This 40 year old patient underwent this combined procedure removing 1.2 kilogrammes of skin and fat from the lower abdomen combined with 400 CCS of liposuction to her hips and central abdomen.

She also underwent a breast uplift during the same procedure to maintain her current breast volume but elevate the breast gland and nipple areola complex. Results are shown 7 weeks following surgery.

Although she has some horizontal excess tissue following 6 ½ stone of weight loss and having had 4 children she preferred to avoid the vertical scars associated with the Fleur-de-Lis type of abdominoplasty. The vertical scar in this type of abdominoplasty can be unsightly and is best avoided if possible. This is a decision to make during your consultation if this is an option for you.

Following 10 stone of weight loss through diet and exercise this patient underwent an abdominoplasty with liposuction.

During the operation a further 4.4 kg of abdominal tissue was excised  along with 750mls of liposuction.

When surgery is planned after weight loss it is important to reach your desired weight prior to surgery. This will not only help to reduce the risks and complications from being overweight but will also make the operation easier to perform. If further weight is lost following a procedure then this may result in loosing of the skin and the potential need for a further adjustment procedure.  So the general principle is to have surgery at your target weight and not before to achieve the best results. This can be discussed at your consultation which can take place towards the end of the weight loss process.

These photographs were taken five weeks following the abdominoplasty. In this patient there is significant suprapubic laxity and this can be improved with an abdominoplasty however often a further suprapubic lift may be necessary as it is not always possible to completely reduce the supra-pubic skin overhang in all cases. Although this can sometimes be done under a local anaesthetic.

An additional procedure and cost may be required in some cases depending on the patients’ expectations.

This patient underwent a breast uplift along with an abdominoplasty. 1.1 kilogrammes of abdominal tissue was removed from the abdomen along with a further 800 mls of liposuction from the hips and central abdomen. It is very important after this type of procedure not to gain significant weight as any future weight gain will go to other areas of the body including inside the abdomen where it is not healthy to store fat.

Combined with modest weight loss or a stable weight then the results then the results an abdominoplasty will last much longer and will not have any detrimental effects on general health.

Results are shown 6 weeks after surgery.

This patient underwent a mastopexy (breast uplift) along with an abdominoplasty. Following her gastric bypass procedure her weight had dropped from 18 1/2 to 8 1/2 stone, dress now size 6/8. Sometimes it is possible to perform a weight loss abdominoplasty without the need for a vertical scar associated with the Fleur-de-lis procedure as was the case here.

However post operatively there was a complication of a wound infection which resulted in a poor lower abdominal scar and this was revised three months later and at the same time achieving a suprapubic lift which sometimes is needed as a secondary procedure with this degree of weight loss.

The results of this type of procedure are much better when the target weight has been reached and the result maintained for 12 months or so. Combining breast reduction or mastopexy and abdominoplasty is a big operation but very possible in otherwise fit patients who wish to have a single procedure.

This lady had a Fleur de Lys abdominoplasty with a vertical scar due to weight loss after a gastric band which is still present. This gastric band port site can be avoided during the operation if care is taken not too perform liposuction or excision too close to the port site.

Approximately 2.2KG of tissue was removed with a further 500 ml of liposuction to help contour the abdomen. These results are shown at 8 weeks when the scar is still a little red and there is still some swelling in the skin particularly above the scar.

This will settle down over the next few months and sometimes lymphatic massage can help speed this process up. A vertical scar abdominoplasty is more suitable for some patients particularly if they have lost a very significant amount of weight and which option is your preferred choice will be discussed at your consultation as to which is the best option for you .

Early results are shown at 8 weeks following surgery.

This patient underwent a full abdominoplasty with liposuction after a gastric band. Care was taken to avoid the port site in the upper abdomen during the procedure. Post operatively there was an area of wound infection which required some revisional surgery to revise a short section of the scar. At the same time she had a little more liposuction and a suprapubic lift. The scar can usually be hidden in appropriately selected underwear or swim wear.

A Fleur de lys abdominoplasty can also be used in this situation which results in an additional vertical scar which can be unsightly but does help to take out some additional lateral laxity. This will be discussed during your consultation depending on your preferences.

With large weight loss the suprapubic area will generally be improved to some extent, but can still sag down. A second procedure may be needed to address this area either under local or general anaesthetic.

This patient underwent a full abdominoplasty with liposuction. The result shown and scar is at six weeks. The scar can be expected to fade over the next 6 to 12 months. By performing a full abdominoplasty it is possible to stretch the skin which is folded above the umbilicus and bring it down to the pubic area. It depends how much laxity there is in the skin as to the scar position or whether a short vertical component will also be needed which can be useful to lower the longer horizontal scar.

Most patients who undergo this procedure, unless they are very slim, will benefit from some additional liposuction to the central abdomen and hips which can be performed at the same time. It is important to have the operation when you are very near your target ideal weight.

You can see that there is some laxity in the suprapubic area as well. This will usually be improved with an abdominoplasty but if it is excessive then a secondary procedure at additional cost may be required. This can usually be carried out under a local anaesthetic, depending on patient preference, to minimise the cost of this operation. Sometimes an additional lower scar in the pubic area is needed. This is always carried out as a secondary procedure depending on how much elevation of the suprapubic area is achieved with the abdominoplasty. This patient had a good improvement of the suprapubic area and did not need any additional procedures.

Results shown are six weeks after surgery.

This patient underwent a full abdominoplasty removing 1600 g of fat and tissue from the lower abdomen and 1000cc of liposuction over the hips and central abdomen. Results are shown at 6 weeks. The scar can now be expected to fade over the next 12 months.

This patient underwent a full abdominoplasty and liposuction removing 515g of tissue and 1000mls of liposuction. The results are shown at 3 months after a minor scar revision.