Say Goodbye to Flabby Tummies, Wear a Bikini Again!! With the Tummy Tuck Program by Dr. Toeng at Aurora Clinic Surat Thani & Koh Samui
- SPARK IDEA
- Jun 23
- 26 min read
Hello everyone! I'm Dr. Toeng (Dr. Apirak Wongsawassup), a plastic surgery specialist and owner of Aurora Clinic, ready to help friends in Surat Thani and the paradise island of Koh Samui with their beauty and confidence. Today, I want to talk about a common concern, especially for mothers after childbirth or those who have lost a lot of weight: the problem of a "flabby tummy" or "sagging abdomen"!
I understand how much the problem of a "flabby tummy" after pregnancy, where the abdomen greatly expands, or after significant weight loss, where the skin has been stretched extensively and cannot fully retract, can lead to a lack of confidence. Some may feel discouraged because no matter how much they exercise or diet, the excess sagging skin on their abdomen persists, making them hesitant to wear revealing clothes or even beautiful swimsuits like bikinis to beautiful beaches in Koh Samui or elsewhere, right?
These problems are not your fault. They are natural occurrences that happen to the body after major changes. I see the desire in the eyes of many patients who want to "say goodbye to their flabby tummy" and "wear a bikini again" or simply feel confident in their body shape when wearing normal clothes. And the good news is, with advancements in plastic surgery, this problem has a solution: "tummy tuck" surgery (Abdominoplasty). This is a highly effective "body transformation program" that helps remove excess skin and fat, as well as tighten separated abdominal muscles, making the abdomen flat and firm again.
In this article, Dr. Toeng will be a "traveling companion" to introduce you to the tummy tuck procedure in detail. We'll cover what causes the problem, who is suitable for the procedure, what the surgical steps are, and how to care for yourself after surgery. This is to help those who are concerned understand and decide what is best for themselves at Aurora Clinic, Surat Thani & Koh Samui!
What Causes a "Flabby Tummy"? - When the Abdomen Tells Life's Story Through Difficult-to-Fix Marks
Friends, just as our faces tell the story of life through smiles and wrinkles, our abdomens also tell important life stories. Especially stories of pregnancy, giving birth to a little life, or stories of significant weight loss efforts. These stories are often recorded as visible "marks," which are the "flabby tummy" or "sagging abdomen."
The problem of a "flabby tummy" or "sagging abdomen" that we are discussing is not merely an external aesthetic issue. Often, it's also a sign of physiological changes that have occurred in the body, some of which are difficult or almost impossible to fix with exercise or diet alone.
The important stories often etched on the abdomen, and the main causes of a "flabby tummy," include
Pregnancy - "The Great Story of Creating a New Life" That Leaves Marks on the Abdomen's "Canvas"
For women, pregnancy is a miraculous experience. However, the expansion of the abdomen to accommodate the growing fetus over nine months is truly a significant change for the skin and abdominal muscles.
Skin is Stretched Enormously
Imagine stretching a "balloon" to its maximum capacity. The skin on the abdomen is similar; it is stretched extensively to accommodate the expanding uterus. Collagen and elastin fibers, which are the "structure" and "spring" that provide skin elasticity, may be stretched to their limit or some parts may be permanently damaged. This means that after childbirth, when the abdomen shrinks, the skin may not be able to fully retract to its original condition, resulting in "excess skin" that looks wrinkled, loose, and often accompanied by stretch marks. This problem is even more apparent in those who have twin pregnancies, multiple pregnancies, or pregnancies where the abdomen expanded significantly.
Diastasis Recti or Weak Abdominal Muscles
This is an "internal story." The large abdominal muscles (Rectus Abdominis Muscle), also known as the "Six-pack," are normally close together in the center, connected by a strong fascia called the Linea Alba. However, during pregnancy, the greatly increased intra-abdominal pressure pushes these abdominal muscles apart in the middle. The Linea Alba fascia also stretches and weakens. After childbirth, some of the abdominal muscles may naturally move back together, but in many cases, especially in those with multiple pregnancies or weak abdominal muscles, "diastasis recti" will persist, creating a "gap" between the left and right abdominal muscles. This condition makes the abdomen look "puffed out all the time," as if still pregnant, even if there is no excess fat!
Importantly, general abdominal exercises like sit-ups cannot help stitch these separated muscles back together , because the problem lies in the stretched fascia, not just muscle strength.
Significant Weight Loss - "A Story of Effort" That Leaves Behind "Excess Skin"
For those who were once very overweight and successfully lost a significant amount of weight, this is a commendable "story" of effort. However, this weight loss often comes with a new challenge: "excess skin."
