The excess skin is marked off with Pitanguy marking clamps, which allow precise reduction of excess skin.
Abdominal muscles are sutured together to reconstruct the integrity of the abdominal wall and bring in the waist. These sutures are placed in the midline with knots buried deep to prevent artificial-looking bumps.
A new belly button is made, and the skin is closed in layers with absorbable sutures. This method of closure leaves a smaller scar and reduces hash marks common in the removable-suture procedures.
Reduction of “dog ears”
Frequently after a Traditional Tummy Tuck, small pockets of skin form at each end of the long horizontal incision used in the standard procedure. Such skin pockets, due to their appearance, are often referred to as “dog ears”. These “ears” have to be surgically reduced several months after Tummy Tuck when the healing is complete.
To avoid complications and a secondary procedure, Dr. Chugay has developed a method of reducing “dog ears” before they are formed. Sparing the unnecessary detail, this technique involves, after fully suturing the abdominal wall, going back to the incision site and re-excising additional amounts of skin at each end of the original incision. Such additional excision is elliptical in shape. The ends of the excisions are then sutured meticulously.