Childbirth wreaks havoc on most women's bodies, and one of the most natural, but also most taxing events that women undergo has the greatest effect on the abdomen. This is what is driving the growth in tummy tuck surgery, and also the exploration of new incision, removal and stitching techniques in order to give Thai cosmetic surgery patients better outcomes. The only distinctions that were once made between abdominoplasty types were whether a full procedure, partial procedure, or extended (full lower body) procedure was performed. We look at the traditions of tummy tucks, as well as the exciting new developments at Thailand's cosmetic hospitals that are giving women natural, long term results.
The traditional procedure for performing a full abdominoplasty involves making an incision from hip to hip, slightly above the pubic bone. Another incision is made up to the navel, creating a T-shaped cut overall. The skin is detached from the underlying tissue, and the muscles and fascia that are to be tightened are identified by the Thai cosmetic hospital surgeon. When the muscles have been cut, resectioned and sewn together, the same is done for the fat and skin overlying them. The bellybutton stalk is usually kept, bringing it out through a new hole and stitching it into place. A partial abdominoplasty at international hospitals in Bangkok usually involves only the cutting and sectioning of skin, not the underlying muscle. The T-cut was standard for many years, until recently when surgeons began exploring other opportunities.
Despite the fact that the T-cut was the main one used until very recently, surgeons were innovating with their cuts as early as 1980. Kelly, a gynecological surgeon at John Hopkins in the United States, used to make a lens-shaped cut around the belly button, which had its widest point at the bellybutton, with the curves coming together at the waist. Weinhold also created some very unusual cuts for abdominoplasties, although these have been very rarely used in Thai cosmetic surgery. A set of three radial, lens shaped incisions are made, sparing the natural bellybutton, with the centerpoint just below the navel, one stretching down vertically, and the other two radiating out to the midpoint of the waist.
Steve Laverson, a United States cosmetic surgeon, is one of the latest innovators to have his technique noted by the big Thai cosmetic surgery hospitals which serve thousands of cosmetic surgery medical tourists every year. The procedure is known technically as a reconstruction of the linea alba sulcus by direct fat excision. The procedure draws on the fact that the shallow vertical midline between the two halves of the abdominal wall is one of the main features of young women's abdomen's, but is often obliterated either through trauma such as pregnancy, or through surgery.
After elevating the skin flap, in Dr Laverson's procedure that hospitals in Bangkok will soon adopt, a precisely marked thin vertical strip of fat is removed from the neoumbilical location on the flap is removed. This creates a subtle 'dent' and effectively mimics that youthful look that Thai medical tourism patients seek. It is a simple technique, which requires no extra tools and little extra time.
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