Skin Permanently Loses Elasticity
When the skin is stretched for many years due to a large accumulation of fat, the collagen and elastin fibers are damaged and lose their ability to "retract." It's like the "elastic band" in your favorite pants that used to stretch well, but after being stretched for a long time and repeatedly exposed to heat, the elastic fibers deteriorate and can no longer return to their original state.
Excess Skin That Isn't Fat
What remains after significant weight loss is "empty" skin. It's not fat that can be broken down with exercise or diet. This excess skin hangs in folds around the abdomen, which not only looks unsightly but can also create hygiene issues, such as dampness, skin irritation, or problems with wearing clothes.
Aging - "A Story of Time" That Causes Natural Skin Deterioration
Even without pregnancy or significant weight loss, "time" passing over our abdominal "canvas" can also lead to natural skin deterioration. As we age, the production of collagen and elastin throughout the body decreases, and the quality of the fibers also declines, leading to thinner skin and a loss of overall elasticity and firmness, which can also cause the abdomen to appear slightly to moderately "sagging."
Why Is a "Flabby Tummy" Difficult to Fix with General Methods? - When the "Story" Needs "Structural" Correction
From the "stories" that cause a "flabby tummy," we can see that the main problems are "excess skin" and "separated abdominal muscles." This is why exercise and diet alone cannot fix this problem.
Exercise Helps Build Muscles and Reduce Fat, but Cannot Eliminate Excess Skin.
Exercise helps strengthen abdominal muscles and burn excess fat. However, no matter how strong the abdominal muscles become, they cannot make skin that has lost its elasticity retract. The excess skin remains the same.
Exercise Cannot Stitch Separated Abdominal Muscles.
As mentioned, diastasis recti results from weakened fascia and separated muscles. General exercise cannot bring these separated muscles back together. Some exercises, such as full sit-ups, might even worsen the separation.
This is what makes a "flabby tummy" a problem difficult to fix with general methods. And this is where "tummy tuck" surgery plays a crucial role , because it is the only procedure that can directly remove excess skin and stitch separated abdominal muscles back together.
At Aurora Clinic in Surat Thani and Koh Samui, I understand the "stories" on your abdomen. Solving the "flabby tummy" problem is not just about making the abdomen look better externally; it's about helping you "close the chapter" of worry and start a "new story" of confidence in your body shape. If you are facing these problems and feel discouraged that they cannot be fixed with general methods, don't give up hope. Tummy tuck surgery might be the solution you're looking for.
What is "Tummy Tuck" Surgery? - The Art of Body Sculpting Towards a Flat Abdomen (Abdominoplasty: The Art of Body Sculpting)
Friends, now that we understand the various "stories" that nature has etched on our abdomens, leading to the problem of a "flabby tummy" or "sagging abdomen" which is often difficult to fix with general methods, Dr. Toeng will introduce you to our "hero" who will help "write a new chapter" for your abdomen: "Tummy Tuck" surgery.
"Tummy Tuck" surgery is more than just "cutting" away excess skin. It is truly "The Art of Body Sculpting." It involves applying skill, knowledge, and understanding of anatomy, combined with physical problem-solving, to create a new abdomen that looks flat, beautifully contoured, and harmonious with the overall body shape.
Abdominoplasty: When "Structural" Correction Leads to Major Transformation
"Tummy tuck" surgery is a plastic surgery procedure with the primary goal of removing excess skin and fat in the abdominal area, as well as tightening weakened or separated abdominal muscles. This results in a flatter, firmer, tighter, and more beautifully contoured abdomen. This procedure is ideal for those with a "flabby tummy" due to pregnancy or significant weight loss, which cannot be corrected with exercise or diet.
Let's delve into the main components of this "art."
Removal of Excess Skin: "Trimming the Excess" Like Cutting Fabric to Fit
This is the "heart" of "tummy tuck" surgery. The main problem of a "flabby tummy" is excess skin that has lost elasticity and cannot retract. This surgery directly removes the problem that cannot be fixed by other methods.
Procedure The surgeon will make an incision in the lower abdomen. Generally, the incision is placed low enough to be hidden by underwear or a bikini when worn. The length of the incision varies depending on the amount of excess skin, typically extending from one hip to the other (for Full Abdominoplasty). The surgeon then separates the skin and fat layer from the underlying abdominal muscles up to the area above the belly button. All excess skin below the belly button is then removed.
Results This removal of excess skin significantly flattens the lower abdomen. It also helps eliminate most stretch marks, as they are often located in the lower abdominal area that is removed.
Analogy It's like having clothes that are too loose and needing to "trim the excess fabric" and then "sew" it back to fit perfectly.
