Tummy Tuck

A tummy tuck may be the solution to remove the loose skin

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Tummy tuck (abdominoplasty)

Especially as we get a little older, the skin on your abdomen slackens. This can also be due to strong weight loss or pregnancies. In all cases, you have the feeling of constantly having to hold back your belly. The wish of many men and women of all ages is a tighter or flatter stomach. Of course, a healthy lifestyle is important and abdominal exercises help but there are limits. No matter how many abdominal exercises you do and how healthy you live, there are unfortunately cases where surgery is the only way to get rid of that flabby tummy.

Never hide your belly again, have one size less in your waist, feel like you can wear a bikini or swimwear again? You absolutely can, and with the right surgery, our plastic surgeon can help.

A tummy tuck can be the solution for you to have a flatter and tighter stomach again. With a surgical procedure, our plastic surgeon removes excess skin and fat from the middle and lower abdomen, and where necessary, the navel is also repositioned. Often this procedure is combined with liposuction of the flanks (sides of the waist). The result is a flat abdomen with a scar that may extend from hip to hip at the pubic mound, below the level of the underwear. The most severe form of tummy tuck also requires the surgeon to make a vertical incision; that means a scar will remain above the edge of your underwear.

Special surgery is available for mothers if needed. Diastasis is a particular problem associated with pregnancy. During your pregnancy, your straight abdominal muscles make room for your growing baby. This is perfectly normal and is called functional diastasis. However, in some cases, such diastasis persists even after delivery. This happens when the firm band that connects the muscles does not recover. In that case, as a woman, you keep a bulging belly. This will not disappear, no matter how many abdominal exercises you do and can only be remedied with a tummy tuck, i.e. surgery.

Because every body is different, there are different types of tummy tuck, which we list below. If you do not have excess skin but only excess fat in the abdominal area, then liposuction will probably suffice. Liposuction improves the shape of the body by sucking out fat cells that are trapped between the skin and underlying muscles. If your problem is a bit larger, then there are several options.

A full tummy tuck 

A total tummy tuck, or abdominoplasty, involves making incisions at the pubic mound and around the navel. This treatment is appropriate for people who have excess skin below and above the navel and a stretched muscle layer. The abdomen is often already flabby from the rib arch.

A full tummy tuck with suturing of the straight abdominal muscles (Diastasis)

As mentioned above, in a total abdominoplasty, incisions are made at the pubic mound and around the navel. In addition, the straight abdominal muscles are sutured back together. This treatment is intended for women in whom the space between the straight abdominal muscles has not closed after their pregnancy.

A mini-tummy tuck

In a mini tummy tuck, the incision is smaller than in a total tummy tuck. The incision is made at the pubic mound and falls under the underwear. You are eligible for a mini tummy tuck if you are only bothered by excess skin below the navel area. Often the abdominal wall is then intact and the abdomen just flabby – do you have an “apron” – just above the pubic mound.

A Fleur-de-lis tummy tuck

In a Fleur-de-lis correction – also known as an Anchor correction – the surgeon makes three incisions: at the pubic mound (horizontal), from the pubic mound to the arch of the ribs (vertical) and around the navel. The term anchor refers to the shape of both incisions. It also looks a bit like the French lily, the “fleur-de-lis,” hence the name. With this more invasive form of tummy tuck, the vertical scar and the scar around the navel remain visible. The scar at the pubic mound falls below the edge of your underwear.

When might a tummy tuck be right for you?

If you have (almost) reached your ideal weight and you have realistic expectations about the effect of plastic surgery on your physical and mental well-being and:

  • Your abdominal muscles and skin are stretched
  • You’ve lost a lot of weight and now have a lot of excess skin
  • You always have a lower abdomen that is visible with loose skin (an “apron”), even though you are otherwise in perfect shape
  • You have been pregnant and lost weight, but you retain a ‘bulging’ belly directly from the rib arch downwards

Consultation

Does the above apply to you? Then book a free consultation now without obligation and discuss the possibilities with one of the best experience experts in the Netherlands.

A full tummy tuck

If you suffer from a lot of excess skin and fat, a full tummy tuck may be for you. In this surgery, incisions are made just above the pubic mound and around the navel. The plastic surgeon loosens the skin and fat up to the rib arch. Then, the surgeon removes the excess skin and fat and moves the navel to a new position so that it has a natural position on the abdomen after surgery.

