The approximation of the muscles of the abdominal wall or plication are intended to strengthen the abdominal wall and correct the bulge (protrusion of intraabdominal contents) and weakness of it caused by physiological and anatomical changes during pregnancy or obesity with subsequent weight loss . This is a procedure that does not increase the surgical time significantly or produce negative physiological alterations if done properly. In short the realization adds no morbidity or risks but if not done the results may be adversely affected
Does a Tummy Tuck Without Muscle Repair Make It Less Invasive or Dangerous?
Doctor Answers 20
Less discomfort during recovery
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Tummy tuck minus Muscle Repair
I occassionally perform an abdominoplasty without muscle repair, and that is because some patients don't need it. their abdominal wall has snapped back after pregnancy. If the muscles have not come back together, you will continue to have some bulging of your abdomen unless this corrected. This part of the procedure adds little to the risk and only about ten or fifteen minutes additional time.
Muscle tightening is an important part of a Tummy Tuck
Repair of the muscle damage caused by pregnancy or weight gain and loss is important in the achievement of the best outcome possible, and should not materially increase your risks related to the procedure.
Significantly, it is important for you to also understand that if you were to look for a surgeon willing to do a tummy tuck on you without tightening your muscles, you will find one, only to realize (assuming that you are having a tummy tuck because you need a tummy tuck to look your best) after surgery that your don't look anywhere near as good as you hoped, or as good as other women who had a more complete tummy tuck.
In other words, repairing the muscles should not increase your risks, and omitting this important detail will put you at risk of being unhappy with your outcome.
No Increased Risk with a Tummy Tuck
A muscle repair should not increase the risk of a tummy tuck.The question is whether or not you need one done. If you need it, simply do it. Most women benefit from muscle tightening after having children. However, there are some women with just a skin problem who do not need a muscle repair. If a woman is still having children, but wants a tummy tuck, i would be less likely to tighten the muscles.
Tummy Tuck without the muscle repair
A tummy tuck without the muscle tightening is like buying a car without the engine. To truly restore your abdominal contouring after having kids, most women need the abdominal muscle repair (tightening) to flatten your tummy wall and reverse the post-pregnancy changes.
To obtain the best result from a tummy tuck a muscle fascia plication is always required (almost always), although theoretically possible to have a patient who does not require muscle plication (muscle repair), in 14 years of doing abdominoplasties, I have never seen one patient whom will not benefit from this part of the procedure.
If a physician is telling you to have the abdominoplasty without the plication, i will recommend you to seek a second opinion, it is very important you see several postop pictures specially on the lateral view, to see if the laxity of the lower abdomen is improved or continue to have the problem
A tummy tuck without muscle tightening has less pain after surgery.
Thank you for your question and the photos.
A tummy tuck without muscle tightening has less pain after surgery. Most women that need or want a tummy tuck usually benefit from the muscle repair.
To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.
Tummy Tuck and Muscle Repair
Most women who get a tummy tuck need the muscle repair. In some patients who only have lax skin you can remove just the skin and leave the muscle alone. Muscle repair does not make the procedure more dangerous but significantly increases the time it will take for you to recover