Tightening Abdominal Muscles (Diastasis Recti Repair): "Stitching an Internal 'Corset'" to Create a Strong Abdominal Wall
In addition to skin problems, those who have been pregnant often have diastasis recti or weak abdominal muscles. This causes the abdomen to look continuously distended. Tummy tuck surgery helps correct this problem.
Procedure After separating the skin and fat from the muscles, the surgeon will see the separated Rectus Abdominis Muscles. The surgeon will use special sutures to stitch these separated muscles back together in the middle. Sometimes, two layers of sutures may be needed for added strength.
Results This muscle tightening helps create a stronger abdominal wall , making the abdomen appear significantly flatter , correcting the bulging abdomen problem, and also helping reduce back pain in some cases caused by weak abdominal muscles. It's like "repairing an internal corset" in the body to make it function effectively in tightening and supporting the torso again.
Removal of Excess Fat - Often Performed with Liposuction: "Refining Details and Sculpting Shape" Like Molding Clay
"Tummy tuck" surgery will remove excess fat attached to the removed skin. However, for even more perfect body sculpting results, surgeons often perform liposuction concurrently with tummy tuck surgery, also known as Lipoabdominoplasty.
Procedure The surgeon uses small liposuction instruments to remove excess fat in other areas of the abdomen and torso that cannot be removed with the excess skin. Examples include the sides of the body (love handles or flanks) or above the belly button, to help the overall abdomen and torso appear slimmer, more contoured, and harmonious.
Results Liposuction helps reduce the remaining excess fat and helps sculpt the body around the abdomen to create curves and blend seamlessly with the flattened abdomen. It's like using a "sculpting tool" to refine details and give our "sculpture" a more perfect shape.
Umbilical Transposition: "Relocating the 'Center' to Look Natural"
In a full "tummy tuck" surgery, because the skin below the belly button is completely detached and pulled down, if the belly button is not repositioned, it would sit too low and look unnatural.
Procedure The surgeon preserves the original belly button, keeping it connected to the deeper umbilical stalk. Then, after pulling down the abdominal skin, the surgeon creates a new opening in the repositioned abdominal skin at the appropriate location and brings the original belly button out to be sutured to the skin around this new opening.
Results This belly button transposition helps your belly button return to a natural-looking position on the flattened abdomen. The suturing around the new belly button requires precision and artistry to make the belly button look natural and to best conceal the scar.
Types of "Tummy Tuck" Surgery: Choosing the "Form" to Match Your "Story"
There are several types of "tummy tuck" surgery. The appropriate type depends on the amount of excess skin, the degree of muscle laxity, and the areas needing correction, which I will evaluate and recommend during the consultation.
Full Abdominoplasty
This is the most common type. It is suitable for those with excess skin and muscle laxity across the entire abdomen (both above and below the belly button), including those with diastasis recti. The surgical incision will be long in the lower abdomen, and the belly button will be repositioned.
Mini Abdominoplasty
This is suitable for those with mild to moderate excess skin and muscle laxity only in the area below the belly button. There are usually no problems with the muscles above the belly button, and the belly button does not need to be repositioned. The surgical incision is shorter than a full abdominoplasty.
Extended Abdominoplasty
This is suitable for those with a large amount of excess skin that extends to the flanks. It is often seen in those who have lost a significant amount of weight. The surgical incision will be longer than a full abdominoplasty, extending to the sides of the body.
Circumferential Abdominoplasty or Lower Body Lift
This is a more complex surgery. It is suitable for those who have lost a significant amount of weight and have sagging excess skin around the entire torso (abdomen, flanks, hips, and buttocks). It involves removing excess skin around the entire torso, resulting in an incision around the waist.
"The Art of Body Sculpting" That Requires an Expert "Artist"
Friends, "tummy tuck" surgery is an "art" that requires an understanding of anatomy, precise surgical skills, and an "artist's eye" to design and sculpt the body into proportion and beauty. The position and length of the surgical incision, muscle tightening, concomitant liposuction, and belly button repositioning—all steps affect the final result in terms of both aesthetics and safety.
At Aurora Clinic, Surat Thani and Koh Samui, I, Dr. Apirak Wongsawassup (Dr. Toeng), (Medical License No. 35777), am a plastic surgery specialist with extensive experience in tummy tuck and other body contouring surgeries. I understand "the art of body sculpting" and am ready to apply my knowledge, skills, and care to create a new flat and beautifully contoured abdomen for all my friends.
