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Redesigning Your Midsection

 Twin City Plastic Surgery August 02, 2014
By Laura C. Randolph, MD, Twin City Plastic Surgery

Sometimes all of the exercising and dieting in the world cannot get rid of the midsection that results from a lifetime of weight fluctuations or pregnancy. The body changes that a woman will experience to her midsection with one pregnancy, let alone multiple pregnancies, can lead to unwanted changes: sagging skin, stretch marks and even muscle separation in the abdominal wall.

What is a Tummy Tuck?
The tummy tuck is designed to correct several of the changes brought about by pregnancy or massive weight loss in women. Men also benefit from abdominal wall contouring after weight loss. The procedure can improve the appearance of excess abdominal fat, skin and tissue in healthy adults, leading to a flatter, more trim waistline.

A full tummy tuck, or abdominoplasty, is defined by an incision that runs from hip to hip along the lower abdominal area. An additional incision is made around the navel, and excess upper and lower abdominal skin and fat is pulled down and trimmed, creating a flatter, more contoured abdominal wall. The rectus muscles that shape and provide core strength to the abdominal wall are also repaired and brought back into closer alignment, further contouring the waist, and liposuction may be used in a limited fashion to the lateral hip area as well.

A full abdominoplasty is a major operation that can take two to four hours in the operating room and should be performed by a board-certified plastic surgeon. Recovery time is usually four to six weeks and individuals should expect to wait six weeks before returning to their exercise routine.

A mini tummy tuck, which uses a shorter incision in the lower abdomen, is perfect for patients who have a small to moderate amount of skin and fat excess but do not need repair of the upper abdominal muscles. In addition, an incision around the navel is not required with a mini tummy tuck and liposuction can also be used with this procedure as well to help remove excess fat pockets present.

The Effects of Pregnancy
A tummy tuck is used to correct rectus diastasis, a condition where the abdominal wall muscles have separated, with the most common reason being the muscles become weakened from multiple pregnancies. Many women have some degree of this condition and might not know it. Women come to our office frustrated at the appearance of their abdomen, despite a great exercise routine and good nutrition. Abdominoplasty surgery closes the muscle separation and flattens the abdomen in a way that even vigorous exercise cannot, supplementing and enhancing a patient’s goal of a more attractive midsection.

Post partum women seeking a toned tummy should wait at least 6-12 months after nursing before considering abdominoplasty. Patients are advised to wait until they are done having children before having this procedure as the benefits of surgical abdominal wall contouring are lost if a patient were to become pregnant again.

Before Electing Tummy Tuck Surgery
• Choose only a doctor certified by the American Board of Plastic Surgery.
• Agree only to surgery performed in an accredited facility with a board-certified anesthesiologist or possibly a certified nurse anesthetist to administer anesthesia and monitor your health.
• Review before and after photos, understand what a realistic result looks like, and what the scars look like. Come with a list of questions for your surgeon about the procedure.
• Ask specifically where the incision will be and accept that you will have scars. Scars may heal wide, red, or raised even if you follow all the instructions you were given.
• Accept that your procedure will require a recovery of days to weeks and that, as with any surgery, there are some risks involved.

Board-certified plastic surgeons Laura C. Randolph, Chad Tattini, and Paige Holt, along with their professional and compassionate staff, comprise Twin City Plastic Surgery. Their Bloomington office is located at 2502 East Empire Street, Suite C, which is 1 mile east of Veterans Parkway, turning on to Audie Murphy Drive. More information on their practice, surgical options, and their consultation
services is available by calling their office at 309-662-6772 or visiting online at

Photo credit: Wavebreakmedia Ltd/Thinkstock Back to Top

 Twin City Plastic Surgery| August 02, 2014

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