Are the stomach muscles always repaired during a complete abdominoplasty? What would be the point in not repairing the muscle?

Are the stomach muscles always repaired during a complete abdominoplasty? What would be the point in not repairing the muscle?

In most of cases of abdominoplasty, I repair muscles in the wall of the abdomen. The result of such a suture gives a better cosmetic result and a flat tummy. In young patients who want to have more children or are not sure to go for another pregnancy, I don't place sutures on muscles. In the future when they are done with the "family plan" I proceed with muscle repair.

Monika Grzesiak, MD, PhD
Monika Grzesiak, MD, PhD
178A CzerniakowskaWarszawamazowieckie00-440PL

Monika Grzesiak, MD, PhD

Klinika Dr Grzesiak, Czerniakowska 178A,
Warszawa, 00-440, Poland

It is not always necessary to repair the abdominal muscles. There are circumstances in which there is no or minimal stretching of the abdominal wall. I have myself performed a few abdominoplasties on men who had lost significant weight and had excess skin of the abdomen but negligible stretching of the abdominal wall. I've also had a few women, who even after a pregnancy, had minimal laxity of the stomach wall and who neither wanted nor really needed any muscle tightening. Each surgery must be customized for the individual, depending upon their circumstances, physical condition at the time of surgery and their desires for the surgical result.

Alexander G. Nein MS, MD
Alexander G. Nein MS, MD
2400 Patterson StNashvilleTN37203US

Alexander G. Nein MS, MD

2400 Patterson Street, Suite 202, Nashville,
TN, 37203, US

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Tummy tucks are done because the skin is loose and the excess needs to be removed. If it were not, then a simple liposuction would usually suffice. The skin is loose because it has stretched from weight gain or pregnancy and then, as weight is lost or the baby is delivered, the skin is left stretched. In both these instances, the abdominal muscles and support structures have also stretched. Just like the skin, they do not return to normal. "Tightening the muscles" does for the support structures what the "tummy tuck" does for the skin. It, thus, gives a tight, smooth support to the newly draped skin to give a better overall contour and provide an improved waist. It is, thus, except in very unusual circumstances, an integral part of an abdominoplasty.

Robert T. Buchanan MD
Robert T. Buchanan MD
209 Hospital DrHighlandsNC28741US

Robert T. Buchanan MD

209 Hospital Drive, Suite 202, Highlands,
NC, 28741, US

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The muscles are usually always repaired to achieve a flat look of the abdomen. You may not repair in a patient who still wanted the option of having kids in the future, a patient who has a large hanging section of skin and this is the only concern. Sometime, the core is very tight already. Good luck

Miguel A. Delgado Jr, MD
Miguel A. Delgado Jr, MD
165 Rowland WayNovatoCA94945US

Miguel A. Delgado Jr, MD

165 Rowland Way, Suite 300, Novato, CA,
94945, US

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Most patients who undergo a tummy tuck surgery want to achieve an abdominal contour as flat as possible. In the majority of patients who present for abdominoplasty surgery, the abdominal muscles bulge to various degrees from weight fluctuation, previous surgery, or pregnancy. Tightening the muscles will lessen bulging of the abdominal wall. There are some instances where a person has flat muscles that are tone and do not cause muscle bulging. If the muscles are flat and tone, often seen in women who have not had children or in men, tightening of the muscles may have no affect on the outer contour and result. Another group of patients who may not need or want muscle tightening are young women who have loose skin from weight loss, yet want to have kids so that tightening the muscles at an early stage may be an unnecessary nor worthwhile part of the procedure. When you do not tighten the muscles, the operating room time is reduced and patients tend to recover faster with less discomfort and time off work.

Hayley A. Brown MD
Hayley A. Brown MD
10001 S Eastern AveHendersonNV89052US

Hayley A. Brown MD

10001 S.Eastern Ave., Suite 406, Henderson,
NV, 89052, US

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