Dr. Ertan Beyatlı

How is Abdominal Stretching surgery performed?

(Update: ) - Hernia

How does a Saggy Belly Correct?

Sagging Belly means excess and / or sagging skin and adipose tissue on the anterior and lateral walls of the abdomen. This usually occurs in a short-term weight loss or decrease in abdominal pressure. The most common reasons are as follows:

  • Senile
  • rapid weight loss, slimming, chronic diseases, malignancy
  • Pregnancy, postpartum, multiple pregnancy
  • After bariatric surgery, tube stomach sleeve gastrectomy surgery, gastric bypass, etc.
  • after removal of a large cyst or mass from the abdomen
Saggy Belly, Belly sagging
Saggy Belly

It is possible to eliminate small amounts of sagging with various sports movements. Especially sporting exercises that work the anterior abdominal wall muscles have serious benefits, such as sit-ups etc.

Surgical Solution for Sagging Belly

In moderate and severe sagging, surgical intervention may be required in terms of appearance and aesthetics. The name of these surgeries is Tummy Tightening - Belly Tightening surgery. In latin Umbilicoplasty or called Neoymbilicoplasty.

What is a Tummy Tuck?

Tummy Tuck Abdominoplasty is a surgery to remove the excess and / or sagging skin and fat layer on the anterior and lateral walls of the abdomen and stretching the remaining skin from the upper belly to the groin area (stretching).

With this surgery, repair and tightening of the muscles (rectus abdominis) that make up the majority of the anterior abdominal wall are also performed. Thus, both the sagging abdominal wall is removed and the diameter of the waist circumference is reduced. Abdominoplasty surgery can also be applied in cases of excessive weight gain (obese, obesity).

Recently, especially with the widespread use of weight loss operations and the increase in fast weight loss methods, it has been observed that many patients complain of excess and sagging skin, especially in the abdominal area. Sagging is also seen in other areas, especially in the arms and legs.

This situation causes serious disorders (deformities) in various parts of the body. Considering the comments of those who have had abdominal aesthetics, it is remarkable that they are more satisfied with their obesity surgery.

Although abdominal wall sagging disturbs the appearance and social aspects in some patients, it also poses a physical problem in others. For example, the formation of wounds due to constant irritation from the sagging skin and the development of various infections and the formation of fungi. In advanced cases, the sagging abdominal wall may cause walking difficulties, waist and back pain in patients.

Especially, sagging of the skin is seen in many women who have more than one pregnancy. Birthmarks, tears and cracks (stria gravidarum) that occur on the skin with sagging can seriously disrupt the appearance and aesthetics of the anterior abdominal wall.

Birthmarks, tears and stretch marks (striae gravidarum)
Birthmarks, tears and stretch marks (striae gravidarum)

In tummy tuck surgery, after the sagging area is removed, the remaining skin is sutured in the upper part of the groin area (cesarean section line). Thus, it is ensured that the scar of the surgery is covered with underwear and swimwear. An operation scar is only slightly longer than a cesarean scar.


(Tummy Tightening, Tightening Belly)

On the day the surgery is decided, necessary markings are made on the patient's anterior abdominal wall. After the preoperative preparations and tests are made, the patient is taken to the operating room and put to sleep under general anesthesia. The average duration of the operation is 2-4 hours. This time is proportional to the amount of tissue to be removed and the general health status of the patient.

Hoses applying negative pressure (hemovac drain) are placed on the area after abdominoplasty. These hoses discharge the fluid and blood accumulated in the area and are removed within an average of 3 days. The patient is put on an abdominal corset immediately after the operation and it is recommended to be used for an average of one month.

4-5 hours after the operation, the patient can start walking and feeding with liquid foods. The length of stay in the hospital can vary between 1-3 days. The patient should walk slightly hunchbacked for up to 2 weeks after the operation and when lying down, the head, neck and back should be at an angle of 10-15 degrees to the body. It is inconvenient to lift heavy, excessive and sudden movements up to a month. If the stitches are dissolving in abdominoplasty, they do not need to be removed. Non-absorbable stitches can be removed within 14-20 days depending on the wound healing status.

As for the risks of tummy tuck surgery, there are some risks related to anesthesia and surgery, as in any surgical intervention. These include bleeding, infection, patch rot (necrosis), fat embolism, lung athelactasis, etc.

Tummy Tuck surgery

It is possible to minimize these risks with the detailed preparation of the patient before the operation, the application of the appropriate surgical method, the experience of the surgeon and the regular and adequate post-operative care. The most important factor is the trust and communication between the patient and the surgeon.

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