For women with multiple pregnancies, sometimes no amount of exercise or physiotherapy can help with the loose skin
and fat over the abdomen. The problem is further compounded by the separation of the six-pack or rectus abdominis
muscles with pregnancy.
For these patients, the most effective treatment is abdominoplasty or tummy-tuck surgery. This involves flattening the abdomen by removing the excess skin, fat and tightening of the rectus abdominis muscles. This procedure is also particularly useful for patients who were previously obese and had massive weight loss.
This procedure should not be confused with liposuction which is usually indicated for patients with fat deposits but without the problem of loose skin.
Abdominoplasty may be classified into three categories: namely Full Abdominoplasty, Mini-Abdominoplasty or
A full abdominoplasty involves an incision from hip bone to hip bone. However, the incision is kept low, at the level of the pubic hair. There is also a small incision around the belly button as the belly button needs to be freed from the surrounding tissue. Drainage tubes are usually inserted for 3-4 days. It typically involves hospitalisation of 2-3 days. This procedure is indicated for patients with large amount of loose skin and fat with separation of the rectus abdominis muscles post-pregnancy.
A Mini-abdominoplasty is indicated for patients whose fat deposits are located mainly below the belly button. In this procedure, the belly button is not repositioned and the procedure is usually performed as a Day Surgery procedure.