Tummy tuck with muscle repair ensures a flatter, more athletic abdomen after surgery. Recently, leading Beverly Hills plastic surgeon Dr. Tarick Smiley has demonstrated this technique on Snapchat as part of his patient awareness campaign.
The patient shown in the photos had extensive stretch marks, loose skin, and bulging tummy prior to surgery.
Tummy tuck is more commonly known as a surgery that removes the excess skin and fat hanging from the abdomen. However, this technique alone may not be enough to deliver optimal results unless complemented by muscle repair.
The excessive protrusion of her abdomen, according to Dr. Smiley, was caused by “weakness or poor integrity of the abdominal muscles.”
While the abdominal muscles are elastic, the fascia that holds them together is relatively inelastic; hence, some women with flat tummy may end up with barrel-shaped contour after pregnancy or large weight fluctuations.
Compared to most patients, the woman had a more severe case of abdominal wall weakness, which fittingly required additional suturing and tightening during surgery.
Dr. Smiley started the surgery with the creation of a hip-to-hip incision placed very low—i.e., a few centimeters below the pubic hairline. This incision placement would allow him to remove the excess skin and elevate the sagging mons pubis at the same time.
After the creation of the hip-to-hip incision, Dr. Smiley separated and lifted off the skin, revealing the loose abdominal muscles.
The celebrity plastic surgeon first worked on the rectus abdominis muscles. This is a pair of vertical muscles that is attached between the ribs and the pubis in the center of the abdomen. It should be noted that this anatomy is commonly repaired during standard tummy tuck.
But due to the extent of her abdominal wall weakness, she required additional muscle repair, particularly of the oblique muscles found on the more lateral side of the tummy.
By tightening the oblique muscles, Dr. Smiley says the patient “can expect more tightening effect and less bulging of the tummy every time she sits down.”
To complement her flatter abdomen, Dr. Smiley reduced the size of her navel with the use of an incision made inside its rim to hide the scar.