Massive or sudden weight loss, obesity, hormonal problems, pregnancy, childbirth, or previous surgery can lead to various problems of the abdominal wall, that may affect the skin and the underlying fatty tissue.
Stretch marks appear on the surface. In addition to the aesthetic disadvantages, these deformities can cause skin diseases, functional complaints, or spinal and psychological disorders.
The concept of Tummy Tuck (Abdominoplasty) involves various interventions carried out in all layers of the abdominal wall (skin, adipose tissue, muscle), during which all the problems are solved by restoring the original state.
If the skin is not able to retract to its original state after massive weight loss or pregnancy, it remains flabby, sometimes like „Dog-Ears”. In this case, the procedure can only be performed when the weight loss period is completed, or one year after childbirth – since spontaneous improvement might happen until then.
Skin tightness is decreasing over time. This may be accompanied by abdominal wall loosening. Muscle fibers of the abdominal wall often become disconnected, and umbilical hernia is not rare either.
Occasionally, in addition to the loosening of the skin large amount of fat accumulates, a large part of which can be removed finally during the procedure. Tummy Tuck (Abdominoplasty) is also a perfect solution when the skin does not adjust to the new body shape after a strong weight loss program.
All these problems can be treated with modern plastic surgery methods. The goal is the tightening of the abdominal wall, and restoring the whole abdomen’s original shape. Stretch marks can only be eliminated by this method.
We remove the excess skin and fat layer, while strengthening the muscles of the weakened abdominal wall if needed.
This surgery is performed under general anesthesia, it takes about one hour and a half.
An incision is made in the lower abdomen, in the bikini line, and extended in the direction of the hip bone both ways. Usually, there is a round incision around the navel, too. Dissection of the abdominal wall skin is high up to the ribs depending on the used technique.
In our clinic, we leave the smallest wound surface possible with high dissection only in the middle (above the straight abdominal muscles). On the edges (near oblique abdominal muscles) we use a tissue-saving technique of relaxing the connective tissue fibers. After tightening the lifted tissues, the excess is removed. The navel is brought out and fixed on a new place. Finally comes the removal of the excess skin, and the abdominal wall is sutured in the middle if necessary. We pull down the tightened skin in the lower abdomen and fix there with stitches.
If there was an incision around the navel, it will be fixed in its new place on the surface as well. The scar is designed to be covered by bikini or underwear. One or two so-called drains are always needed after Tummy Tuck (Abdominoplasty) to lead away the accumulated serum, or blood. These can be removed after one day or two in general.
At the end of abdominal plastic surgery, compression bandage or a corset belt is applied. Ideally, the scar fades into a soft, thread-thin white line. Stitch removal after 2 weeks, but the wound healing process takes six months to one year.
Our patients usually spend 24 to 48 hours in the hospital. We help to organize home care, as it is very important to follow the medical instructions. Special „tummy tuck dress”, corset belt or trousers are recommended for 4-6 weeks. This is particularly important after suturing the abdominal wall, since prevents straining of the scars until the internal scarring completes.
As Tummy Tuck (Abdominoplasty) involves a rather huge body area, we prescribe antibiotics – and painkillers, if necessary. Drain removal after 1-2 days, after which the patient is discharged home with an escort. Skin sutures are generally removed after 2 weeks.
The result can be seen immediately, but the final aesthetic result only shows a few months after the surgery. The scar is invisible in both lingeries and bikini. However, it is essential to ensure that UV rays do not reach the scar for a year after surgery, because sunbathing of the incision area may lead to aesthetic deterioration.
Major physical strain and sports should be avoided for at least 8 weeks.
Complications, like with any other surgery, may include serum formation, inflammation or bruising. Very rarely – mostly with high-fat tissues – wound healing problems can occur. Injury of the superficial skin nerves might cause temporary sensory troubles. Thickened (hypertrophic) or keloid scar is also a rare complication, that occur much later.
Concerning my combined surgery circumferential abdominoplasty (tummy tuck), liposuction, arm and thigh plasty I will attach some photos as I would like a specific plan. Please could you explain the costs of the next few things. How much is the anaesthesia? I don't understand why there is an extra payment for anaesthesia for combined? What is the reason for this? How much is it for liposuction? If it is per area then how many areas are you suggesting? Both arms, both thighs, waist, lower back are 7 areas. I don't think I will require lipo on my bum. Could you explain to me the total costs and areas please?
How do you charge for hospital stay. This is the first clinic I've encountered that is charging for the usual 1 or 2 night stay? My boyfriend will be coming with me and I would like to not pay for both of us. Why is the second night stay not included in the procedure?
Many thanks in advance,
Click here to see the answer 2015-04-27
Dear Dr Pataki,
Thank you for your explanations and suggestions.
I have a two more questions regarding my problem.
Is it mandatory to do a liposuccion associated with an abdominoplasties? If yes, for what reasons?
how many days should I stay in Budapest?
Thank you for your time.
Click here to see the answer 2015-03-16
Hello dr. Pataki,
I attached you 2 pictures of myself, I want to have tummy lipo.
Is it possible for me to travel back to Debrecen the next day and resume classes ?
Plus what are the risk of the liposuction and is it painful? How long will it take me to recover? What kind activity am I allowed to do after the liposuction and will I see immediate result?
please can you give me answers?
Thank you so much
Click here to see the answer 2015-02-16
Dear Doctor Pataki,
I am sending you photos of my abdomen. I had two liposuctions earlier this year, and as you can see the effect is very bad. Now the tummy is not straight and has many lumps under the skin. I wants to make my tummy soft again and fix the bellybutton placement, as it is not straight.
What would you recommend ? Tummy tuck or liposuction?
Could you please provide me with a consultation?
Thank you in advance.
Click here to see the answer 2014-12-16
I would like to know if I could have an abdominoplasty and a breast augmentation surgery supported via national insurance. This was recommended by my radiologist during my pregnancy due to change in appearance. I had 30 kg extra weight, my skin got very loose, my breasts are really small, I have really low self esteem and even my husband left me. I would like to move on and meet others but this is impossible with the current state of my body. I feel frustrated even when I see the doctor. Once I used to be admired and now I have absolutely none of this. All I want is a decent relationship and a pleasant appearance even if I have a baby boy. Currently I am unemployed but before I go back to working in health care, I would like to have these corrective surgeries done (hopefully for an acceptable price). I am a 33-year old mum from Budapest. I would be most grateful if somebody could get in touch with regards of the process of applying for a procedure.
Thank you for your answer in advance!
Click here to see the answer 2013-03-18
Dear Dr. Pataki,
When I gave birth to my baby I was 80 kg and beforehand I was only 47kg. Currently, I am 54 kg and my height is 159 cm. My skin has become very loose on my abdomen and I might have hernia. I am not sure if there is a way of surgical correction?. Would my skin become like it used to be? Could the loose skin and fat be removed? I have a little abdominal apron, I had a Caesarian section. Currently I look like I was 5 months pregnant. I gave birth to my baby a year ago and I discussed my abdomen with my doctor on the 6-week check up and he said that my tummy was big because it was filled with air. Unfortunately, my breasts have changed a great deal after my pregnancy; they feel like empty bags now.
With many thanks,
Click here to see the answer 2011-10-17
Dear Dr. Pataki,
I am 21 years old. I used to be 95 kg and after losing weight I am now 63 kg. Fortunately, I have been keeping this weight for months now. Unfortunately, striaes appeared on my skin on my abdomen and on my breasts. I would like to know if these could be removed surgically?
Click here to see the answer 2011-10-17