Our board-certified surgeons at AJ Plastic Surgery Centre pride themselves on a commitment to patient satisfaction. They go above and beyond to ensure that your cosmetic procedure is the perfect fit for your unique needs.
Tummy Tuck Surgery or Abdominoplasty Surgery is designed to tighten and remove loose skin and repair abdominal wall looseness or muscle separation that can occur as a result of weight fluctuations or pregnancy.
Weight gain or pregnancy stretches the skin and causes the skin to lose its elasticity and many times creates stretch marks. It can also pull apart the muscles and loosen the abdominal wall creating a pooch or bulging.
Diet and exercise, although important, often cannot repair or treat the skin and underlying muscles that have been stretched. Even some of the thinnest patients have excess skin that they just can’t remove that a tummy tuck can help with.
If there is excess fat in addition to excess skin, patients may also need to have liposuction as an additional procedure. If the mons pubis is also hanging, patients may also need to have a pubic lift.
Patients on a weight-loss plan should be close to their goal weight before having tummy tuck surgery. For best long-term results it is advisable that weight is stable after surgery (without a lot of yo-yo-ing up and down). Patients can get pregnant after surgery; however, the tissues will likely get stretched out again and they may need to do a revision tummy tuck or re-do after pregnancy.
A tummy tuck is not a treatment for obesity. It does not remove the pinch of fat under the skin, or the internal fat (visceral fat). Because internal (visceral fat) creates a lot of pressure, there is a limit to how much tightening can safely be performed in a tummy tuck. As we’ve mentioned before, plastic surgery is not an exact science. Every person has unique anatomy and their own idea of what their body goals should be. This is why consultations are vital so we can work together to create the best possible plan, customized for your personal needs and goals.
We will do a detailed consultation from AJ Plastic Surgery Centre, take a complete medical history and conduct a careful examination and develop a customized plan based on your anatomy as well as your aesthetic goals. We consider age, overall health, emotional well-being, as well as expectations for surgery when evaluating a candidate for this procedure
In the pre-operative area, we will mark you with a surgical pen so together we can determine exactly where you want your incision to be placed.
For your comfort and safety, tummy tuck surgery will be performed under general anesthesia. Every part of the surgical team at AJ Plastic Surgery Centre is essential to having a perfect and smooth surgery so we are focused during surgery and pays attention to every detail. We will all ensure that as you enter the operating room and are gently placed under anesthesia you will feel relaxed, calm, and excited.
During the operation, we will all be focused on keeping you warm, comfortable, and cared for. During the surgery, we are gentle and respectful and ensure a positive and calm environment around you. We will also place a numbing solution in your abdomen so you will not feel pain even though you are under anesthesia.
The surgery may take 4-7 hours depending on complexity and how much skin you need to be removed or if any additional procedures are done at the same time.
We will make a low curved incision that is marked together with you prior to surgery. We encourage our patients to bring underwear or a bikini bottom they like to wear so we can try to hide the incision under it. The skin and fat are then lifted off the abdominal wall up to the edges of your ribs. When we get to the belly button, we cut a small circle around our belly button (it stays in place) and lift the skin around it. This exposes loose tissue covering the abdominal muscles.
Loose, stretched-out muscles are tightened with sutures, and excess skin and fat are removed. The skin is lowered over the abdomen and the new belly button is reconstructed. We consider the belly button to be one of the most important parts of the tummy tuck and have developed a special technique that creates our “signature, natural-looking innie belly button.” At AJ Plastic Surgery Centre, we take extra time to make a beautiful oval shape with a little dimple – our goal is for it to look like you never had surgery.
We also have several other technical details that we perform to create a natural-looking contoured abdomen and a thin, nearly invisible low scar. We believe it is important to create the best possible result and incision without any bunching, irregularities, or step-offs. We take extreme pride in our attention to detail with every single step of this surgery.
At AJ Plastic Surgery Centre, we have developed a gentle tummy tuck technique that has minimal pain and a quick recovery. You will spend the first night at a plastic surgery after-care facility with nursing. They will pick you up from the AJ Plastic Surgery Centre. After surgery, your abdomen will feel tight but should not be painful. If you do have discomfort, Tylenol is usually all that’s needed. We will give you a prescription for a few pain pills to have in case you need them, but they are usually not necessary.
We encourage patients to stick to Tylenol instead of the prescription pain medication since those pills often create constipation and bloating. You will need to walk bent over for the first 1-2 weeks. There is usually some swelling of the tissues for a few weeks after surgery. You will wear an abdominal binder or compression garment to support your abdomen for 6-8 weeks after surgery. This is something we will measure and provide for you. You will have a few drains places that are removed about 1-2 weeks after surgery. Most of our patients feel almost back to normal at around 1 week after their tummy tuck surgery.
To make sure you have the best possible recovery from your tummy tuck surgery, please follow these instructions:
The speed of recovery depends on your physical condition prior to surgery; those with stronger abdominal muscles usually recover faster. Allow at least 2 weeks to recuperate before returning to work. If you are a patient from out of town, you will need to stay in town for at least 2 weeks after surgery. Wait at least 4 weeks to start any strenuous exercise and 6 weeks to do abdominal exercises. Prior to your tummy tuck, please make plans to have someone help you ambulate after surgery.
