Generally referred to as a tummy tuck, an abdominoplasty removes excess fat and skin from the abdomen; it also flattens the abdominal profile by tightening the underlying muscles. Dr. Roland has been performing abdominoplasties with excellent cosmetic results for many years. Women with stretched abdominal areas due to previous pregnancies or weight gain can benefit considerably from an abdominoplasty. Older individuals whose skin has lost some of its "snap" and are slightly obese can experience great improvement in this area.
If you are generally in good physical condition but concerned about abdominal fat or loose skin that is not responding to diet and exercise, this procedure can reduce or eliminate your problem area. An abdominoplasty produces a thin, but permanent, scar extending to both sides of your hips that will most likely be located below the bikini line.
With a balanced diet and regular exercise, these results are long lasting. Our patients love the look of their new flat abdomens under Dr. Roland's exceptional care in our New York City office.
The best candidates for an abdominoplasty are in good physical condition with fat or loose skin that has not responded well to diet and exercise. We can also help older, slightly obese people whose skin has lost some of its elasticity. Others may be better suited for liposuction in New York.
Abdominoplasty can also be useful for women with stretched skin and muscles from pregnancy. Results from the tummy tuck procedure will likely diminish if women continue to bear children, so we advise patients who plan to become pregnant to delay their abdominoplasties.
We also encourage patients who intend to lose a lot of weight, to do so before undergoing the procedure. Skin in the abdominal area typically loosens after substantial weight loss.
Dr. Roland takes the time during every pre-operative consultation to learn what his patients want to achieve from a tummy tuck. He listens to what patients have to say and closely examines them because there is no one-size-fits-all procedure. We provide patients with customized treatment, taking into account their specific goals.
Abdominoplasty takes approximately two and a half hours under general anesthesia. Dr. Roland will make two incisions: one from hipbone to hipbone close to the pubic area, and another around the navel. He will then separate the skin and fat from the abdominal muscles in the upper abdomen. These muscles are then pulled together and sutured into place for a firmer abdomen and narrower waist. Dr. Roland then stretches the skin flap down over the newly tightened muscles, removes the excess skin, and reattaches the navel in a natural position. Finally, he will close the incisions and apply sterile surgical dressing over the sutured areas.
During surgery, two temporary tubes will be inserted to allow excess fluid from the surgical site to drain, usually for about one week. Dr. Roland will remove these in our Manhattan office himself. After surgery you will be asked to lie on your back with several pillows behind you and under your knees. This is to keep you slightly flexed at the waist. You will take several short walks around your home, beginning the night of surgery. After two or three days you will be moving more easily, and walking more often. A surgical binder will be placed around your abdomen at the end of your procedure to allow the skin flap to adhere to the muscle layer. This will be worn for the first six weeks after your procedure. Numbness in the skin below the navel can last for approximately six months.
Dr. Roland will advise you when you can resume activities, such as working-out, as he monitors your recovery during your visits in our Manhattan office.
Most patients begin to feel like their new selves in about two weeks.
Abdominoplasty will leave a permanent scar stretching from hip to hip, although it should be low enough for even a bikini to conceal it. In patients who have had previous abdominal surgery on their lower abdomens, Dr. Roland will make every effort to remove these scars when possible.
Although rare, post-operative complications from abdominoplasty surgery are possible. These may include infection, blood clots, and poor healing. Dr. Roland will review your options and explain your risks during your consultation in our Manhattan office.
Hours by Appointment at:
|52 East 72nd Street, Suite 1A
New York, NY 10021
|80 Wall Street, Suite 615|
New York, NY 10005
|Tel: (212) 744-9400
Fax: (212) 744-9424
|Tel: (212) 952-0200
Fax: (212) 952-0203
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Donald Roland, MD
BOARD CERTIFIED PLASTIC SURGEON