Abdominoplasty is performed most commonly under General Anesthesia or Light Sleep IV Sedation. Local anesthesia is then used to numb the abdomen.
The Procedure is typically performing thus:
- The operation is performed by making an incision in the lower abdomen just above the pubis. The incision can go from hip to hip. It is placed within the bikini line, to be well hidden.
- The skin and fat are removed from the abdominal muscles to the bottom of the rib cage.
- The belly button is separated from the skin and most frequently all the skin and fat below the belly button is removed. Sometimes, sutures are placed on the muscles of the abdominal wall to tighten one side of the abdomen to the other and thereby flatten the abdomen considerably.
- The skin above the belly button is drawn down to the pubis and sutured into position. A new hole is placed in the skin and the belly button is positioned in about the same spot that it existed before surgery.
- The new tummy is then sutured into position. One or two drains are placed under the skin and rest on the abdominal muscle, with exits below the pubis incision.