Abdominoplasty

Suitability

The most common reasons people present for an abdominoplasty relate to either pregnancy or weight loss. Pregnancy creates excess skin and stretchmarks that never completely resolve and in the case of a caesarean section, there may be scar tethering with overhang of abdominal skin. This is sometimes called a ‘caesar tummy’.

Pregnancy can also result in separation of the rectus abdominus muscle leading to abdominal wall weakness with associated back pain and difficulty exercising. The rectus muscle divarication can be repaired and in situations where an ultrasound has demonstrated a separation of more than 30mm, Medicare and health insurance rebates can be applicable. 

Other common reasons relate to fluctuations in weight, weight loss with persistent redundant skin and subcutaneous fat. The redundant skin can cause skin infections in folds, limits ability to exercise, and results in difficulty getting clothes to fit comfortably. Where bariatric procedures like gastric sleeves or lap banding have preceded the weight loss, rebates may be available; however, there are strict criteria for patients to be eligible.

Costs

The cost for an abdominoplasty varies and out-of-pocket fees can range from $12,000 to $25,000. 

The ultimate cost is dependent on multiple factors that vary from patient to patient and include things such as insurance cover, complexity of the procedure and duration of surgery. 

Individual quotes are prepared for each case to take these factors into account and provide accurate estimates. 

WHEN DOES INSURANCE COVER MY PROCEDURE?

Under some circumstances, a Medicare item number may be applicable to this type of procedure and subsequently, private health insurance will cover some of the costs. 

Strict criteria apply for item numbers to be used and in general, they are relevant to patients who have had significant weight loss through bariatric surgery or change in lifestyle, but have also maintained it over time.

Some patients with symptomatic abdominal muscle separation or abdominal wall hernia may also qualify for this type of procedure in the presence of appropriate medical imaging and GP advice to support the problem.

Consultation and pre-operative planning

Pre-operative planning is conducted over two visits to our clinic and involves the expertise of Dr Mathew Lee and his team of experienced plastic surgery nurses.

Pre-operative planning looks at your reasons for wanting an abdominoplasty and will ultimately establish the goals for your surgery. 

It ensures that Dr Lee’s vision for what you are looking to achieve matches your expectations. 

While the final outcome is often the first thing discussed, there are many aspects about you as a patient that need to be considered to plan the right operation. 

Careful pre-operative analysis, measurements and photos are used to help achieve your result. 

Detailed information of what to expect and how to prepare for your surgery will be provided.

Surgical technique

An abdominoplasty is done under general anaesthetic in an accredited hospital facility. 

An incision is made low down on the abdomen, ideally below the level of most underwear, swimwear and clothing. 

Excess lower abdominal skin and fat along with stretch marks is removed. The belly button is preserved and relocated through the skin of the upper abdomen that is pulled down to conceal the scar as low as possible. 

Whilst the skin of the abdomen is open, the underlying rectus abdominis muscle can be seen and repaired. 

Permanent sutures hold the muscle together inside, whilst invisible dissolving sutures are used for all skin incisions. 

Drain tubes may be required.

Patients generally stay in hospital for a couple of days and when comfortable can continue their recovery at home.

Recovery and results

Recovery after the procedure involves a period of healing and rest. The length of the recovery period will vary with each individual patient but in general, you should allow 6 weeks to recover. Medical history, extent of the surgery, and your ability to heal are factors that will affect your recovery. 

Generally, patients can expect discomfort, swelling, and bruising in the abdominal area, which gradually subsides over time. There is often temporary numbness of the skin below the level of the umbilicus. Muscle tenderness can persist for up to 3 months following rectus muscle repair. It is important to follow post-operative instructions provided by the surgeon, including wearing compression garments and taking prescribed medications to maximise your recovery.

Patients are usually able to resume light activities within a few weeks. However, patients should wait to get the all-clear from Dr Mathew Lee before resuming exercise and heavy lifting.

Regular follow-up appointments will be scheduled to monitor the healing progress and address any concerns.