Dr Rebecca Wyten (MED0001218326) is a Melbourne-based FRACS Specialist Plastic Surgeon who performs abdominoplasty for female patients to remove excess skin and address muscle separation (diastasis recti), often following significant weight loss.
Changes for cosmetic surgery procedures – in effect from 1st July 2023
New regulations require patients to obtain a GP or specialist medical practitioner referral before proceeding with abdominoplasty surgery.
What is abdominoplasty?
Abdominoplasty is a surgical procedure typically undertaken after significant weight loss or pregnancy. It aims to remove excess skin and tissue from the abdomen. This surgery often includes repairing weakened or separated abdominal muscles, a condition known as diastasis recti, which can occur during pregnancy or after childbirth.
Abdominoplasty Procedure details
Abdominoplasty is performed under general anaesthesia. During the surgery, Dr Wyten removes excess skin, reshapes the waist, and repairs muscle separation and weakness in the abdominal area. The umbilicus (belly button) is also repositioned for a more natural appearance. This procedure may be performed with liposuction of the fat around the hips.
If an umbilical hernia is present, a collaborating Specialist General Surgeon who frequently works with Dr Wyten will repair it as part of the procedure. To ensure patient comfort, Dr Wyten performs a TAP block (nerve block) during the surgery, offering additional pain relief both during the operation and in the early recovery period.
The procedure typically lasts around 3 hours in the operating theatre, and most patients stay in the hospital overnight to monitor post-operative care and ensure recovery is progressing as expected.
Potential Benefits of abdominoplasty surgery
- Removal of excess abdominal skin: Ideal for individuals unable to reduce loose skin through diet and exercise alone.
- Repair of diastasis recti: Strengthens the core by addressing muscle separation.
- Improved body shape: Enhanced waistline and abdominal contour.
- Better fit of clothing: Especially in fitted or tailored garments.
- Reduced skin irritation: Less risk of infections and irritation in skin folds.
Am I a good candidate for abdominoplasty surgery?
It is important to have realistic expectations about what can be achieved with this surgery and to have a stable, healthy weight following weight loss. Good physical and mental health and being a non-smoker also reduce the risk of complications during and after surgery.
Under Australian regulations, all patients considering abdominoplasty must have an initial consultation with a GP or specialist medical practitioner before meeting with a surgeon. This ensures that your overall health is reviewed and that a proper referral can be made. the specialist medical practitioner first to discuss your health and then for an appropriate referral to a surgeon.
What can I expect during recovery following abdominoplasty surgery?
Recovery time after abdominoplasty varies, and it’s typical to experience some discomfort after the surgery. It is important to follow the instructions given to you during your recovery, including when you can resume exercise. Most patients require at least two weeks off work, with extended time off needed for physically demanding jobs. Dr Wyten will discuss recovery timelines during your initial consultation and offer detailed post-operative care instructions.
You’ll need to wear supportive compression garments for about six weeks after the procedure. These garments help minimise swelling and improve healing. Dr Wyten provides her preferred garments following surgery, but you may choose to purchase additional garments for comfort during your recovery.
Potential Risks of abdominoplasty surgery
As with any invasive procedure, abdominoplasty has some risks, including scarring, bleeding, and the formation of blood clots (such as deep vein thrombosis and pulmonary embolism), as well as infection. Additionally, there are inherent risks associated with general anaesthesia.
Risks specific to this surgery and those that may occur with general anaesthetic will be discussed with you by Dr Wyten during your consultation. Written information will also be provided for you to read before you proceed with surgery. Some risks associated with this procedure include:
- Asymmetry: Asymmetry between the right and left sides of the abdomen may occur
- Irregular umbilicus: Changes to the umbilicus (belly button) shape may be present for some patients
- Scarring: Typically, scars are placed low on the abdomen near the bikini line and around the repositioned belly button.
- Bleeding or infection: As with all surgical procedures, bleeding or infection may occur
- Fluid accumulation (seroma): Can occur post-surgery.
- Loss of sensation: This can occur in the skin near the surgical site.
- Delayed wound healing: Sometimes, wounds may take longer to heal.
- Shortness of breath or difficulty breathing: Caused by tightening of the abdominal wall muscles when repaired
Dr Wyten will explain all risks during your consultation and provide you with written information to help you make an informed decision.
Choosing an experienced Specialist Plastic Surgeon, such as Dr Wyten, is the safest option when considering this type of surgery. If you experience any unusual pain, swelling or bleeding after surgery, please seek help immediately.