Who is Suitable for "Tummy Tuck" Surgery? - When You Are the Right Candidate for This Procedure to Transform Your Body
Friends, now that we understand the various "stories" that nature has etched on our abdomens and have explored "the art of body sculpting" with "tummy tuck" surgery, the important question that follows is, "Who then is the 'right candidate' for this procedure?"
Who is the "Right Candidate" for "Tummy Tuck" Surgery? - A Comprehensive Evaluation for the Right Decision
Although "tummy tuck" surgery is a highly effective procedure for correcting a "flabby tummy," it is not a solution for everyone. The decision to undergo this procedure should come from a comprehensive evaluation, considering physical suitability and personal readiness. In my view, those suitable for tummy tuck surgery are individuals who meet the following criteria:
Significant Excess Abdominal Skin
"When the skin says... it's stretched to the max." This is the first and most important "qualification." Individuals suitable for tummy tuck surgery are those with a large amount of excess skin in the abdominal area, which often results from severe and prolonged stretching of the skin (from pregnancy or significant weight loss) until it has permanently lost its elasticity and can no longer retract to its original condition.
Imagine an "elastic band" that is stretched out and loose, unable to retract properly, or "fabric" that is too large and doesn't fit the body shape. This excess skin often hangs in folds, making it unsightly and potentially creating other problems such as dampness or skin irritation. This problem of excess skin cannot be corrected by exercise or diet. If you have excess skin that persists no matter how much you try, then you might be a suitable candidate for this procedure.
Diastasis Recti or Weak Abdominal Muscles
"When the internal 'corset' is loose and lacks firmness." Especially in mothers after childbirth, the problem of diastasis recti is common. This is when the large abdominal muscles (Rectus Abdominis Muscle) separate in the middle, making the abdomen appear continually distended, similar to a small pregnancy, even when there is no excess fat. This problem makes the abdomen look uneven and can also cause back pain in some cases.
"Tummy tuck" surgery can stitch these separated abdominal muscles back together. This corrects the "structural" problem internally, making the abdomen flatter, stronger, and firmer. If you have a bulging abdomen caused by diastasis recti and exercise doesn't help, then you might be a suitable candidate for this procedure.
Have Undergone Pregnancy or Significant Weight Loss
"Those with important stories on their abdomen." The group of people who most commonly experience the problem of a "flabby tummy" are often those who have gone through these "important stories." Multiple pregnancies or significant weight loss cause immense changes to the skin and abdominal muscles. If you are one of those who have experienced these and are facing the problem of a "flabby tummy," then you might be a suitable candidate for tummy tuck surgery.
Have Stable Weight and Are Close to Their Goal Weight
"Prepare the 'canvas' before 'sculpting'." Individuals suitable for tummy tuck surgery should have a relatively stable weight and be close to their desired goal weight for at least 6-12 months before surgery. Why stable weight?
Because if there is a pregnancy or significant weight change after surgery (either rapid increase or decrease), it can negatively affect the results. Having a stable weight is like preparing the "canvas" as best as possible before starting the "sculpting."
Are in Good Health and Have No Underlying Medical Conditions That Contraindicate Surgery
"Body ready for the 'journey'." "Tummy tuck" surgery is a major operation. Therefore, overall body health must be strong, with no underlying medical conditions that contraindicate surgery, or with conditions that are well-controlled, such as diabetes, high blood pressure, heart disease, lung disease, or blood-related problems. The surgeon must thoroughly evaluate your health before surgery for maximum safety.
Do Not Smoke (or are willing to strictly stop smoking)
"For smooth 'wound healing'." Smoking severely affects blood circulation and wound healing. Smokers have a high risk of complications after surgery, such as slow wound healing, infection, or skin problems around the wound. If you are a smoker and wish to undergo "tummy tuck" surgery, you must stop smoking completely at least 2-4 weeks before and after surgery, as advised by your doctor.
Have Realistic Expectations
"Understand the 'art' and 'limitations'." Individuals suitable for "tummy tuck" surgery should have realistic expectations about the expected results. "Tummy tuck" surgery is a body sculpting procedure ; it is not significant weight loss, it does not correct excess fat throughout the body, and there will be a scar in the lower abdomen. Although the plastic surgeon will try to make the scar look as good as possible and hide it below the underwear line, the scar will remain with you permanently. You must accept and understand this "trade-off" in exchange for a flatter abdomen.
Who May Not Be Suitable for "Tummy Tuck" Surgery?
Although "tummy tuck" surgery is an effective solution for many, there are some cases where it may not be suitable.
Those Planning to Become Pregnant in the Near Future Future pregnancies can cause the skin and abdominal muscles to stretch again, which may compromise the surgical results. It is advisable to postpone surgery until there are no further plans for children.
