Liposuction or Abdominoplasty: What To Choose
Liposuction and abdominoplasty can both target the abdominal area – however, they work in very different ways. Both procedures involve...
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A tummy tuck (abdominoplasty) aims to reconstruct the abdominal wall and address concerns in the abdominal area after severe weight loss or pregnancy. Typically, patients have excessive loose skin, stretch marks and excess fatty tissue. Many individuals also have weakened, separated muscles (rectus divarication or diastasis recti) and small hernias around the navel — all of which can negatively affect function, stability and posture.
Additionally, some individuals have excess fatty tissue and skin over the pubic bone. This can cause hygiene issues, difficulty wearing tight-fitting clothes and painful chafing. An abdominoplasty can help address these concerns.
All individuals must understand what the surgical procedure involves and have realistic expectations about the outcome. An abdominoplasty cannot create a 6-pack and is not a weight loss solution; however, it may help reshape the abdominal area when other methods have not been effective.
Abdominoplasty can be done solely or in conjunction with liposuction. In Chelsea Cosmetics we do abdominoplasty with high definition liposuction where we removal the deep and superficial fat and then we excise the excess skin
If you want to learn more about abdominoplasty surgery in Melbourne, call our clinic on (03) 8822 3472 to book a consultation.
Some individuals require more extensive surgery than others. Consequently, there are various types of abdominoplasty procedures. The type of abdominoplasty procedure recommended for you will depend on your physique, medical history, existing concerns, desired outcomes and other factors. The two most common abdominoplasty procedures are as follows.
A traditional or full abdominoplasty is a surgical procedure that removes excess skin and fat from the entire abdominal area, both the upper and lower regions. It leaves a horizontal scar from hip to hip, along with a small scar around the navel.
During a typical full abdominoplasty, Dr Attalla will:
A mini tummy tuck is reserved for individuals who only have issues (such as a small amount of loose skin) in the area beneath their navel. The area above and around the navel does not require attention. This procedure leaves a small horizontal scar that is only slightly larger than a cesarean scar.
During a mini abdominoplasty, Dr Attalla will:
To determine your suitability for abdominoplasty, you’ll need an initial consultation with Dr Attalla. However, typically, suitable candidates have:
Smoking, vaping or ingesting any nicotine-based products has a serious effect on the healing process due to its nicotine and carbon dioxide effect. Smoking should be ceased two months before surgery and two months after. If you are a smoker, Dr Attalla typically puts patients on a natural medicine regimen of antioxidants and herbal medicine to improve the circulation to promote optimal scarring and healing.
Dr Attalla performs all abdominoplasty procedures in a registered private hospital with the patient under general anaesthesia. Depending on the complexity of the surgery, it may take 3 to 4 hours. All incisions are discreetly placed so they are hidden when wearing regular underwear.
Oftentimes, when women request an abdominoplasty after pregnancy, they have a separation of the abdominal muscles. This separation, known as the diastases recti, can be minor or severe. When the separation is significant, it can act a lot like a hernia, with a prominent ridge of fullness protruding along the abdominal wall midline when under strain. It can also disrupt biomechanical function in the lower back and midsection. Consequently, core strength is compromised, placing extra stress on the lower back. It can also affect bladder control.
Therefore, an essential part of an abdominoplasty is tightening the separated abdominal muscles to improve function and core strength.
Browse our before & after images of procedures performed by Dr Mark Attalla in Melbourne, Australia
The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors, including the individual's genetics, diet and exercise.
FINANCE INFORMATION
If your abdominoplasty procedure was purely for cosmetic reasons, then Medicare will not pay for it. However, if Dr Attalla deems the procedure a medical necessity (and the surgery is reconstructive), then Medicare will assign it an item number (30177), and you will be entitled to a small rebate. This rebate may cover a small portion of the hospital costs, the surgeon’s fee, and the anaesthetist’s fee.
NB: The government reinstated Medicare item number 30175 on 1st of July 2022. This covers part of the cost of an abdominoplasty for some post-pregnancy patients suffering from separated abdominal muscles (diastasis recti)
Visit your GP to discuss your abdominal concerns.
Get a referral from your GP outlining your medical condition.
Book an initial consultation with Dr Attalla.
During your consultation, Dr Attalla will examine you and determine whether you meet the Medicare criteria. If an applicable Medicare item number is identified, you may receive a partial Medicare rebate.
Most of the cost of abdominoplasty is paid privately.Your Private Health Insurance will only provide cover for your procedure if you have been assigned a Medicare item number. Please note that the coverage is partial (covering hospital and anaesthetic costs) Private health insurance funds typically cover reconstructive procedures deemed medically necessary. Individuals usually require the highest level of hospital cover and have maintained it for at least 12 months.
