Having a taut, toned tummy is something that most people dream about, but sometimes even a rigorous exercise routine and a healthful diet can’t get them the results they want. Heredity, pregnancy, and weight changes can leave behind a protruding pouch or a flabby midsection. An abdominoplasty performed by Dr. Yessenow will remove excess skin and fat from the middle and lower abdomen and tighten the muscles of the abdominal wall. In this surgical procedure, known more commonly as a “tummy tuck,” Dr. Yessenow is able to dramatically reduce the appearance of a protruding belly to shape the taunt, toned tummy of the patient’s dreams. Dr. Yessenow believes that the best candidates for abdominoplasty are men or women who are in relatively good shape but who are bothered by a large fat deposit or loose abdominal skin that fails to respond to diet or exercise. Other beneficiaries of the surgery are women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved by an abdominoplasty. Also benefiting from abdominoplasty are men who have gained a considerable amount of weight and then lost most of it and now want to tighten up their abdomens and remove the excess skin and fat.
A complete abdominoplasty done by Dr. Yessenow can take up to five hours, depending on the extent of the work required. A mini abdominoplasty may take up to two hours. For a complete abdominoplasty, Dr. Yessenow makes a long incision from hipbone to hipbone, just above the pubic area. He makes a second incision to free the navel from the surrounding tissue. In a partial abdominoplasty, Dr. Yessenow makes the incision much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stretched. Next, he separates the skin from the abdominal wall up to the ribs and lifts a large skin flap to reveal the vertical muscles in the abdomen. He pulls these muscles close together to tighten them, and then he stitches them into their new position. This provides a firmer abdominal wall and narrows the waistline. Next, he stretches down the skin flap and removes the extra skin. He then relocates the navel and stitches it in place.