Chicago Tummy Tuck

Abdominoplasty (Tummy Tuck)

What is an Abdominoplasty (Tummy Tuck)?

An Abdominoplasty (AKA “Tummy Tuck”) is a procedure to improve the appearance of the stomach area by removing the excess skin and fat.  Excess skin can result from things such as pregnancy and significant weight loss, and an Abdominoplasty is a wonderful way to improve the shape of the torso.  There are many variations of the traditional Abdominoplasty, including a “mini tummy tuck” (where the small scar is about the length of a C section), “extended tummy tuck” which allows for extra contouring of the flanks and upper-outer thighs, “Circumferential Abdominoplasty” or “body lift” where the buttocks and lower back are also addressed, “Reverse Abdominoplasty” which removes the skin and fat in the upper stomach area and leaves a scar hidden under the breasts, and a “Fleur de Lis Abdominoplasty” where much of the excess skin in the central abdomen is also removed (typically done in patients with very significant weight loss).  The well-healed scars are easily hidden in clothing, with additional emphasis on creating a cute, youthful belly button.

You may have also heard the term “Mommy Makeover”.  A “Mommy Makeover” is a general term used to describe a combination of procedures done to get a patient back into their “pre-mommy body”, including a tummy tuck and some form of breast procedure (breast augmentation, breast lift, breast reduction, etc.).  If you’re considering a tummy tuck surgery, you may want to consider additional procedures to be performed at the same time to limit the amount of surgeries you have and the additional recovery time.

How is a Tummy Tuck Done?

An abdominoplasty/tummy tuck procedure is typically done under general anesthesia for patient comfort.  Many times the skin/fat removal is combined with a muscle repair where the rectus abdominis muscles are stitched together if they are separated (called a “rectus diastasis).  To reinforce the muscle repair in patients with a “weak” abdominal wall, Dr. Krochmal likes to use GalaFlex mesh for additional strength and longevity.  Many surgeons (including Dr. Krochmal) also perform extra body shaping with advanced liposuction techniques to further refine the appearance.  You may know of terms such as “circumferential liposuction”, “360 lipo”, “Hi-Def lipo”, or “etching” that can be used with abdominoplasties. Basically, the variations performed are individualized to create the most ideal outcome for you in the safest way possible.

Who is a Good Candidate for a Tummy Tuck?

A good candidate for an abdominoplasty/tummy tuck is anybody who is unhappy with the appearance of their stomach due to extra skin.  Ideally, a person should be close to their “goal weight” and be in generally good health prior to the procedure to maximize safety and the end result.  

What is the Recovery for Abdominoplasty?

Patients used to worry about the abdominoplasty recovery, but with the latest techniques, the recovery isn’t bad at all!  Dr. Krochmal likes to use Exparel with his tummy tucks, as this provides pain control for up to three days.  Pain medications and muscle relaxers are also prescribed to enhance the recovery process and make it as comfortable as possible.  Patients are out to dinner after a few days, and are driving in about a week.  Most patients take 1-2 weeks off of work for their recovery.  The exact surgery you have will determine which kind of compression garment you wear, and your activity restrictions.  Sometimes drains are used to remove the swelling and speed up the recovery process, and other times Dr. Krochmal prefers to use the “drainless tummy tuck” technique.  Patients can shower after a few days, but there is no soaking in water, heavy lifting, or strenuous activity for 1 month.  Dr. Krochmal typically lets patients resume dedicated core strengthening exercises at 6 weeks.

What About Plus-Size Abdominoplasty?

Some patients, no matter how hard they try, cannot get to their ideal body weight.  Oftentimes this is due to significant abdominal tissue that is hindering their weight loss goals.  By removing that extra skin and fat from the stomach area, this may stimulate weight loss because now workouts will become more efficient and it’ll become easier to burn calories!  While some plastic surgeons do not operate on overweight/obese individuals, others (including Dr. Krochmal) perform these “plus-size abdominoplasty” procedures with some modifications to maximize safety and limit potential complications.

In the name of safety, there may still be times where a surgeon asks patients to lose more weight before undergoing body contouring surgery.  Dr. Krochmal works closely with nutritionists, personal trainers, and bariatric surgeons to assist patients achieve their lifelong goals of living healthy lifestyles with shapes they’re happy with!

Who is the Best Tummy Tuck Surgeon in Chicago?

There is no “best” surgeon for any procedure. But, there are some qualifications and credentials that improve the chance that you will achieve your desired result safely.  Make sure your surgeon is a Board Certified Plastic Surgeon.  Make sure they operate in a fully accredited facility.  If the procedure is not being done in a hospital, make sure they have privileges at a local hospital to do the procedure you are getting done.  Make sure they have completed an accredited residency or fellowship program.  Ask if they do research on that particular procedure (Dr. Krochmal does research on preventing blood clots/DVT’s after tummy tucks using certain medications).  Read their reviews to get a sense of what other patients have experienced.  Check out their before/after pictures to get a sense of their technical and artistic style, and see if they operate on patients that appear similar to you. And most importantly, schedule a consultation with that doctor to see if they are a good “fit” for you.  Every doctor has his or her own personality and approach to patient care, so you will want to see if you like that particular approach.  Do they inspire confidence and trust?  Are they calming and reassuring?  Do they take the time to answer your questions?  Do they discuss alternative approaches and say why those approaches may or may not work?  Do they seem like they will continue to care for you after the procedure? There is no “best abdominoplasty surgeon”, but there is a “best” surgeon for you.  You just may need to consult with several to find the right one.  Hopefully Dr. Krochmal is on your “short list” of Chicago and Hinsdale plastic surgeons to interview.  We’re happy to help Shape Your Future!

Ready for a Flatter, Tighter Tummy?

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