THE MOST IMPORTANT BENEFIT OF A TUMMY TUCK
Tummy Tuck Dubai | 10 August 2021
One of the operations I have always loved to do is a tummy tuck, (also known as an abdominoplasty). I really get a charge out of helping a mother restore the shape of her abdomen after she has brought one or more children into this world.
There have certainly been modifications over the years in how I perform an abdominoplasty. One of the most important of these has been the addition of liposuction which created the “lipoabdominoplasty”. Another great change has been to eliminate the need for drains, something that my patients are thrilled about.
Something that hasn’t changed is the importance of muscle repair of the abdominal wall in women who have had children*. With the muscle repair, we are changing the position of the rectus abdominis muscles which are often called the sit-up muscles. This is the muscle group responsible for the “six-pack” (or in my case, the keg). There are obvious benefits in terms of appearance, but what you may not realize is how much repairing these muscles improves quality of life.
Before pregnancy, these muscles are right next to one another running up and down the middle of the abdomen. The muscle coverings (the fascia), connects them in the midline. Think of this connection as being a “seam”, so to speak.
Rectus diastasis before tummy tuck – When a woman becomes pregnant, the abdomen must expand to accommodate the pregnant uterus. This is usually achieved by stretching the “seam” or the connection of the rectus abdominis muscles in the midline. In almost all women, there will be a separation of these muscles, which is known in medicalese as “rectus diastasis”.
Women who have a very short waistline generally have a greater separation and women with large pregnancies or with twins (or even triplets) will see an even greater difference. Still, this happens to almost all women during pregnancy. For women who were really happy with their tummies before children, this can really be an issue. It affects how your clothes fit, and the type of slacks or bathing suit you are comfortable wearing. And it can really affect how you feel about yourself.
For muscles to function optimally, they need to be in the right position. Since muscles only shorten (contract) or lengthen (relax), they work along a single vector or straight line. In terms of the rectus abdominis muscles, this means running straight up and down the middle of the abdomen. When there is a significant muscle separation, (the rectus diastasis I mentioned), the muscles move to the side and no longer contract as efficiently as they did before the babies came along. This affects abdominal core strength and function: the more the separation, the bigger the impact.
Another way this can show up is in the contour of the lower abdomen when these muscles are contracted. Instead of the abdomen flattening, like when you are doing a sit up, the lower abdomen may protrude or slightly bulge, unlike it did prior to pregnancy. Again, this is due to muscle position.