Waist Training, Liposuction or Tummy Tuck: What happens during surgery? (Part 2)


Many of us male and female alike can remember those years in our teens and twenties (30s if you are lucky) when our tummies were flat and we didn’t have to worry about that extra “pouch” under the belt line. At that time you did not have to answer the over or under question: Do I put my belt over or under this pouch? With increasing age fat tends to want to deposit in certain areas of our body, the lower abdomen in particular is one of the usual suspects. We all want to be narrower in the mid section, so how can it be done? Our last conversation exposed the truths and fallacies on waist training and exercise waist training (it does not give you long-term results) and who is a candidate for liposuction or tummy tuck procedures. If you missed it check out Waist Training, Liposuction or Tummy Tuck: What really works (Part 1). Liposuction and tummy tuck procedures provide surgical options for narrowing that waistline. If you are considering liposuction or a tummy tuck procedure you should learn more about what the surgery entails.

What is Liposuction?

 Liposuction is a cosmetic procedure that can be used to reduce specific areas of fat that are resistant to diet and exercising. Common areas of concern are the abdomen and love handles; but the chin, back, hips and thighs are other areas which can also be addressed.

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Liposuction Animation Video – ASPS: Click on photo to view.

  1. Tiny incisions are made in the skin to give access to the underlying fat
  2. A fluid solution is infiltrated into the fat. This fluid consists of IV fluid, epinephrine to decrease bleeding, and sometimes local anesthetic for numbing.
  3. Liposuction cannulas are used to suck out the fat.
  4. The incisions are closed.
  5. After surgery most patients return to work in 1 week.   Patients wear a snug “spandex style” compression garment over the area of surgery to help decrease swelling and speed up the healing process

What is a Tummy Tuck (Abdominoplasty)?

A tummy tuck (abdominoplasty) is a cosmetic procedure that improves the appearance of your abdomen. There are 6 steps:


  1. We make a lower abdominal incision that can be easily hidden by your favorite undergarment or bathing suit.
  2. We lift the skin and fat above the abdominal muscles all the way from your lower abdomen to your rib cage.
  3. We repair the rectus diastasis by tightening the abdominal muscles, similar to lacing up an internal corset.

    Tummy Tuck Animation - ASPS: Click on photo to view.

    Tummy Tuck Animation – ASPS: Click on photo to view.

  4. We pull down all the excess skin and fat and remove it.
  5. We bring your belly button out through a new hole in the skin (it remains attached to the same place on theabdominal wall)
  6. We do a beautiful plastic surgery closure.
  7. After surgery most patients take two weeks off from work. There will be some swelling and bruising which will temporarily mask the final shape of the abdomen, but the final shape can be seen at 3-6 months after surgery.


Is a Panniculectomy the same as a Tummy Tuck?

No. A panniculectomy is a reconstructive procedure that is done for improvement of symptoms like severe rashes, skin infections, and difficulty with daily activities such as walking due to a large amount of overhanging skin and fat. This procedure is done most frequently for people who have had massive weight loss, think celebrities like Al Rocher and Star Jones. Unlike a tummy tuck this procedure may be covered by health insurance. There are 3 steps:

  1. We make an incision just above your lower abdominal fold.
  2. We remove all the excess tissue and skin that is hanging over that fold, nothing more. The belly button is not brought out through a new hole in the skin; it remains in the same position. This means that the belly button may end up close to the incision, or even be removed if it is hanging over the fold.
  3. We do a beautiful plastic surgery procedure.
  4. The recovery is similar to the tummy tuck (look above).

Don’t forget that you can eat your way right back out of your tummy tuck; after we have done our part to give you a flat tight tummy you still have to do your part to maintain it. So protect your investment by watching what you eat and hitting the gym. To learn more about what to expect after tummy tuck surgery visit us at Morehousehealthcare.com.