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DR. ABDOLLAH MALEK: Tummy tuck is absolutely beautiful because if it is done right, it really changes the whole contour of the patient. And there is no replacement for that. Many ladies after pregnancy where the fascia and the skin has stretched out and as well as natural tendency of accumulation of the fat for the genetic predisposition around the mid-torso can benefit from a tummy tuck. The tummy tuck is a general term. It means that for everybody it may be a little different. For example, for some person maybe a lot more suction a little bit more excision. And for some people, it maybe a lot more skin removal and less fat suction. So it has to be tailor made to the patient’s expectation. But the end result is basically a contoured abdomen which is flat. We will be able to improve the contour of the abdomen by tightening up of the muscles by suturing them together with permanent sutures, re-improving the hip area and the lumbar area which goes toward the back by liposuction, and then by removing excess tissue, by making an incision right above the pubic hair line, which is quite nicely concealed.

Nowadays tummy tuck has come a long, long way. We can get very, very nice attractive scars in the majority of the patients because we can produce a tensionless or very little tension on the suture line which in the past sometimes they were causing very, very bad scars. Now with the modern tummy tuck, we can close the wound with very little tension. And the length of the incision is proportional to the excess of skin that someone has. But overall, combination of the liposuction and tummy tuck, removal of the extra skin and tightening of the muscle can create a very contoured and attractive mid-torso that will bring the hips and the breast together and connects them together in a very nice silhouette.