How is minimally invasive lipoabdominoplasty different from the traditional tummy tuck (abdominoplasty)?
The traditional tummy tuck procedure is associated with a relatively higher complication rate because of the required large undermining of the anterior abdominal flap (skin and fat). This undermining involves extensive trauma and compromise to the blood supply of the abdominal flap. For this reason combining liposuction of the abdominal fat with the traditional tummy tuck procedure can injure the skin and fat of the abdominal wall, placing the tissue of the abdominal wall at risk for necrosis (dying). General or heavy twilight (sedation) anesthesia is usually required to perform traditional abdominoplasty surgery because of the extensive tissue dissection and manipulation.
With the revolutionary minimally invasive lipoabdominoplasty procedure done by Dr Greenberg, performing liposuction of the abdomen first actually creates an empty space underneath the skin. The skin overlying this empty space is extremely mobile allowing removal of as much, if not more, skin as the traditional tummy tuck without the danger of losing the blood supply to the remaining abdominal skin. In other words the amount of fat that can be removed from the abdomen is greater than with traditional tummy tucks (improving the contour of the abdomen by thinning the fat layer considerably), all while decreasing the risk of injury to the blood supply feeding the remaining fat and skin. This is because liposuction under tumescent anesthesia creates the space with minimal effect on the blood vessels within this space.
The management of the belly button is identical in both procedures. The skin incisions and the amount of skin removed are also similar. Tightening of the abdominal wall muscles can be performed with either procedure, however, Dr Greenberg’s approach rarely requires use of drains as is standard with the traditional tummy tuck.