Patients should sleep at least 9 hours daily, lying on their back with their knees bent. Sleeping in this position prevents excess strain from being placed on the incisions.
To determine your suitability for abdominoplasty, you’ll need an initial consultation with Dr Attalla. However, typically, suitable candidates have:
Excess abdominal skin due to significant weight loss or pregnancy
Weakened or separated abdominal muscles, often after pregnancy
Your first consultation is vital to determine whether abdominoplasty is appropriate for you. It also allows you to become fully informed about the procedure.
Please be advised that you will need a GP referral before booking your appointment.
During your appointment, you’ll cover:




Dr Mark Attalla, MBBCHa FACCS – Cosmetic Practitioner
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Patients should sleep for at least 9 hours each day, lying on their backs with their knees bent. Sleeping in this position prevents excess strain on the incisions.
For several weeks after surgery, it’s important not to put too much strain on your incisions and sutures. Make sure to avoid lifting weights. After abdominal surgery, limit your exercise for about a month, then gradually ease back into your regular workout routine over the next 4 weeks. Typically, you can start working out again at the 6-week mark.
For about six weeks, patients must not participate in strenuous physical activities, including:
Once the healing process is complete, patients should follow a healthy, balanced diet and engage in regular exercise.
Immediately after your surgery, you’ll be fitted with a compression garment before you wake. This garment is a medical-grade article of clothing made with high-quality, durable, breathable materials. Your compression garment plays a vital role in your recovery, as it helps prevent swelling and bruising, minimises pain and discomfort, reduces tension on surgical wounds, minimises visible scarring and helps reduce the risk of complications and infection.
You must wear your compression garment day and night for approximately 6 weeks following the procedure. Only take the garment off when showering or bathing. Wearing this garment should feel comfortable and supportive, not constricting or painful. If you do find the garment painful, contact Dr Attalla as you may need a larger size.
Oftentimes, when women request an abdominoplasty after pregnancy, they have a separation of the abdominal muscles. This separation, known as the diastases recti, can be minor or severe. When the separation is significant, it can act a lot like a hernia, with a prominent ridge of fullness protruding along the abdominal wall midline when under strain. It can also disrupt biomechanical function in the lower back and midsection. Consequently, core strength is compromised, placing extra stress on the lower back. It can also affect bladder control. Therefore, an essential part of an abdominoplasty is tightening the separated abdominal muscles to improve function and core strength.
A feeling of tightness in the abdominal area will decrease
COMMON QUESTIONS
Smokers must quit smoking at least one month before surgery. This also includes chewing tobacco, traditional cigarettes, electronic cigarettes (i.e., e-cigarettes), cigars and pipe tobacco, and smoking cessation products. Smoking increases the risk of complications during or after surgery. Smoking compromises blood flow, which may result in skin loss, infection, increased scarring, and poor wound healing.
Abdominoplasty is not a suitable alternative for natural weight loss. Instead, the procedure targets excess skin, tissue and sometimes, underlying muscles.
The cost of abdominoplasty can vary widely depending on factors such as the surgeon’s experience, geographic location, facility fees, anaesthesia costs, and the complexity of the procedure.
If you take any medications or supplements, you must discuss these with Dr Attalla before surgery. Medications to discontinue include aspirin, non-steroidal anti-inflammatory drugs (NSAIDs), and prescription blood-thinning medications (e.g., Coumadin). Herbal supplements to avoid include Ginseng, Ginkgo Biloba, Kava Kava and St. John’s Wort. Vitamins that patients must stop taking include vitamins E and K.
Patients who continue to take these medications, vitamins and herbal supplements may experience unwanted side effects (e.g., an increase in bleeding or a change in the effects of anaesthesia). Patients who require pain medication during the ten days leading up to surgery can use acetaminophen (e.g., Tylenol).
Some patients can return to exercise faster than others. Various factors, such as your health, age, lifestyle, and the type of surgery, will all influence when you can return to exercise. Light activities such as walking or gentle cycling may be possible after several weeks, while more strenuous exercise, including jogging, running, or stomach workouts, is often delayed until around six weeks or longer. Always ease back into exercise gradually and avoid pushing your body beyond what feels comfortable. Above all, discuss this issue with Dr Attalla.
During an initial consultation with Dr Mark Attalla at Chelsea Cosmetics, several issues will be discussed. For example, your suitability for abdominoplasty will be assessed. You will also be asked about your medical history, any current health conditions, medications and past surgeries. Information about vitamins, herbal supplements, and any allergies, including to medication or latex, will also be discussed.
