TUMMY TUCK DUBAI
ABOUT YOUR DUBAI TUMMY TUCK PROCEDURE
While we are happy to offer liposuction in order to remove fat and thus reducing the circumference of the abdomen, we have been consistently disappointed with liposuction for tightening the skin. Therefore, abdominoplasty is currently the only effective option for improving the appearance of significantly loose skin in the abdominal area. Procedures that use the word “tuck” are exactly that. Meaning, in order to “tuck” the skin, the excess skin must be removed. As a result of “tucking” the skin, abdominoplasty leaves a scar in the lower abdomen which can generally be placed within the area that would be covered by a bathing suit or underwear, the so called “bikini” line.
Tummy Tuck in Dubai – Dr. Kremer, specialist with many years of experience
important facts about tummy tuck
WHO IS A CANDIDATE FOR ABDOMINOPLASTY?
Depending on skin elasticity, removal of fat alone by liposuction will not adequately improve the overall appearance of the belly. Younger individuals typically have excellent elasticity and the skin can be expected to “shrink back” following liposuction which lends to an excellent overall result. However, preexisting conditions like pregnancy, significant fluctuations in weight, age, history of smoking, and inherited characteristics can all contribute to reduced skin elasticity.
Unfortunately, non-invasive skin tightening techniques, including e.g. Thermage, are after years of experience not capable of achieving meaningful tightening of lower abdominal skin. Dr. Kremer does not recommend these procedures. His Dubai tummy tuck may well be the procedure of choice for patients with poor skin elasticity.
DIFFERENT TYPES OF TUMMY TUCKS:
WHEN DO YOU FIX THE MUSCLES?
Abdominoplasty procedures should address and correct two components that a fat and flaccid tummy consists of: the first component is the skin and fat that occurs beneath the skin and above the muscles of the abdominal wall. We refer to this fat as “pinchable fat,” as opposed to the deep fat that lies underneath the abdominal muscles. Deep fat, also referred to as visceral fat, lies within the abdominal cavity and is therefore not pinchable. The second component that needs to be addressed in some tummy tucks are the so called “rectus abdominis” muscles, whose front portion you can feel with your fingertips when you pinch the skin and fat of your abdomen.
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As part of normal anatomy, there is a fine line (linea alba) between the two vertical rectus muscles in the front of the abdomen. These are the muscles that create a six-pack when well developed. As one of the natural changes that occur during pregnancy or major weight gain, the abdominal wall stretches. In some women, the linea alba between the two abdominal muscles stretches and does not return to normal. This is called a “rectus diastasis”.
To repair rectus diastasis during an abdominoplasty, the muscle edges are being sutured together, thereby tucking in the loose anterior abdominal wall. Sutures can also be placed at other portions of the abdominal wall to create further tightening and shaping of the muscle.
While tightening the abdominal muscles during an abdominoplasty can provide substantial improvement for some of our patients, this contributes to moderate abdominal soreness during recovery. When a patient has abdominal muscle weakness, or abdominal wall laxity, they are a candidate for abdominal muscle tightening during the abdominoplasty procedure.
In many patients, there is no real problem with the abdominal wall. For patients whose primary complaint is their loose skin and fat, there is no need to perform any tightening and suturing of the abdominal muscles. Typically, these patients will not complain of significant abdominal pain following their surgery; however, they may experience some lower back pain during the recovery period when it is required to walk bent over. An abdominoplasty that removes loose skin but does not tighten the underlying abdominal muscles is called a skin-only abdominoplasty.
BEFORE AND AFTER ABDOMINOPLASTY
MINI VS. FULL ABDOMINOPLASTY
As discussed above, abdominoplasty can either tighten skin alone, or both skin and underlying abdominal muscles. The distinction between a “mini” and “full” abdominoplasty has to do with the amount of flabby skin that needs to be removed.
The skin of the tummy area can be divided into that which is above the belly button and that which is below. The skin below the belly button is pretty much always part of the problem in women seeking abdominoplasty. At the time of consultation Dr. Kremer will determine to what extent the looseness of the skin above the belly button is a problem. More frequently than not, this is the case especially in older patients. If this problem is the case, then the only way to tighten that skin is to place a scar around the belly button so that the upper tummy skin can be pulled down without lowering the umbilicus at the same time.
In case only the skin below the belly button is loose, then only that skin needs to be removed. Therefore, there would be no need for a scar around the belly button and the lower abdominal scar may be shorter in length, depending on the amount of skin that needs to be removed. A typical patient for a mini-abdominoplasty may be a woman in her 30’s who has had a cesarean section with loose skin of the lower abdomen, bulging out over the scar. In such a case, the lower abdominal muscles may or may not be repaired, depending on the conditions in each individual case.
