An Abdominoplasty or “Tummy Tuck” is a surgical procedure most commonly performed on male or female patients who have excess loose skin and fat in the abdominal region. This can be caused by multiple pregnancies (in the case of women), substantial weight loss or can be inherited and no amount of exercise can solve this problem.  A tummy tuck procedure involves the removal of excess skin and fat as well as the repair of any separated muscles. View examples of our successful procedures in our Tummy Tuck Gallery.

Case Example : abdominoplasty with liposuction, MAS repair, performed by Dr Vlad Milovic.

Case Example : abdominoplasty with liposuction, MAS repair, performed by Dr Vlad Milovic.

 

Young Woman On The BeachThe aim of a tummy tuck is to remove sagging skin and excess fat from the middle and lower abdomen and repair any separated muscles. The surgery can be very effective in reducing the bulge caused by excess skin, fat and loose abdominal muscles. The result is a flatter, firmer and shapelier abdomen.

While a tummy tuck can be a cosmetic procedure, it may also be partly a reconstructive procedure that is necessary to:

  • Correct abdominal abnormalities
  • Correct structural defects of the abdomen and improve function
  • Create a flatter appearance of the abdomen
  • Repair an abdominal hernia following previous abdominal surgery
  • Remove a large apron of fat also called the “pannus” that can cause problems with hygiene, dermatitis and skin infections and difficulties with walking.  The surgical removal of the pannus is called an “apronectomy”

There are a number of tummy tuck options available that include the mini Tummy Tuck and Brazilian Tummy Tuck (waist recontouring) and Dr Milovic will discuss these options with you at your first consultation.

Your goals, expectations and an understanding of achievable results are most important and these will also be discussed during your consultation.

  • Is it right for me?

    Abdominoplasty or tummy tuck surgery is a highly individualised procedure, and as such, may not be suitable for everyone.  It is a very personal decision and you should have realistic goals and expectations before undergoing surgery. At your first consultation, DrMilovic will assess your general health, examine your abdomen, discuss your concerns and evaluate how an Abdominoplasty procedure can achieve an improvement and meet your goals and expectations, as well as whether it is right for you. If you are planning to have more children, you should discuss with Dr Milovic at your consultation, however, it is advisable to wait until after you have completed your family.

    A tummy tuck may be a good option for you if you are:

    • Physically healthy and are at a stable weight
    • You have realistic expectations
    • You are a non-smoker or have stopped smoking, or will stop smoking during the surgery and entire recovery period.

    However, a tummy tuck is not suitable for people who cannot have an anaesthetic, are prone to bleeding or have poor healing ability or are too high risk for surgical complications.

    A tummy tuck is not a substitute for weight loss or an appropriate exercise program. Keep in mind that while the results of a tummy tuck are technically permanent, the positive outcome can be greatly diminished by significant fluctuations in your weight.

    For that reason, you may be asked to consider delaying the procedure if you are:

    • Still in the process of losing weight, or will lose more weight
    • Planning on having more children
  • Will I need anaesthesia?

    Abdominoplasty is performed under a general anaesthesia and will generally require a 1-2 night hospital stay. The procedure can take between 2-3 hours to complete, depending on which surgical technique is used and the complexity of your case.

    Modern anaesthesia is safe and effective, but does have some risks.   Ask Dr Milovic and your Anaesthetist for more information.  You can be assured that Dr Vlad will engage the services of a qualified Anaesthetist who is a Fellow of the Royal Australian and NZ College of Anaesthetists (ANZCA) to perform your sedation and/or general anaesthesia.

    Dr Milovic and/or anaesthetist will ask you about all the medications you are taking or have taken, and any allergies you may have. Please make sure you have an up-to-date list before the surgery.

  • Will I have scarring?

    Scars are an inevitable part of any surgery and there can be no guarantee for a perfect outcome.  Dr Vlad will endeavour to minimise scarring and to keep your scars as inconspicuous as possible.

    Abdominoplasty incisions are generally made on the bikini line but this can vary. After surgery, the scars are typically reddish in colour but these will fade in time to a light pink and after one or two years the scars become barely noticeable. And, in our experience, most of our patients believe that the aesthetic results of the procedure are well worth the resulting scar.

    If scarring is a concern for you after surgery, Dr Milovic will provide you with a scar treatment plan to expedite the healing of your scars.  There are several treatment options including silicone gel and laser.

    We have the Palomar® Artisan laser system, which is proven to give excellent results for scar reduction.   Laser offers a non-invasive solution that uses fractional laser technology to deliver rapid, reliable scar removal with minimal healing time, infection risk is virtually eliminated and little to no pain is felt.

  • What are the risks with Abdominoplasty?

    As with all surgery there are risks and potential complications. Dr Vlad will discuss these with you prior to any surgery taking place.

  • Where will the surgery take place?

    Dr Milovic will only perform your Abdominoplasty surgery in safe, accredited operating facilities. You can read more here.

  • What is the recovery period after Abdominoplasty surgery?

    Recovery time will vary from patient to patient and will also depend on the extent of the surgery. But expect at least 2 weeks off work to allow for complete rest and another 1 week for all swelling and bruising to disappear. Light exercise may be resumed within 2-3 days but strenuous exercise should be avoided for at least 2-3 months. You will be given post-surgery instructions to follow and if you have any questions, please speak to Dr Vlad and/or his Practice Nurse.

    Following your surgery, dressings or bandages may be applied to your incisions. You may be wrapped in an elastic bandage or a compression garment to minimise swelling and to support your abdomen as it heals. A small, thin tube may also be temporarily placed under the skin to drain any excess blood or fluid that may collect.

    Dr Vlad will give you specific instructions on post-operative care before your surgery.

    These instructions may include:

    • How to care for the surgical site and drains
    • How to apply medications
    • Specific concerns to look for at the surgical site or in your general health
    • When to follow-up with your surgeon

    You will be provided with detailed pre-operative and post-operative instructions at your first consultation.  Be sure to ask questions of your surgeon that may not have been covered. You will have at least two consultations with Dr Vlad before surgery, and he can answer specific questions about what to expect after your surgery.

    You should ask questions and receive direct answers from your plastic surgeon, to ensure that you go into this procedure feeling comfortable with realistic expectations.

  • What are the costs?

    Cost is always a consideration in elective surgery, but it should not be the only consideration. You have the right to be informed about the costs you can expect, before you have your surgery.  This is called ‘informed financial consent’.

    Costs associated with the procedure may include:

    • Dr Vlad’s surgical  fee
    • Accredited hospital or surgical facility costs
    • Anaesthesia fees
    • Prescriptions for medication
    • Post-surgery garments
    • Medical tests

    After your initial consultation with Dr Vlad, you will receive a written estimate of fees and an information pack to read before your second pre-surgery appointment.  The second appointment is free of charge.   Once you book your surgery, you will also see our Practice Nurse who will take your pre-operative photos.

    We welcome any questions you may have regarding fees.

  • Will I need revisional surgery?

    In most cases, a tummy tuck does not need to be repeated. However, as with all surgical procedures, revisional surgery may be necessary to correct minor irregularities.