you to walk around after you leave the hospital, so this is where you can take short trips to do some shopping, light sightseeing or you might want to just go out to lunch or dinner. Do not go outside in the heat and do too much sightseeing as this will cause more swelling and you may develop infections. This is a great time to have pampering, foot and leg massages, facials, pedicures etc - not the time to visit Temples etc. Please listen to your body and do not overdo it, it is very important to rest during your recovery from surgery. When you return home, please take it very easy and do light duties and do not pick up objects for about 2 months as this can put pressure on the stitches internally and externally. A few weeks after surgery, sutures used to close the deeper layers may spontaneously surface through the skin. Although these are expected to be absorbed within 4-6 months following surgery, these are still material foreign to the body and may be “pushed outwards” as healing continues. This can become visible or produce irritation and removal may be required. You may be able to remove these yourself or please see your local GP and they can remove them.

 

General risks of abdominoplasty surgery

 

There are risks associated with all surgery, and following your surgeons instructions will help to reduce these.The most common risks include:

 

Bad Reaction to Anaesthesia

General anaesthesia, used during abdominoplasty surgeries, is considered slightly more risky than local anaesthesia. It can cause an unpleasant or unexpected reaction; however, a qualified anaesthesiologist should be able to identify emerging problems before they become worse.

 

Blood Clots

Blood clotting is the body's natural way of controlling the amount of blood that is lost after an injury, but depending on their location, they can be dangerous. If a blood clot forms inside a blood vessel, it may complicate your circulation. If a blood clot travels to your lungs, brain, or heart, the result can be deadly.

Decreasing Your Risk of Blood Clots

There are several things you can do to decrease the risk of blood clots, prior to surgery. First, be completely honest in your medical history and other information you provide to your doctor. Be sure to give your doctor a list of all medications you take prior to the surgery. This will help your doctor determine if you are at an increased risk of developing blood clots following surgery. If you take birth control pills, you may want to discontinue their use during the preparation and recovery from tummy tuck surgery - talk to your doctor about this possibility before doing so.

After surgery, and during your recovery, most surgeons advise using compression stockings, pre- or post-operative leg massage, and short walks within a day or two of your surgery. Gentle movement is helpful and will speed your recovery, but too much exertion or vigorous activity can be detrimental.

 

Infection

Tummy tuck patients are at risk of developing an infection during and immediately following their surgery. A clean, sterile, operating room lessens the risk of contracting an infection during the surgery.

After surgery, the risk of infection increases if the surgical wound is not properly cared for. Your surgeon will have specific instructions for removing/changing bandages, exposing your wound to water, and keeping it clean. Note that it is normal to have some bleeding and leakage after surgery, but if the surgical wound is unclean, the risk of infection rises. Most infections following tummy tuck surgery are the result of the patient's failure to properly care for their surgical wound during their recovery.

 

Fluid Accumulation

Most tummy tuck patients need drains after their procedure. The drains decrease the risk of seroma formation (i.e., fluid collecting between the muscle layer and the skin flap), which can cause infection. The drains create a point of exit for this fluid, reducing the risk of infection following tummy tuck surgery.

 

Slow Healing

Each patient will heal at his or her own pace. That being said, young patients in good physical condition typically heal faster than older or less physically fit patients. Tenderness, bruising, pain, and swelling usually subside after about four to six weeks. Patients who experience significant discomfort after six weeks have passed are considered to be healing slowly.

Smoking or exposure to cigarette smoke decreases the size of blood vessels, complicating circulation of oxygen to the skin cells.

 

Other risks include:

  • Skin loss

  • Numbness or other changes in skin sensation

  • Skin discoloration and/or prolonged swelling

  • Unfavourable scarring

  • Recurrent looseness of skin

  • Fatty tissue found deep in the skin might die (fat necrosis)

  • Deep vein thrombosis, cardiac and pulmonary complications

  • Asymmetry

  • Suboptimal aesthetic result

  • Possibility of revision surgery

  • Persistent pain 

PRICING CLICK HERE

 

Prices are for men and women. All prices are fixed in Thai Baht.

 

Included in prices:

  • Hospital stay in a single, private room

  • Surgery

  • Plastic + reconstructive surgeon

  • Anaesthetist

  • Nursing fees

  • Private hospital fees

  • Bandages, dressings and prescribed medications for 7 days

  • Pre and post operative consultations with a leading surgeon