What is a Circumferential Tummy Tuck

Jun 4, 2022

The circumferential tummy tuck – also referred to as belt lipectomy – is the most invasive type of abdominoplasty. This cosmetic procedure aims to extensively reshape the entire midsection area, including the lower and upper abdomen, flanks, and back. A circumferential tummy tuck is common with individuals who have lost a significant amount of weight (usually after weight loss surgery). On this page, we learn more about what a circumferential tummy tuck entails so you can decide whether it is the right procedure for you.

Who is an ideal candidate for circumferential abdominoplasty?

Circumferential abdominoplasty is a technique that focuses on the extensive reshaping of the waistline. Plastic surgeons focus on removing excess skin from the abdominal area along with the waist, lower back, and buttocks. This technique essentially results in a massive transformation to the patient’s physique and counteracts some of the adverse aesthetic changes resulting from massive weight loss. You may be the right candidate for a circumferential abdominoplasty if:

  • You are in good physical and emotional health.
  • You have lost over 70 pounds of weight.
  • You have undergone bariatric surgery as a treatment for morbid obesity.
  • You have excess skin and stubborn fat in midsection areas such as the abdomen, outer thighs, and buttocks.
  • You have reasonable expectations about the outcome of this surgery.

Full tummy tuck vs circumferential abdominoplasty

A full tummy tuck focuses on reshaping the lower and upper abdominal areas, whereas a circumferential tummy tuck addresses the entire waistline (including the waist, flanks, and back). Total abdominoplasty is common with individuals who have moderate excess skin and abdominal protrusion. On the other hand, a circumferential abdominoplasty is designed for people who were previously obese and have lost massive weight either through bariatric surgery or lifestyle interventions. During your initial consultation visit with Dr. Tessler, the surgeon will listen to your concerns and examine your abdomen before creating an individualized treatment plan for you.

Circumferential tummy tuck procedure

Dr. Tessler offers circumferential abdominoplasty to his patients in Scottsdale, Gilbert, Phoenix, and surrounding Arizona areas. During the procedure, the surgeon creates a circumferential incision resembling a belt around the waistline. Excess fat may be removed via liposuction before excess skin and tissue is trimmed from the abdomen, waist, lower back, and flanks. Patients will also have weakened abdominal muscles strengthened and the belly button repositioned. Once the intended changes have been made, incisions are closed and the treatment areas bandaged. The procedure takes about 4 – 6 hours to complete.

How is recovery after a circumferential abdominoplasty

Many patients who have a circumferential abdominoplasty need to stay at the treatment facility for 2 – 3 nights before they are allowed to go home for further recovery. Drainage tubes are typically inserted in the treatment area in order to drain away excess fluid. You are required to protect the incision sites from water contact until after you’ve had the drainage tubes removed. It is not uncommon to experience bruising, swelling, and discomfort in the days and weeks following your circumferential tummy tuck. Painkillers and antibiotics are usually prescribed to help improve your comfort level and prevent infection. Dr. Tessler makes sure to furnish each patient with detailed aftercare instructions to help ensure a smoother recovery. His office is also available throughout the recovery duration to answer questions and offer any support you may need. The majority of his circumferential abdominoplasty patients are able to resume routine activities in 4 – 6 weeks. Full recovery can however take up to 10 weeks or even more depending on each patient’s unique healing ability.

Results after a circumferential tummy tuck

Scarring is a common concern following this type of cosmetic surgery. Dr. Tessler uses advanced techniques to minimize and conceal scarring. The surgeon will also recommend modern scar management products to make sure that your scars fade optimally with time. Patients can expect to realize the full results of their circumferential abdominoplasty within a few months following full recovery. Many people are delighted to realize the dramatic transformation achieved through this treatment.