A full tummy tuck requires an average of 3 hours. This surgery is performed under general anesthesia.

Results

After 4-6 months you will have a good idea of the result: a tighter, flatter abdomen. Of course, this is different for everyone, depending on the starting situation, the condition of the skin and the recovery capacity of your body. The result is permanent, provided you maintain your weight and a healthy lifestyle. The scar is of course still red and swollen in the beginning, but it flattens and fades with time and falls under the edge of your underwear. You should expect to have a nice scar after about a year. For optimal scarring, we have several options in our clinic to aid recovery.

A full tummy tuck with suturing of the straight abdominal muscles (Diastasis)

Motherhood is wonderful, but it also takes a toll on your body. Perhaps you are a woman who has kept diastasis after giving birth – a situation where the straight abdominal muscles have not recovered after pregnancy, leaving the abdomen slightly bulging no matter what you do to exercise your abdominal muscles. To solve this, there is a special abdominoplasty. In this procedure, the plastic surgeon sutures the straight abdominal muscles back together, making the abdomen flat again. This procedure can be combined with a full tummy tuck. Incisions are made just above the pubic mound and around the navel. The plastic surgeon loosens the skin and fat up to the rib arch. Next, the surgeon removes the excess skin and fat and moves the belly button to a new position so that it is back in a natural place on the abdomen after surgery.

A total abdominoplasty with diastasis requires an average of 3-4 hours. This surgery is performed under general anesthesia.

Results

After 4-6 months you will have a good idea of the result: a tighter, flatter abdomen. Obviously, this is different for everyone, depending on the initial situation, the condition of the skin and the recovery capacity of your body. The result is permanent, provided you maintain your weight and a healthy lifestyle. The scar is of course still red and swollen in the beginning but fades with time and falls under the edge of your underwear. You should expect to have a nice scar after about a year. For optimal scarring, we have several options in our clinic to aid recovery.

A mini-tummy tuck

You may opt for a mini-tummy tuck if you suffer from excess skin below the navel and have an annoying “apron” there. If the entire abdominal wall is sagging, including the skin and muscles above the navel, then you qualify for a full tummy tuck. In a mini abdominoplasty, the incision is smaller than in a full tummy tuck. The plastic surgeon loosens skin and fat up to the rib arch, and excess skin and fat are then removed. The navel is not repositioned in this process. The incision is made just above the pubic mound and falls below the edge of the underwear. Contrary to what the name of this surgery suggests, this is a firm procedure.

The mini abdominoplasty is performed under general anesthesia and the surgery takes about 2 hours.

Results

After 4-6 months you will have a good idea of the result: a tighter, flatter abdomen. Of course, this is different for everyone, depending on the starting situation, the condition of the skin and the recovery capacity of your body. The result is permanent, provided you maintain your weight and a healthy lifestyle. The scar is of course still red and swollen in the beginning, but it flattens and fades with time and falls under the edge of your underwear. You should expect to have a nice scar after about a year. For optimal scarring, we have several options in our clinic to aid recovery.

A Fleur-de-lis tummy tuck

In a Fleur-de-lis correction, the surgeon makes three incisions: at the pubic mound (horizontal), from the pubic mound to the arch of the ribs (vertical) and around the navel. The vertical scar and the scar around the navel remain visible. The scar at the pubic mound falls below the edge of your underwear. This tummy tuck is suitable for people with a lot of excess skin and fat.

Because you will always be left with visible scars after this surgery (no matter how carefully our plastic surgeon stitches) and the area around the belly button can change shape slightly, this surgery is not a preferred option for Essential Aesthetics and rarely takes place with us. We want every patient to be proud of his or her own body, so we try to avoid procedures that create visible scars. Improved techniques, constant innovations and our very experienced plastic surgeon make it almost always possible to solve your problem with a regular full abdominoplasty.

This surgery takes place under general anesthesia. It takes longer than a total tummy tuck, on average 4 to 5 hours.

Result

After 4-6 months you will have a good idea of the result: a tighter, flatter abdomen. Of course, this is different for everyone, depending on the starting situation, the condition of the skin and the recovery capacity of your body. The result is permanent, provided you maintain your weight and a healthy lifestyle. The scars are of course still red and somewhat swollen in the beginning but fade with time. One of the scars falls under the edge of your underwear. The other two remain visible because the incisions had to be made on the abdomen. You should expect to have beautiful scars after about a year. For optimal scarring, we have several options in our clinic to help the recovery.