Those Still in the Process of Significant Weight Loss If you still plan to lose many more kilograms, you should lose weight close to your goal and maintain a stable weight for at least 6-12 months before surgery. Undergoing surgery before your weight is stable may lead to new excess skin appearing after further weight loss.
Those with Uncontrolled Underlying Medical Conditions or High Surgical Risk The patient's health must be ready and the surgical risk as low as possible.
Those with Unrealistic Expectations If the patient expects a "perfect" abdomen like a model, without understanding about scars or that it is body sculpting and not weight loss, they may not be suitable for surgery.
Key: Consultation with a Plastic Surgery Specialist at Aurora Clinic
Friends, the decision of whether you are the "right candidate" for "tummy tuck" surgery is not a decision to be made on your own. The most important key is to consult directly with a plastic surgery specialist. At Aurora Clinic, Surat Thani and Koh Samui, I, Dr. Apirak Wongsawassup (Dr. Toeng), (Medical License No. 35777), will thoroughly evaluate your "flabby tummy" problem. I will consider all the qualifications mentioned above, as well as your overall health, to provide honest and most suitable advice for you. I will explain the benefits, risks, and limitations of "tummy tuck" surgery and together we will consider whether this procedure is the best solution for the "story" on your abdomen. If you have a "story" on your abdomen that makes you feel insecure and are looking for an effective solution, do not hesitate to contact me, Dr. Toeng, at Aurora Clinic. I am happy to listen to your problems, assess suitability, and together find the best "option" for you to "transform your body" and regain your confidence!
"Tummy Tuck" Surgical Procedure at Aurora Clinic - A Journey to a New Abdomen That Requires Attention to Every Detail
Friends, now that we understand what causes a "flabby tummy" and who are the "right candidates" for "tummy tuck" surgery, Dr. Toeng will take you deeper into the important "journey" to the new abdomen you desire: the "tummy tuck" surgical procedure. From my perspective, Dr. Apirak Wongsawassup, a plastic surgery specialist at Aurora Clinic, Surat Thani and Koh Samui, I view "tummy tuck" surgery not just as an appointment for surgery that ends there. Rather, it is a "journey" that requires careful planning, mutual understanding, and close care at every step, from before surgery, during surgery, and most importantly, during the "recovery" period after surgery. At Aurora Clinic, we place great importance on this "journey." We have clear, systematic processes that adhere to the highest safety standards to ensure that you feel confident every step of the way to the new abdominal results you dream of.
"Tummy Tuck" Surgical Procedure at Aurora Clinic: A Well-Planned Journey for the Best Results
"Tummy tuck" surgery is a major operation. Therefore, it must be performed in a standardized hospital with a ready and safe operating room; it cannot be done in general clinics. Our Aurora Clinic coordinates with leading standardized hospitals in both Surat Thani and Koh Samui to ensure that our friends receive surgery in the safest environment by a team of highly experienced doctors and nurses.
Let's see how this "journey" proceeds:
Detailed Consultation and Evaluation - "The First Step Towards Understanding and Trust" at the Clinic
Every "journey" at Aurora Clinic starts here: in a warm and private consultation room.
Speak Openly You will meet me, Dr. Toeng, directly to discuss in detail. I will listen to your concerns about a "flabby tummy" or "sagging abdomen," whether it's about excess skin, accumulated fat, or problems with diastasis recti. I want you to tell me the "story" on your abdomen openly.
Physical Evaluation I will conduct a detailed physical examination of your abdomen and torso. I will assess the amount of excess skin, skin elasticity, fat distribution, and most importantly, check for diastasis recti (separated abdominal muscles) and evaluate the strength of your abdominal muscles.
Thorough Health History Taking I will ask about your overall health history, underlying medical conditions, drug allergies, and the use of medications, vitamins, or supplements in detail, to ensure that you are physically ready for surgery.
Personalized Surgical Planning Based on the evaluation and discussion, I will present the most suitable "surgical plan" for you. I will explain what caused your problem, what type of "tummy tuck" surgery (Full, Mini, Extended) should be used, whether liposuction is necessary, if abdominal muscle tightening will be performed, and the expected location and length of the scar. I will use illustrations or other media to help you understand as easily as possible.
Discussing Risks and Expected Outcomes I will explain the expected benefits of tummy tuck surgery, as well as the risks, potential complications, and what you need to understand about scars. We will talk openly to ensure you have realistic expectations.
Pre-operative Photography Photographs of your abdomen will be taken before the surgery to be used for comparing results after the procedure.
Answering All Your Questions I will answer all your questions to help you feel comfortable and confident every step of the way. Building trust between doctor and patient is the most important thing from my perspective.