Scars take about 12 months to fade. You will start scar treatments around 2 weeks after surgery. We will discuss scar care in detail with you and also provide you with scar medications and products.
Tummy Tuck Surgery is one of the most life-changing surgeries that we do! Our patients feel that they can finally fit into clothes that they like without the extra hanging skin getting in the way. They feel much more confident in a bathing suit or bikini. Also, many patients are able to exercise better – in addition to cosmetic benefits, abdominoplasty strengthens the core, helps with back pain, and also helps support the pelvic floor. It gives us so much joy to hear many of our patients tell us they finally can walk and exercise without back pain, or that they are able to do certain activities that they couldn’t.
Yes. However, the tightening that was done with the tummy tuck will likely stretch out again and you may need to re-do the tummy tuck.
It’s really a personal choice. It’s ideal to wait until you are done having kids, but many patients do get tummy tuck before then. Many of AJ Plastic Surgery Centre patients want to have a flatter and tighter stomach now and don’t want to wait for years until they are much older.
The most important thing to know is that you may need to re-do the tummy tuck after future pregnancies.
At AJ Plastic Surgery Centre, we have done many tummy tucks on patients after weight loss surgery. It is one of the things we specialize in.
The only difference between a tummy tuck and an extended tummy tuck is that an extended tummy tuck is for patients with wider anatomy.
At AJ Plastic Surgery Centre, we will determine which procedure you need when we assess your anatomy during the consultation.
What you are describing is usually caused from excess fat in mons area and over-pulling of the pubic area in an unnatural direction. If patients have excess fat, we perform liposuction of the mons at the same time as the pubic lift and also, we carefully tailor the way the pubic area is elevated. That way the mons and pubic area has a natural and blended shape.
The tissue from tummy tuck and other surgeries is placed in biohazard waste and disposed-off.
A tummy tuck repairs the abdominal muscles, tightens the abdominal wall and removes and tightens excess skin. Liposuction removes and thins excess fat.
Patients’ desired goals and anatomy determines the choice of procedure. The best thing is to do a consultation with AJ Plastic Surgery Centre, and we’ll discuss all options.
AJ Plastic Surgery Centre would not recommend this for several reasons.
First off, the total amount of OR time is very long. Both surgeries have long incisions and to properly close them meticulously in layers for the best possible scar, it takes a very long time.
Second, the tummy tuck pulls the skin downward, and this also pulls on the breast lift scars.
Lastly, for post op care. When doing the tummy tuck, patients cannot use their abs and must use their arms to pull themselves out of bed, out of a car etc., and for breast surgery, patients cannot use their arms to pull or lift for 2 weeks.
Therefore, to properly care for each surgery site the best we believe in doing them separately.
The surgical plan depends on each person’s anatomy and aesthetic goals but in general AJ Plastic Surgery Centre usually recommends a tummy tuck first in order to tighten the core, remove excess skin, and put it in place.
Then we usually do 360 Lipo with or without fat transfer to the butt in order to refine the curves and overall shape. We usually perform the breast surgery last because we feel that it is easier for women to visualize what breast size is the most proportionate to the rest of their body once the waist and hips are set.
AJ Plastic Surgery Centre would recommend being close to your goal weight before having surgery. And continuing a healthy diet and exercise is recommended after surgery.
Yes, but it depends on your anatomy, total OR time, and the areas that need to be liposuction. The blood supply to the stomach skin during the tummy tuck runs through the fat so it is not recommended to do extensive or aggressive liposuction at the same time as a tummy tuck.
AJ Plastic Surgery Centre often perform liposuction of the mons pubis in conjunction with tummy tuck surgery.
It is recommended that your BMI be close to 30 to have a tummy tuck. However, there are some exceptions that can be made based on patient anatomy and overall health.
First please get clearance for the surgery by your primary care or specialist first before scheduling your consultation. AJ Plastic Surgery Centre will see you in consultation and review on a case-by-case basis.
You should bring your clearance with you to the consultation. As long as your diabetes is well controlled and your Hemoglobin A1C and glucose are normal and you are overall healthy, you should be able to get a tummy tuck.
If patients have an umbilical hernia, the hernia is repaired at the same time as the tummy tuck by one of our general surgeon colleagues. This is the best time to repair the hernia since we are all focused on protecting the blood supply to the belly button.
Usually during umbilical hernia repair (not done with the tummy tuck) the general surgeon cuts off the base of the belly button and fixes the hernia- but then if patients want a tummy tuck in the future, the belly button has already been cut off.
So, if you have an umbilical hernia and need a tummy tuck- PLEASE do it at the same time.
In addition to cosmetic benefits, abdominoplasty strengthens the core, helps with back pain, and also helps support the pelvic floor.
This surgery is truly life-changing for patients.
The surgeons at AJ Plastic Surgery Centre are registered by the Kenya Medical Practitioners and Dentists Council and recognized by the Kenya Society of Plastic, Reconstructive and Aesthetic Surgeons. They offer a wide variety of non-invasive and surgical procedures to meet all your plastic surgery needs.
With years of experience, surgeons at AJ Plastic Surgery Centre have developed innovative techniques to help patients reach their aesthetic goals.