Tummy Tuck (Abdominoplasty)

• Physical findings: Redundant abdominal skin, subcutaneous fat deposits. Diastasis recti (midline abdominal muscle separation). Striae, scarring, or umbilical hernia.
• Functional concerns: Skin irritation or hygiene issues in skin folds. Core weakness or back pain (due to muscle laxity).
• Red flags (contraindications): Future pregnancy plans, uncontrolled obesity, smoking, significant medical comorbidities.

• Primary indications: Postpartum changes (skin laxity, muscle separation). Significant weight loss with residual skin and fat. Abdominal muscle weakness causing bulging.
• Contributing factors: Aging, genetics, prior surgeries (e.g., C-section).

• Prevention: Smoking cessation for 4–6 weeks pre- and post-surgery. Weight stability prior to procedure. Meticulous surgical technique and drain management.
• Follow-up: Short-term: Drain removal within 1–2 weeks; suture care.
• Long-term: Assessments at 1, 3, 6, and 12 months. Healthy lifestyle maintenance to sustain results.

Note: Abdominoplasty is not a weight-loss procedure. Ideal candidates are near their target weight with stable BMI. Combining with liposuction can enhance contouring but increases swelling/recovery time. Realistic expectations and surgeon expertise are critical for optimal outcomes.