In cases where there is loose skin above the umbilicus, a full abdominoplasty with a scar around the belly button will most likely be required to tighten the upper and lower abdominal skin. During the personal consultation, Dr. Kremer will discuss if a tightening of the muscles in addition to the skin is indicated.
The decision regarding which type of abdominoplasty is appropriate for any given patient is made at the time of a personal consultation with Dr. Kremer and will involve review of the patient’s concerns as well as an appropriate physical examination ruling out any preexisting hernias.
TUMMY TUCK SCARS
The scar from a full abdominoplasty naturally will be a long scar in order to remove the large area of skin. Top Dubai tummy tuck surgeon Dr. Kremer on a routine basis will position the resulting scar into the so called bikini line, meaning that the scar resulting from tummy-tuck will lie well hidden under your preferred underwear and swim suite type. In fact, Dr. Kremer has witnessed some extremely unfavorable results over the years when other, less experienced plastic surgeons or sometimes general surgeons or gynecologists have tried to achieve the results of a full tummy tuck with a short scar.
The amount of pulling in and crimping of the tissues and excess of skin on the sides (dog ears) can yield a very unpleasant result if being overdone. It is important to differentiate between a long scar and a wide scar. In the vast majority of cases, Dr. Kremer’s abdominoplasty scars are narrow and fine because of the techniques employed in closure and the fact that tension in the closure is kept to an absolute minimum.
POST-ABDOMINOPLASTY CARE AND DOWNTIME
Abdominoplasty surgery in Dubai is a significant type of surgery. Because of the skin removal, it is crucial that the area of closure is being kept under minimal tension for the first several days after the operation. This is why all abdominoplasty patients are instructed to walk bent over whenever they are upright for the first 1 or 2 weeks.
All of Dr. Kremer’s full abdominoplasty patients are required to stay overnight at Emirates Hospital in Jumeirah under the supervision of a nurse, both for patient safety as well as comfort. The nurse ensures that the patient is resting in the proper position with her back elevated 30-40 degrees and legs bent with pillows under the knees. The nurse regularly monitors blood pressure as well as discomfort and can medicate accordingly as needed. The nurse also monitors drainage into always applied suction tubes and instructs the patient on drain care for the days following their abdominoplasty in Dubai.
In most patients the drains can be pulled the next morning while Dr. Kremer is doing his early rounds on patients at Emirates Hospital. The patient then is ready to leave the hospital unless she feels more comfortable to stay for another day.
The minimum downtime after abdominoplasty surgery is about 10 days. However, it must be emphasized that even at 10 days after an abdominoplasty activity must be kept at a minimum in order to ensure proper healing and to avoid unwanted complications.
RISKS RELATED TO SMOKING IN TUMMY TUCK SURGERY
WHY CHOOSE DR. KREMER?
Selecting the best plastic surgeon is crucial for gaining a great result. Dr. Kremer is passionate about providing each patient with excellent results that will improve their quality of life for the years to come.
Dr. Kremer has pioneered a technique called “lipo-abdomino-sculpture” which combines liposuction of the upper abdominal fat as well as fat around the waist in order not only to tighten abdominal skin and muscles but also to remove superfluous skin that, if left in place, will give a mediocre result. Many plastic surgeons stay with an old fashioned and untrue mindset that abdominoplasty and liposuction should not be combined as this will lead to an increased risk of complications. However, this is untrue and absolutely the opposite is the case. By commencing surgery with liposuction of waist, flanks and abdominal fat, the abdominal skin flap is being thinned out for a more aesthetically pleasant result of the later to be tightened tummy skin PLUS the skin flap is in a gentle way mobilized minimally-invasively and bluntly in order to easier tighten the skin down without the need of cutting important nerves and blood vessels that are supplying the skin. This advanced technique, coming from Uruguay, South America, leads to less pain, almost no fluid collections (“seroma”), early getting out of the bed as soon as anesthesia sequelae have vanished, no needs for transurethral urinary catheterization, less risk of thrombosis and embolism, early drain removal next day, preserved skin sensation of the lower abdominal skin and significantly reduced risk of scar break up, skin slough and widening of the scar.
Dubai’s top plastic surgeon Dr. Michael A. Kremer is a master of this advanced and safe technique and has had success with this method for over 10 years. For this reason you should refrain from undergoing old fashioned and riskier tummy-tuck methods offered elsewhere in Dubai and come for a superb consultation with Dr. Kremer at Monroe Medical Center close to Dubai Mall metro station.