Appointment

Abdominoplasty

Abdominoplasty
Abdominoplasty
Abdominoplasty

Treatment Overview

Objective: Abdominoplasty (tummy tuck) is a procedure that improves the overall aesthetics of the belly by removing excess fat and skin from the lower abdomen.
Anaesthesia: General
Procedure duration: 2 to 3 hours
Pain level: 4 to 6/10
Recovery time: 2 to 4 weeks
Resumption of physical activities: 6 weeks

Why choose Dr. Boudana for your abdominoplasty?

With several hundred successful abdominoplasties (tummy tucks) under his belt, Dr. Boudana is highly experienced in this procedure. He is one of the few Quebec surgeons who uses the high-voltage technique without postoperative drains. This improves patient comfort and reduces the recovery time.

If you wish to improve your belly’s appearance after changes related to pregnancy, weight loss, and aging, Dr. Boudana offers a personalized approach that will meet your expectations.

The procedure

The surgery is performed under general anaesthesia and lasts about 2.5 hours. Following the operation, you will need someone to take you home and help and monitor you for the first 24 hours. It is recommended that you have someone to help you with daily tasks for the first week.

Where is the surgery performed?

Dr. Boudana only operates on patients in private state-of-the-art operating rooms accredited by Accreditation Canada. This accreditation is a guarantee that the facilities meet stringent safety and quality standards.

Dr. Boudana’s patients have the choice of having their surgery done in Laval or in Saguenay.

Preparation prior to abdominal surgery

To properly prepare for the consultation, compile all your relevant medical and health information (list of medications, doctors’ reports, history of previous surgeries, mammogram reports, breast biopsies, etc.). For optimal results, patients must have a stable weight and a body mass index around or below 30. Cosmetic surgery should only be performed on healthy patients, who do not have chronic diseases.

What happens in the consultation?

In the consultation, Dr. Boudana will be attentive to your expectations.
The choice of technique will depend on various factors: the amount of excess skin and fat, relaxation of abdominal muscles, tolerance for scarring, and so on. However, your expectations (i.e. the desired result) is the most important factor, and paradoxically the hardest one to express. That is why a considerable part of the consultation is dedicated to listening to you.

Not all results are necessarily achievable and it is important to understand what surgery can and cannot accomplish. Dr. Boudana will examine your abdomen and consider all the factors that could influence the result. He may suggest complementary procedures such as extra liposuction in the hip roll area and across the back to achieve the desired result. If this is the case, he will have you turned over in the prone position during the procedure (360-degree liposuction).

He will take photographs from different angles and place the photographs in your medical record. These photographs will be kept strictly confidential.

Skin, fat, and muscles

Skin tone, excess skin, a predisposition to fat, and muscle tone are all important factors to consider. Intra-abdominal fat, also known as visceral fat, is located in the peritoneal cavity i.e. around the internal organs. Subcutaneous fat is present between the abdominal muscle wall and the skin. Plastic surgery only removes subcutaneous fat, which is the fat you can see and feel when pinching your belly. If a patient has too much visceral fat, this fat will still be present after surgery and may be responsible for persistent roundness. No surgeries can remove this type of fat; only weight loss will be effective.

Often, after pregnancy, the rectus abdominis or “six pack” muscles partially or fully separate, causing what is known as rectus diastasis. Diastasis recti surgery may be proposed if belly roundness is pronounced enough and causes discomfort and embarrassment.

Scars

Different types of abdominoplasties (tummy tucks) exist:

Mini-abdominoplasty: this procedure generally combines liposuction of the abdomen with a horizontal suprapubic incision from the inner edge of the hip bone across to the other inner edge of the hip bone. This type of tummy tuck does not reposition the navel and therefore, there will be no scar around the belly button. This procedure is suitable for patients with a small amount of excess skin and fat in the lowest part of the abdomen.

Abdominoplasty: with or without liposuction of the abdomen, abdominoplasty will remove all the skin under the navel and reposition the navel. The scars include a horizontal component above the pubic area rising laterally towards the hips and a periumbilical scar.

Fleur-de-lis or inverted T abdominoplasty: similar to a traditional tummy tuck, this abdominoplasty uses a central vertical incision from the sternum to the pubic region to remove and tighten excess horizontal skin. This procedure is for patients with excess side-to-side skin after significant weight loss or bariatric surgery.

What does the surgery entail?

The surgery is performed under general anaesthesia and lasts about 2.5 hours. Following the operation, you will need someone to take you home and help and monitor you for the first 24 hours. It is recommended that you have someone to help you with daily tasks for the first week.

Once you are under anaesthesia, the skin of your abdomen will be carefully cleaned with an antiseptic to prevent infection. This step is performed according to medical recommendations and standards.

If indicated, the procedure generally begins with Power-Assisted Liposuction (PAL) on the sides of the abdomen, the top of the navel, and the flanks using the SAFELipo® (Separation, Aspiration, Fat Equalization) technique to flatten the belly and reshape your silhouette. Infiltration with a saline water, marcaine (a long-lasting anaesthetic) and epinephrine solution is performed beforehand. For women with muscle separation, the abdominal muscles will be repaired (diastasis recti surgery). This step will maximize the results. Excess skin is then trimmed before Dr. Boudana closes the incisions. This is done with progressive tension sutures, eliminating the need for postoperative drains. Last, the navel is repositioned.

After surgery

After surgery, you will receive a personalized follow-up. Our nurses will also be available to you. You will be given a postoperative instruction sheet when you are discharged as well as a prescription for pain medication.

All our follow-up appointments are free of charge for the first year after your surgery.

With hundreds of successful abdominoplasties under his belt, Dr. Boudana will guide and advise you to achieve the desired results.

Get a consultation

The consultation can take place in person at the clinic or remotely by videoconference.









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