Abdominoplasty or tummy tuck surgery in Dubai is the most demanded procedure that removes excess deposit of fat across the belly. Contact Dr. Luiz Toledo at +971 (0)55-702-2780. https://luiztoledo.com/procedures/abdominoplasty/

1. Abdominoplasty Dubai
BY DR. LUIZ TOLEDO

2. PROBLEM
 Pregnancy (commonest)
 Massive weight loss
 Weight gain due to aging
 Bariatric surgery
Stretch beyond capability to
retract -> skin thinning and loss
of elasticity -> striae, rectus
muscle diastasis

3. ANATOMY

4. ANATOMY

5. HISTORY
 Weight history
 BMI
 Weight fluctuations and constancy
 Bariatric procedures
 Nutritional disorders
Medications
 Number of pregnancies and
 children
 History of c-section, abdominal
surgeries
 History of hernias
 Frequency of exercise
 GI, cardiac, pulmonary hisatory
 Smoking history
 Previous liposuction
 Future pregnancy plans

6. EXAMINATION
• Quality of Skin and pinch
• Measurement of s/c layer thickness
• Striae
• Eczema and hyperpigmentation at fold areas
• Skin excess at lower, lateral, upper abdomen, thighs,
waist, hips and lower chest in supine, standing and sitting
• Scar marks
• Abd0minal wall for bulging due to rectus
diastasis, hernias

7. EXAMINATION
• Divers test
• Location and number of folds
• Measurements…
1. from umbilicus to top of mons
2. from umbilicus to sternal notch
3. from anterior vulva commissure to top of mons
4. Waist and hip measurement, waist-to-hip
ratio
5. Thickness of abdominal adipose tissue by
pinching
5-7cm
11-13cm

8. PHOTGRAPHS
 Anterior
 Oblique anterior
 Side
 Oblique posterior
Posterior views
Additional: Forward bending side and front, sitting

9. GENDER DIFFERENCE

10. TECHNIQUES
Minimal – moderate fat, no abdominal wall laxity - Liposuction
Abdominal wall laxity, minimal excess skin infra umbilical region - Mini
abdominoplasty
Supra and infra umbilical skin laxity limited to the anterior region - full
abdominoplasty
Lateral and posterior skin laxity - circumferential lipectomy

11. MINIABDOMINOPLASTY
• Young women, 1 or 2 pregnancies
• Infra umbilical wall laxity, minimal skin and fat
excess, good skin elasticity, not overweight
• Markings: along the suprapubic crease angled
towards ASIS
• At least 9 cm btw umbilicus and upper resection
to avoid unaesthetic appearance

12. MINIABDOMINOPLASTY
• Infra umbilical single/two layer rectus plication
• Drains and compression garments
• Dog ears

13. ABDOMINOPLASTY
 Supra and infra umbilical laxity, anterior
aspect
 Rectus diastasis of the entire length
 Patients with excess intra abdominal fat, not
good candidates
Marking: Suprapubic crease incision, not
extending beyond ASIS
Flex at waist Pinch
technique
Superior incision just above the umbilicus

14. ABDOMINOPLASTY
 Circumumbilical incision, umbilical stalk
dissection to the deep fascia
 Flap elevated till xiphoid, costal margins
 Wide undermining
 Rectus plication
Abdominal flap approximation
Neo umbilicus created, vertical incision, 3
point fixation (3,6,9)
Scarpa’s fascia level elevation

15. CIRCUMFERENTIAL LIPECTOMY
 Excess fat and generalized laxity with ptosis
of the thighs, buttocks, hips and lower back
 Massive weight loss patients, women with
moderate weight after childbirth or aging,
normal weight patients desiring remarkable
improvement
Belt lipectomy: centrally based procedure,
treats lower truncal unit
Lower body lift: procedure that treat lower
trunk and thighs as a unit.
Hanging panniculus, mons pubis
ptosis, ill defined waist, lower back
rolls, hip fat excess, lateral thigh
ptosis, buttocks deformities

16. BELT LIPECTOMY
 Superior located incision
 Scar at junction btw lower back and
buttocks, visible above garments
 More waist definition, desired in women
 Zones of adherence are only disrupted
Excellent lower trunk contour and waist
definition
Limited thigh lift

17. LOWER BODY LIFT
Treats lower trunk and thigh as a unit scar over the buttocks, can blunt waist
line, desirable in men zones of adherence are completely interrupted, allows
inferior thigh and knee lift scar covered by garments excellent thigh lift less
effective waist and buttocks definition

18. FLEUR-DE-LIS /T-TYPEPROCEDURES
• Adv:
1. Eliminates horizontal excess
2. Creates more waist definition
3. Decreases lateral fullness
• Disadv:
1. Chances of flap necrosis
at T intersection
2. Does not effect lateral
thigh or buttock ptosis
3. Greater mismatch between flap
edges
4. Epigastric fullness due to dog ear

19. POST OPCARE
 Early ambulation
 Drains until discharge less then 30ml in 24 hrs
 Rest in flexion of 30 degrees for 2-3 weeks
 Shower after drain removal Examination for
Seromas Silicon patches for 3 months Avoid
sports for 6 weeks
Compression garments for 6 weeks Breathing
exercises

20. COMPLICATIONS
1. Wound healing problems (most common)
2. Wound dehiscence
3. Seromas
4. Toxic shock syndrome Vascular
compromise Hematomas
DVT / Pulmonary embolism
Psychiatric illness
Scar and contour irregularities