Extended Tummy Tuck/Abdominoplasty - Dr John Burns
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Excess fat in the lower abdomen is a common complaint for both men and women. A tummy tuck or abdominoplasty is designed to remove the skin a fat from the belly button to the pubic area by placing an incision below the bikini line. The abdominal muscles are tightened to narrow your waist and often liposuction is done on the flank and hip areas to trim your body further. There are many reasons why tummy tuck procedures, also known as an abdominoplasty, have increased 87% from 2000 to 2014. Advances in surgical methods and safety measures have made it possible for more men and women to achieve a tighter, more shapely midsection in cases where:
- Extreme amounts of weight loss have led to excess skin
- Pregnancy has resulted in stretched skin and weakened abdominal wall
- Healthy diet and exercise regimens have not achieved your desired shape
Women have the additional concern of childbirth which significantly stretches the abdominal muscles. When there is good skin tone, no stretch marks, and a limited amount of fat, liposuction alone is usually the best option. However, when stretch marks are present in addition to abdominal muscle laxity, a tummy tuck remains the best option. In this procedure, the incision is kept low below the “bikini line” and a large ellipse of fat and skin is removed. The belly button is resutured in its original place and the abdominal muscles tightened to give an hourglass shape. This procedure can be combined with liposuction to further sculpt the body. Newer techniques use progressive tension sutures or Tissue Glu to eliminate the need for a drain making recovery much easier and quicker.
Bikini Incision
Dr. Burns is know for his low scar bikini incision designed to hide the scar below the underwear or swimsuit line. The bikini incision hides the incision allowing patients to wear swimsuits and underwear without showing their tummy tuck scar.
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| No Drain Tummy Tuck Article | TissuGlu No Drain Tummy Tuck |
In an extended abdominoplasty, the incision will generally extend beyond the hip bones to include some of the lower love handle area. The extended incision will allow more tissue to be removed. This approach is ideal for heavier patients who require more contouring or massive weight loss patients with significant extra skin.
Dr. Burns is one of the nation's leading body contouring Board Certified Plastic Surgeons and practices a short scar bikini line incision technique where you scar will be hidden in most undergarments or swimwear.

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