Pre-operative Preparation - "Prepare Your 'Body' and 'Mind' for the Journey" at Home and According to Clinic Instructions
Once you have decided to undergo tummy tuck surgery, the Aurora Clinic team will provide detailed pre-operative preparation instructions.
Medical Health Assessment You will be scheduled for additional medical examinations, such as blood tests (CBC, Electrolytes, BUN, Creatinine, PT/PTT, HIV test), urinalysis, chest X-ray, and electrocardiogram (EKG) to assess your overall physical readiness for surgery.
Medication Instructions The doctor will advise you on discontinuing certain medications that may affect blood clotting, such as aspirin, anti-inflammatory drugs, or some supplements, for an appropriate period before surgery.
Strict Smoking Cessation This is the "most" important thing! Smoking severely affects wound healing and increases the risk of complications. You must stop smoking strictly at least 2-4 weeks before the surgery and continue after the surgery as advised by the doctor.
Fasting from Food and Water You will need to fast from food and water for the period specified by the doctor before surgery (generally 6-8 hours before general anesthesia) to prevent complications from anesthesia.
Other Preparations It is recommended to arrange for someone to help you during the initial period after surgery, prepare a comfortable recovery area at home, and pack loose, comfortable clothing.
Surgery Day at a Standardized Hospital - "Step into the 'Operating Room' with Confidence" Under the Care of Expert Team
"Tummy tuck" surgery is a major operation that must be performed in a hospital.
Hospital Check-in On the day of surgery, you will arrive at the hospital at the scheduled time. Hospital staff and the Aurora Clinic team will welcome you and guide you through the admission process before entering the operating room.
Meeting the Medical Team You will meet me, Dr. Toeng, and the anesthesiologist (a doctor specializing in anesthesia) again to review the surgical plan and assess your readiness for anesthesia. I will mark the surgical area on your abdomen again.
Anesthesia Administration "Tummy tuck" surgery is typically performed under general anesthesia. The anesthesiologist will monitor you throughout the surgery to ensure you are comfortable, pain-free, and safe during the entire procedure.
Entering the Operating Room You will be taken to a standardized operating room with a clean, sterile environment and complete medical equipment. The experienced surgical nursing team will prepare for your "tummy tuck" surgery.
Surgical Procedure - "The Art of 'Sculpting' by an Expert Plastic Surgeon" in the Operating Room
Tight Abdomen... Restore Your Post-Baby Body with SEBT Tummy Tuck Technique: Tighten and Smooth Skin, Sculpt an S-Curve Waist
Once you are asleep under anesthesia, my team and I will begin the surgery according to the planned procedure.
Incision I will make an incision in the lower abdomen along the marked line, which is generally placed low enough to hide the scar.
Tissue Dissection The skin and fat layer will be carefully separated from the underlying abdominal muscles, extending up to the area above the navel.
Liposuction (if planned) If liposuction is planned in conjunction with the tummy tuck, I will perform liposuction on the abdomen and body areas as needed to further enhance body contours.
Abdominal Muscle Tightening For those with diastasis recti (separated abdominal muscles), I will use special sutures to stitch the separated abdominal muscles back together in the midline firmly.
Pulling Down and Excising Excess Skin The dissected skin will be pulled tautly downwards, and all excess skin below the new incision line will be removed. This is a crucial step in eliminating excess skin and most stretch marks.
Umbilical Transposition A new opening will be created in the redraped abdominal skin, and the original navel, which remains connected to its stalk, will be brought out and meticulously sutured to the skin around this new opening to ensure a natural-looking navel in its new position.
Wound Closure The surgical incision in the lower abdomen will be meticulously closed in layers to ensure wound strength, and the outer skin will be sutured precisely for the best possible scar outcome.
Drainage Tube Placement Generally, 1-2 drainage tubes will be inserted to help drain any fluid that may accumulate under the skin.
Abdominal Binder Application After wound closure, an abdominal binder or compression garment will be applied immediately to help reduce swelling and support wound healing.
The duration of the surgery varies for each case, depending on the complexity, typically ranging from 2-4 hours. Throughout the surgery, the medical team and nurses will closely monitor you.
Immediate Post-operative Care at the Hospital - "A Period of 'Recovery' Under Close Supervision"
After the surgery is complete, you will be transferred to the recovery room for close observation.
Anesthesia Recovery The nursing team will monitor you as you recover from anesthesia, checking vital signs, pain levels, and consciousness.
Pain Management You will receive pain medication regularly to ensure you are as comfortable as possible during the initial post-operative period.
