The decision to have an abdominoplasty, also known as a tummy tuck, has many causes. The abdominal wall often slackens with increasing age. Pregnancies and rapid weight loss increase the risk of a slack abdominal wall, up to and including an abdominal apron. Once the slack tissue really starts to hang, a health aspect is added to the aesthetic one: perspiration in the skin folds can lead to sore skin, fungal infection or abscesses. With an abdominoplasty we remove the excess skin and fatty tissue of the abdomen at our practice clinic in Oldenburg and reshape the centre of the body.
The abdominoplasty is performed when the skin envelope of the abdomen has slackened. Where abdominal wall weakness or rectus diastasis (a separation of the straight abdominal muscles) is demonstrated, we combine the procedure with an abdominal wall repair in which the straight abdominal muscles are brought back together. This is often the case with the mommy makeover. Without the abdominal wall reconstruction, the lateral silhouette would not meet expectations again.
There are various techniques, all of which we offer:
Our aim is always to work in a scar-sparing way. The abdominoplasty can be combined with liposuction. After the procedure you may expect a noticeably flatter abdomen. The scar runs in the area covered by underwear and is therefore not immediately visible. The navel is often corrected in its position, reduced in size and adapted to the desired result.
We carry out liposuction with internal argon plasma tightening on all regions of the body. Where the conditions are right, this procedure can considerably improve the skin of the abdomen. If the skin is sagging too much, there is no way around the classic abdominoplasty – we tell you that openly at the first consultation.
Most frequently it is women who ask about an abdominoplasty after a pregnancy – or even decades later. During pregnancy the female body changes considerably through strain and hormonal influences. Many women would like to have the centre of their body back afterwards. In our consultations we then often hear: “Now I am finally doing something just for me.” Patients after major weight loss, whose skin no longer recedes, benefit just as much.
After an abdominoplasty we often see a lymphatic congestion at the upper end of the scar which subsides noticeably within 2 to 3 months. This can vary in extent from person to person and is no cause for concern. Collections of wound fluid, so-called seromas, can occur where wound surfaces are large. We detect them at the follow-up check-ups using ultrasound and carefully drain them by puncture if necessary.
After the preliminary consultation with advice, detailed information about risks and an examination, we plan the operation together. Our aim is to respond to your wishes as well as possible before the procedure and to mark and document the course of the incision.
On the day of the operation, which we carry out in our own rooms in Oldenburg, you are scheduled in such a way that long waiting times are avoided. I will then go through what we discussed with you once more and repeat the markings. You can explain your individual wishes to me again at that point so that I can respond to you as well as possible. Our nursing and anaesthesia team will look after you. After the procedure you stay for one night in one of our patient beds – unless the procedure was agreed as an outpatient mini abdominoplasty. A nurse looks after you throughout the night. I myself am close by and take personal care of your physical wellbeing. After the final ward round the following day you can usually leave our clinic.
One advantage of the abdominoplasty is the absence of the abdominal apron afterwards and with it the end of the discomfort in the lower abdominal fold and around the navel. Disadvantages and calculated risks are haematomas and, rarely, secondary bleeding. That is why we like to plan the procedure with monitoring in order to give you the highest possible degree of safety. There are no relevant alternatives for reducing the soft tissue. After the operation a temporary feeling of tightness can occur.
Whether a mini abdominoplasty, a classic lift, a T-incision or a mommy makeover with abdominal wall repair: which technique suits your findings is something we see during the examination. You receive an honest assessment, an individual treatment plan and a fixed cost estimate. Arrange a consultation appointment at our practice clinic.
The mini abdominoplasty tightens only the lower abdomen and the navel stays in place. The classic abdominoplasty releases the skin up to the costal arch and repositions the navel. Where there is excess skin at the sides, a vertical incision is added to the horizontal one – the T-incision abdominoplasty. Which technique fits is decided by the findings.
Horizontally in the lower abdomen in the bikini zone, so that it is covered by underwear, and with the classic technique additionally around the navel. We always work in as scar-sparing a way as possible.
Yes. We often combine the lift with liposuction in order to smooth transition zones. In the case of abdominal wall weakness or rectus diastasis an abdominal wall repair can additionally be carried out, bringing the straight abdominal muscles back together – typical for the mommy makeover.
Where the conditions are right, liposuction with internal argon plasma tightening can considerably improve the skin of the abdomen. If the skin is sagging too much, there is no way around the classic abdominoplasty.
You are usually able to face other people and to work again after 7 days. Compression garments are worn for 6 weeks, showering is possible from the 2nd day and sport after 4 weeks. No stitches need to be removed when dissolvable suture material is used.
A lymphatic congestion often appears at the upper end of the scar and subsides noticeably within 2 to 3 months. Where wound surfaces are large, collections of wound fluid (seromas) can form; we detect them at the check-ups using ultrasound and carefully drain them by puncture if necessary. A temporary feeling of tightness is also normal.
As a rule not – unless an abdominal apron demonstrably causes symptoms such as sore skin, fungal infection or inflammation. In that case an application can make sense; we advise you on this at the first consultation.
The cost depends on the technique (mini, classic, T-incision), on an abdominal wall repair, on the combination with liposuction and on the overnight stay. After the first consultation you receive a fixed cost estimate.
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