For many women the ability to have a flat, firm tummy is a dream and yearning desire. The slender, curved waist, the hint of muscle definition, the exposed midriff and those slender fitting dresses.
With the joy of delivering a family has also come the tossing out of the bikini and the relegation to a one-piece for ever more to hide the loose skin and small bulge that just wont budge despite all the sensible eating and exercise.
Liposculpture has been a tremendous help for those with an excessive abdominal bulge but unfortunately it is a poor operation for those with looser, more mobile skin. For in these cases, no matter how skillfully and smoothly the Liposculpture is performed the normal healing will produce scar tissue which can anchor the looser skin to the underlying muscle in a haphazard manner and produce a hail damaged and irregular appearance.
The alternative, a ‘Tummy Tuck’ (Abdominoplasty) is declined because it is too major an operation and not worth the big scar, significant downtime, risk profile and discomfort.
This leaves many women in the middle ground without a procedure to do them justice.
Enter the 'Mini Tummy Tuck,' a smaller and less invasive procedure. “In this procedure," explains Dr Rastogi, "the loose skin is mobilised purely by Liposculpture undermining which ensures that the blood supply to the skin remains strong and removes excess fat at the same time.
A very low incision is then made at the hairline on much the same level as a cesarean scar (but about 5cm longer). The skin is tightened and the skin removed from a smile shaped flap. The resulting scar usually lies wholly within the bikini line and the belly button is not interfered with and so maintains a very natural look.
Patient’s can go home the same day or the next morning. And because there is no involvement of the abdominal muscles, lifting and exercise such as sit-ups are not restricted, though over stretching is.
The case study presents a 44-year-old mother of two. Following her pregnancies she complained of loose, floppy skin and was also unhappy with the development of a thicker waist and fat deposits on her buttocks, hips, thighs and knees. Her body shape persisted despite conscious eating and exercise.
A Mini Tuck was performed with Liposculpture contouring of the abdomen and a skin pull to tighten the skin. The waist, hips, buttocks, thighs and knees were also sculpted into slender curves with a Liposculpture. The edges of the Mini Abdominoplasty can be seen as they appear three months post surgery.
Dr Rastogi emphasises that the Mini Tuck does not replace a traditional Abdominoplasty, and that it is not suitable for patients with significant skin excess or when the abdominal muscles need repair.
He goes on to say, “The Mini Tuck has become very popular and provides a beautiful, safe, simple and very effective way of treating the ‘in between patient.”