Recovery after a tummy tuck

Depending on how extensive the surgery is, you may need to stay in the hospital for 1-2 days. Usually, a drain is placed on both sides of your body to drain excess fluid. These drains are removed at the first follow-up appointment after one or two days at our clinic in The Hague.

Feedback from our patients tells us that the pain is very well tolerated. Of course, the area is sensitive after surgery and you will probably experience some pulling pain. You will notice that this tends to make you walk with a bit of a hunch during the first few days. With painkillers we can alleviate the pain.

To ensure that there is no extra pressure on the treated areas, which can lead to more pain, it is important – as far as possible – to avoid coughing and sneezing in the first week after surgery.

For best results, it is important that you wear a supportive compression suit for 6 weeks, 24 hours a day. After 8 weeks you will no longer need it. The treated area will be red and swollen after surgery and there are often bruises. Most people can resume normal work after 2 weeks, consult your surgeon. It takes 6 weeks before you can resume heavy, demanding work.

Safety through precautionary measures

Well before your surgery, you will receive a document with patient information from us. Of course, the surgeon will also give you personal advice based on the extent of the tummy tuck and your general state of health. Below is a brief summary of the patient information. It is important to take this into account for the best result.

Before surgery:

  • Stop smoking four weeks before surgery
  • If you are taking medications such as Marcoumar, Sintrom/Sintrommitis or Asprocardio. If so, consult with the surgeon about possibly stopping and taking these medications again. This also applies when using Aspirin or painkillers with aspirin such as Advil, Diclofenac and others.
  • Do not use blood thinning medications before surgery.
  • Remember to arrange transportation home, even if you stay overnight. Driving yourself after surgery is not allowed.
  • Arrange in advance for someone to help you at home for the first few days.

The day of surgery:

  • Take a shower or a bath. You should not shower for up to 72 hours after surgery
  • Do not use body lotion or cream
  • Wear comfortable and loose-fitting clothing
  • Don’t forget to bring your compression set and abdominal belt, if you have bought them yourself somewhere. If you buy these at our clinic, we will bring them for you
  • Do not wear jewelry, watches or piercings
  • Make sure you are well rested and on time

After the procedure:

  • Make sure you are not home alone for the first few days.
  • Rest and sleep on your back, ask our medical team for advice when you can sleep on your side or stomach again.
  • Keep the circulation going well by walking around every hour. This promotes the healing of the wound.
  • You cannot shower until 10 days after the tummy tuck, ask the surgeon or healthcare team for advice.
  • During the first three weeks after the tummy tuck, make sure that you don’t put any pressure on the abdomen, i.e. don’t push or lift anything or bend.
  • Working is possible after about a week and a half, but only with moderate to light physical activity.
  • Resuming sports is generally possible on average six weeks after surgery, in consultation with the surgeon.
  • Initially you cannot drive yourself (car, motorcycle, etc.)

Risks and complications

Like all surgeries, a tummy tuck involves risks and possible complications. These include:

Bleeding (hematoma)

Bleeding sometimes occurs after surgery from the tissue in the wound cavity. Should this happen, your body may feel swollen and painful. We may apply special massages to help the wound fluid absorb more quickly. In a few cases, it may be necessary to perform an additional procedure, which must be done in the hospital or clinic.

Infection 

It is important to recognize that surgery carries a risk of bacterial infection. Such an infection may be accompanied by fatigue, weakness, fever and muscle pain. Administering antibiotics during your surgery minimizes this risk. It is very rare for a patient to need to be readmitted. If you experience symptoms of infection, please contact our medical team outside of office hours or call the dedicated phone number that is available to you 24/7.

Wound Healing

How a wound heals varies from person to person and even from one part of the body to another and is a gradual process. Smoking in the period before and after surgery can seriously impede the healing process.

Location and variability of the scar

All surgeries leave a permanent scar, and patients should be aware that the rate at which their scars heal and fade varies from person to person.

Our plastic surgeons place great importance on beautiful scars. They take personal pride in suturing in such a way that scars are virtually invisible every time.