Nursing Care Generally, patients will need to stay in the hospital for approximately 1-3 nights, depending on the complexity of the surgery and individual recovery. During this time, the nursing team will closely monitor intravenous fluids, medication administration, assist with getting up and sitting down, walking (initially, you may need to walk slightly bent), and care for the wound and drainage tubes.
Doctor's Rounds I, Dr. Toeng, and my team will visit and check your condition daily while you are recovering in the hospital.
Recovery After "Tummy Tuck" Surgery: A Journey Requiring Patience and Attention
The first thing I want my friends to understand is that recovery after "tummy tuck" surgery takes time. It is a "journey" that requires patience, attention, and strict adherence to instructions. It is not an immediate fix that you see results and then it's over. The recovery period will vary for each individual, depending on the extent of the surgery, their initial health, and self-care. But generally, it will take several weeks to several months to fully return to normal.
Let's look at the details of what to expect and how to care for yourself in each aspect after surgery:
Expected Symptoms After Surgery: "New Sensations" on the Abdomen
Pain
It is normal to experience pain in the abdominal area after surgery. Generally, the pain will be most intense during the first 2-3 days and will gradually improve over time. The doctor will prescribe pain medication for you to take, which will help control the pain well.
Swelling and Bruising The abdomen and surrounding areas may experience swelling and bruising. This is a natural healing process of the body. Swelling and bruising will gradually improve over several weeks or months.
Numbness and Tightness You may feel numbness in the abdominal skin after surgery due to small nerves being cut during the procedure. Numbness usually gradually improves and normal sensation returns in several weeks or months. Additionally, you will feel tightness in the abdominal area, which is normal due to the skin being pulled taut and the muscles being tightened. This tightness will gradually improve over time.
Fatigue It is normal to feel tired and fatigued after major surgery. The body needs time to recover.
Wound and Drain Care: Important "Mark Care"
Surgical Wound Care You must strictly follow the doctor's and nurse's instructions for cleaning the surgical wound. Generally, the wound should be cleaned with saline solution and covered with sterile gauze or special wound dressings. Keep the wound dry at all times, and avoid getting the wound wet until the doctor allows it.
Drainage Tube Care If you have a drainage tube (which is often inserted in full "tummy tuck" surgery), you will need to learn how to care for it, such as squeezing the bulb to create suction, emptying the drained fluid, and recording the fluid volume. The drainage tube is usually removed when the drained fluid volume consistently decreases (generally about 1-2 weeks after surgery). The drainage tube is important in helping to drain fluids that may accumulate under the skin, which helps reduce swelling and promotes wound healing.
Wearing an Abdominal Binder: "Supportive Armor" for a Flat Abdomen
Importance An abdominal binder (Compression Garment) is an important device you must wear after "tummy tuck" surgery. It acts as "supportive armor" for your abdomen, helping to reduce swelling and bruising, supporting the newly tightened abdominal muscles, and helping the tightened skin adhere better to the underlying tissue. This contributes to the smooth and firm result of your new abdomen.
How to Wear You must wear the abdominal binder continuously as advised by the doctor. Generally, it should be worn 24 hours a day during the first few weeks after surgery (except when showering). The doctor may then advise wearing it only during the day for several months later.
At Aurora Clinic: We will instruct you on how to wear the abdominal binder correctly and advise you on the appropriate duration of wear.
Movement and Activity: "Steps" Towards Recovery
Initial Movement After surgery, you may need to walk slightly bent over initially to reduce tension on the surgical wound. Gradually increase your upright posture as you feel better. Getting up and sitting down, or getting out of bed, must be done slowly and by using your arms for support to avoid overusing your abdominal muscles.
Avoid Strenuous Activities Avoid lifting heavy objects, strenuous abdominal exercises (such as sit-ups or weightlifting), or activities that require significant exertion until the doctor allows it. Engaging in strenuous activities too early can lead to problems such as wound dehiscence, bleeding, or increased swelling.
Returning to Normal Activities The doctor will advise on the appropriate time to return to various activities, such as driving, working (depending on the nature of the job), and exercising (starting with light activities like walking). Generally, it will take several weeks to several months to fully return to normal.
Medication Intake: "Medication" to Relieve and Prevent
Pain Medication Take pain medication as prescribed by the doctor to control pain. Do not wait until the pain is severe before taking medication.
Antibiotics Take antibiotics as prescribed by the doctor until finished to prevent infection at the surgical site.
Other Medications The doctor may prescribe other medications, such as blood thinners (in some cases) or anti-swelling medications.