If Dr Attalla deems you suitable for an abdominoplasty, he will explain the procedure in detail and disclose all potential risks and complications. You’ll also be given the opportunity to ask any questions you may have.
An abdominoplasty can take around two to three hours. However, the time varies depending on factors such as the type of surgery and whether other procedures are being combined in the same session.
General anaesthesia is used for an abdominoplasty, which means you will be unconscious during the surgery.
If the procedure is for purely cosmetic reasons, then Medicare will not pay for it. If, however, it is deemed a medical necessity by a GP or practitioner for an underlying medical condition, then you may be covered under Medicare item 30177. The government reinstated Medicare item number 30175 on 1st July 2022, which covers the cost of an abdominoplasty for some post-pregnancy patients suffering from split abdominal muscles (diastasis recti).
Technically speaking, you can still become pregnant after an abdominoplasty as the procedure does not affect your fertility. However, it’s advisable to complete your family before having tummy tuck surgery, as becoming pregnant after surgery could affect your results. This is because your muscles and skin will stretch again, especially if you gain considerable weight during pregnancy.
It’s important to note that an abdominoplasty is not a weight loss procedure. It should only be performed on individuals who have exhausted all conservative, non-invasive options for at least several months. If substantial weight loss occurs after surgery, there is a risk of skin laxity. Conversely, if an individual gains substantial weight after the surgery, there is a risk that more skin and tissues will stretch, potentially undoing the results of the surgery.
A ‘six-pack’ is a colloquial term that refers to the appearance of your rectus abdominus muscles under your skin. To achieve this, you need well-defined, well-formed six-pack muscles and minimal body fat. While an abdominoplasty will remove excess skin and some fatty tissue — and tighten the abdominal muscles, it will not increase the size of the muscles, so it will not create a ‘six-pack’. However, once you have recovered from surgery and are exercising again, there will be less flesh in the abdominal area. Therefore, if you regularly exercise your abdominals and minimise your body fat percentage, you will have a greater chance of achieving a ‘six-pack’ over time, if that is your wish.
Immediately after your surgery, you may experience some pain and discomfort, but fortunately, this is short-lived. Many women claimed that the pain level is approximately the same as a cesarean. Rest assured, your anaesthetist will have provided you with intravenous pain medications to make you as comfortable as possible. Most patients spend a minimum of two nights in hospital after an abdominoplasty and don’t return home until the pain is manageable. You’ll also be given prescription medications to take home with you so that you remain comfortable. After several days, it’s likely that you no longer need to take any medications.
After you’ve had an abdominoplasty, it will be too difficult to stand up straight as your skin — and often muscles — have been tightened. Keep yourself hunched forward and take small steps so that you don’t cause unnecessary strain on the area. After approximately two weeks, you’ll find it’s possible to stand straight again. (However, if you’ve not had your muscles tighten during surgery, you will be able to stand up straight sooner.)
As your abdominal tissues have been tightened, it will be difficult to sit up straight for the first couple of weeks. Consequently, you should not drive at this time. After two weeks, if you feel confident and comfortable enough to get behind the wheel, you can recommence driving.
The time it takes to return to work after surgery will depend on the type of surgery you’ve had and the work that you do. In general, all patients should rest and avoid work for the first two weeks. After two weeks, if your work is sedentary and home-based, you can consider returning to work. After three weeks, you could consider returning to office-based work. After four weeks, light hospitality work can be considered. Six weeks after your procedure, you can attempt normal strenuous activities, provided you practice commonsense caution and ease into all activities carefully.
An abdominoplasty takes time to recover. However, if an individual has undergone major reconstructive surgery, the results will be apparent soon after. Generally, it takes about 6 weeks for the swelling and discomfort to settle and for the results to become more evident. The final results of a tummy tuck may take around six months. By this stage, the swelling, tightness and pain should have dissipated, and you are well into the swing of your own routine. Abdominoplasty scarring takes some time to mature, and final results are not visible until 12 to 24 months. Initially, your scars will be red and raised, but over time, they will flatten and appear as fine white lines.
There is a potential for wound healing problems with all surgeries. Typically, this includes bleeding, infection, skin and tissue necrosis and wound breakdown. However, some patients are more predisposed to wound problems than others. These include the overweight and elderly, those with diabetes, smokers and the immunosuppressed (or those taking immunosuppressive medications).
All surgery carries risks and complications, and specific risks may accompany certain procedures.
bleeding or infection