Sometimes a scar does not heal in the normal way, this is known as hypertrophic scars. Scars may then be red or colored, thick and painful, and may take several years to heal. Although this is an uncommon problem, it cannot be avoided or diagnosed in advance.

Consult

Your first contact with our team for a consultation is with one of our medical consultants. She will take all the time needed to discuss your options and answer all your questions. She will also give you a first estimate of the costs.

During a possible second consultation with our plastic surgeons or cosmetic physicians, you can ask additional questions and possibly add the finishing touches. He will look at what the best treatment is for your body and wishes. The price depends on the size of the operation and the treatments that are performed. The doctor will inform you about this based on your possible procedure.

Rates

  • Abdominoplasty from € 3.500,-
  • Extensive tummy tucks including correction of the diastasis: € 7.500,-
  • Postoperative scar treatment 125 euro per zone

Use the free (and obligation-free) consultation, to ask any questions you may have. The doctor will examine, together with you, the possibilities that best suit your body. Should you want another appointment after this one or need more information, we would be delighted to oblige. This is your body we are talking about, you deserve the best so make that appointment. Essential Aesthetics is proud to have already helped so many patients on their journey to a more beautiful body and is honored with a satisfaction score of no less than 96%. [Read the reviews here]

Now it is up to you! Book a free personal consultation with one of our care team specialists 070 220 2222. Because you are essential to us.

The second consultation with your chosen surgeon costs € 50 and is then deducted from the cost of the surgery. Even if you do not go forward and book a treatment with us after the second consultation, you will still have received, for € 50, an extensive and medically sound consultation which will provide you with a lot of information, and a valuable basis for any subsequent steps.

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ABOUT US

Why choose Essential Aesthetics

Pleasantly surprised by the care I received at Essential Aesthetics. Top doctors and staff are very kind and caring!  definitely recommend this clinic!

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Essential Aesthetics is a special clinic with ISO 9001 certification, in a beautiful monumental building in The Hague. We are specialised in plastic surgery, injectables, weight loss and anti-ageing treatments. From our vision, Essential Aesthetics offers you as much guidance as possible in all disciplines necessary for a healthy lifestyle.
Our clinic was born from the passion of one woman. The passion for beauty and a deep sense of gratitude for all that our body gives us has led to the life work of the owner and founder: a clinic that encourages women to become more self-confident and empowered and to enjoy more of the gift of a beautiful and healthy body. And that’s what Essential Aesthetics does with a passionate team of Dutch, international doctors and experienced experts. Essential Aesthetics is a brand made by women, for women. It’s a lot to trust your body to someone else. We understand that and therefore offer you only the best and safety from our ISO 9001 certified clinic.
You can come to our clinic with ISO 9001 certification for fillers, Botulinum toxin treatments but also for plastic surgery: breast augmentation, buttock augmentation, facelifts, liposuction and more. What makes our clinic unique is that from September 2020 we will also be offering you professional DNA research, nutritional advice, connective tissue massage and sports guidance.

Meet our specialists

Our ISO certified clinic only works with experienced qualified specialists with passion for the profession, who care and have an eye for your needs and wishes as our patient, with respect for your natural beauty. Our business is built around fulfilling your wishes! We bring in the commitment to details, to the highest quality and safety requirements, to ensure the best result. Thanks to our international doctors active in the field and up to date with the latest trends and techniques, we can help you to get the best result possible. Our specialists are looking forward to working with you to see how we can make your dream come true. The Essential Aesthetics care team is there for you before, during and after the journey. From the intake to the aftercare. With us you are in capable, safe hands because you are essential to us.

Dr. Gabriel Jansen

Senior Dutch plastic surgeon

Cosmetic surgery requires a personal,
tailor-made approach, something that
Dr. Gabriel Jansen is always aware of.

Dr. Aniel Sewnaik

ENT doctor and head and neck surgeon

Dr. Sewnaik is a BIG-registered physician with years of experience in reconstructive surgery to the head and neck.

Luca Piombino

Italian expert in plastic surgery

Luca Piombino is an Italian trained and registered expert in plastic surgery.

Professor Philippe Levan

Renowned French expert
in plastic surgery treatments

Professor Levan is a leading French plastic surgeon with more than 27 years of experience in plastic surgery and a pioneer in the field of remodelling. He is an internationally recognized innovator in the field of buttock implants and the inventor of biconvex implants.

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