Follow-up Appointments: "Meeting Points" on the Recovery Journey
Follow-up appointments with me, Dr. Toeng, at Aurora Clinic are extremely important! I will schedule you for wound checks, drain removal (if applicable), wound healing assessment, and provide additional self-care advice. Close follow-up ensures a smooth recovery and allows for timely intervention if any problems arise.
Scar Care: Continuous "Mark Care" Towards Faded Scars
Scars are something to understand and accept with tummy tuck surgery. Although the doctor will try to make the scar look as good as possible and hide it low, the scar will remain with you permanently. Once the surgical wound is completely closed and dry (generally about 2-3 weeks after surgery), the doctor will advise on additional scar care to help the scar look softer, smoother, and lighter, such as using silicone gel sheets or scar-reducing creams, gently massaging the scar area, and avoiding sun exposure on the scar for several months.
Overall Health Care: "Strengthening" from Within
Food and Water Eat nutritious food, especially high-protein foods, to aid in wound healing, and drink enough water.
Adequate Rest Allow your body to rest fully to promote the recovery process.
Avoid Smoking I emphasize again that smoking must be stopped completely throughout the recovery period.
Care Beyond Just Surgery, Towards Complete Recovery
Friends, at Aurora Clinic, both in Surat Thani and Koh Samui, my team and I don't just perform tummy tuck surgery. We prioritize caring for our friends at every step of the "journey to a new abdomen." From pre-operative preparation, care during hospital recovery, to self-care at home after surgery. We are ready to provide advice, answer all questions, and offer support to ensure your recovery is as smooth as possible and you achieve the "new abdomen" results that are smooth, beautiful, and most satisfying.
If you have any questions or concerns about self-care after "tummy tuck" surgery, do not hesitate to contact me or the Aurora Clinic team for a consultation. We are ready to take care of you with care!
Why Choose Aurora Clinic for Tummy Tuck? - Confidence at Every Step Towards Your Dream New Abdomen by an Expert Doctor
Friends, tummy tuck surgery is a major operation that requires the expertise and experience of a plastic surgeon. Choosing a standardized clinic and doctor is of utmost importance.
At Aurora Clinic, both in Surat Thani and Koh Samui, we are ready to care for our friends at every step of the journey to a new abdomen.
Expert Plastic Surgeon I, Dr. Apirak Wongsawassup (Dr. Toeng) (Medical License No. 35777), am a certified plastic surgeon with extensive experience in tummy tuck and other body contouring surgeries. I have a thorough understanding of abdominal anatomy and can perform surgery safely, achieving beautiful, natural results, and discreetly hidden scars.
Highest Safety Standards We have standardized operating rooms that are clean and safe, with a team of experienced anesthesiologists and surgical nurses ready to care for you throughout the surgery and during the recovery period.
Holistic Care We care for you from the consultation and surgical planning stages, through the surgery itself, to close post-operative care. We provide self-care advice to ensure a smooth recovery and the best possible results.
Caring and Friendly Service We understand our friends' concerns. Our entire team is ready to care for you with empathy, friendliness, and answer all your questions.
Convenient Location Aurora Clinic is conveniently located in both Surat Thani and Koh Samui, making it easy to travel for consultation and services.
Say Goodbye to Flabby Tummies, Towards the Flat Abdomen You Dream Of! Wear a Bikini Again!! Start by Consulting Dr. Toeng at Aurora Clinic!
Friends, the problem of a "flabby tummy" or "sagging abdomen" is not something you have to endure any longer. With "tummy tuck" surgery performed by an expert plastic surgeon at Aurora Clinic, both in Surat Thani and Koh Samui, you can "transform your body," eliminate excess skin and fat, and tighten your abdominal muscles to be flat, beautifully contoured, and confident in your daily life, including "wearing a bikini again"!
If you have a flabby tummy problem that cannot be fixed by other methods and are looking for an effective solution, do not hesitate to contact me, Dr. Toeng, at Aurora Clinic. I am happy to listen to your problems, assess suitability, and together plan the most appropriate treatment for you to "say goodbye to your flabby tummy" and "transform your body" to the confidence you desire. See you soon!
Aurora Clinic Surat Thani Branch
Tel : 096-652-0899
Line : @auroraclinic
Location : https://maps.app.goo.gl/MfSBczSYdXZ2xctr9...
Opening Hours : เปิดทำการทุกวัน เวลา 10:00 น. - 20:00 น.
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Aurora Clinic Samui Branch
Add line จองโปรโมชั่น : https://lin.ee/PJSVPOv6 (@aurorasamui)
TEL : 083-629-1446
Location : https://maps.app.goo.gl/y1a4H3wX5reeJU989?
Opening Hours : เปิดทำการทุกวัน เวลา 10:00 น. - 20:00 น.
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