Abdominoplasty With Liposuction
Abdominolipoplasty with liposuction is the combination of abdominoplasty (tummy tuck) with liposuction (fat removal).
Lipoabdominoplasty also known as ‘Brazilian’ abdominoplasty, aims to achieve what a full (classic) abdominoplasty does but with less risk and a quicker recovery time. The differences between the ‘Brazilian’ abdominoplasty and the classic abdominoplasty are best illustrated by explaining the various steps in the procedure:
Liposuction and Lipomobilisation
The first step in the procedure is to perform liposuction of the entire front abdominal wall and usually also Lipo of the flanks. This helps to get rid of excess fat, sculpts the abdomen, and lessens the ‘padding’ effect of fat on the tummy and improves the waistline.
Removal of Excess Skin and Lower Abdominal Fat
Next, an ellipse of excess skin and fat is cut away between the pubic hairline and the tummy button, stretching across from one hip to the other. This is similar to a full classic abdominoplasty, but in the case of the Brazilian Abdominoplasty, some of the deeper connective tissue (the so-called ‘Scarpa’s’ fascial and its associated fat), lying superficial to the muscle, is preserved and tightened in the midline.
Tightening of the Rectus Abdominis Muscle
If there is slackness and/or separation of the abdominal muscles, then this is also corrected by means of a deep permanent stitch as in the case of classic abdominoplasty.
The difference is that only a thin midline strip of muscle, rather than the whole muscle, is exposed.
Scarring and Recovery
Once the procedure has been completed, the remaining abdominal skin is stretched down to tighten and flatten the tummy, and the wound is sutured with absorbable stitches. No stitches are normally visible on the outside. The tummy button is also repositioned in exactly the same way as with the classic abdominoplasty. If necessary, the pubic region can also be lifted where it is droopy. The Brazilian abdominoplasty generally does not require the use of drains.
Patients can go home on the same day or after one night’s stay in hospital.
Mini Brazilian Abdominoplasty (Lipominiabdominoplasty)
Where a smaller area of abdominal skin and fat requires removal, a limited or ‘mini’ abdominoplasty (as described above) can also be performed in the ‘Brazilian’-style with liposuction and careful limiting of raw surface areas.