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Tummy Tuck Surgery for Men: A Plastic Surgeon’s Guide

Tummy tuck surgery, or abdominoplasty, is a procedure designed to remove excess skin and fat from the abdominal area while tightening the underlying muscles. For men, this procedure is often sought to improve body contours after significant weight loss, ageing, or persistent fat deposits that do not respond to diet and exercise. By addressing both skin laxity and muscle firmness, a tummy tuck helps create a more sculpted and defined midsection.

This guide outlines the procedure, techniques, and recovery process to provide a clearer perspective for those considering abdominoplasty.

Who Should Consider a Tummy Tuck?

Men considering a tummy tuck typically have concerns related to excess skin, stubborn fat, or weakened abdominal muscles. Ideal candidates may include:

Men who have undergone significant weight loss: Losing a large amount of weight often results in loose or sagging skin that does not retract on its own. Abdominoplasty removes this excess skin, improving body proportions.

Those with stubborn fat deposits: Some men retain fat around the lower abdomen despite regular exercise and a healthy diet. When fat distribution is resistant to lifestyle changes, a tummy tuck combined with liposuction can refine the midsection.

Individuals with weakened abdominal muscles: Abdominal muscles may lose firmness over time due to ageing or previous weight fluctuations. Tightening these muscles during a tummy tuck can restore core strength and improve posture.

Men with skin laxity due to ageing: As skin loses elasticity with age, some men experience loose skin around the midsection that contributes to an undefined or sagging appearance. Abdominoplasty addresses this by removing excess skin and firming the abdominal area.

Tummy Tuck Techniques

The approach to abdominoplasty varies based on the amount of excess skin, fat distribution, and muscle condition.

Full Abdominoplasty

This technique removes excess skin and fat across the entire abdomen and tightens the underlying muscles. It is suitable for men with significant skin laxity and muscle weakness. The incision extends from hip to hip, positioned low enough to be concealed beneath clothing. The navel may also be repositioned to maintain natural proportions.

Mini Abdominoplasty

A less invasive option, this technique focuses on the lower abdomen below the navel. It is best suited for men with mild to moderate skin laxity in this area. The incision is smaller, and muscle tightening is typically limited to the lower abdominal region. Recovery time is shorter compared to a full abdominoplasty.

Liposuction-Assisted Abdominoplasty

In cases where stubborn fat is present, liposuction is combined with abdominoplasty to enhance contouring. This is particularly effective for men with good skin tone but excess fat deposits around the abdomen and waistline. Liposuction removes fat, while the tummy tuck addresses skin laxity and muscle tightening.

Endoscopic or Minimal Scar Abdominoplasty

For men with minimal excess skin but weakened muscles, this technique uses small incisions and an endoscopic approach to tighten the abdominal wall. It is less invasive, resulting in shorter recovery and reduced scarring. However, it is only suitable for those with good skin elasticity.

Step-by-Step Procedure

Pre-Surgical Preparation: A full medical assessment is conducted to confirm suitability for the procedure. Patients receive specific instructions on diet, medications, and lifestyle adjustments to prepare for surgery. Maintaining stable weight and avoiding smoking before the procedure can support better healing and outcomes.

Anaesthesia Administration: Abdominoplasty is performed under general anaesthesia to ensure comfort throughout the procedure. For less extensive cases, local anaesthesia with sedation may be an option.

Incision Placement: A horizontal incision is made along the lower abdomen, positioned to remain as discreet as possible. In a full abdominoplasty, an additional incision around the navel may be necessary to reposition it naturally.

Removal of Excess Skin and Fat: Loose skin is carefully excised, and in some cases, liposuction is performed to remove stubborn fat deposits. This step ensures a more defined abdominal contour.

Muscle Tightening: If the abdominal muscles are weakened or separated, they are sutured together to restore firmness. This step improves abdominal definition and core strength.

Skin Redraping and Closure: The remaining skin is adjusted to create a smooth and natural contour. Incisions are then closed with sutures, and drains may be placed to prevent fluid build-up.

Immediate Post-Surgical Care: The treated area is dressed, and compression garments are provided to reduce swelling and support healing. Patients are monitored before being discharged with aftercare instructions.

Recovery and Aftercare

Initial Healing and Activity Restrictions

Swelling, bruising, and mild discomfort are expected in the first few weeks. Prescribed medication helps manage any discomfort. Light movement is encouraged to support circulation, but strenuous activities, heavy lifting, and exercise should be avoided. Most men can return to non-strenuous work within two weeks.

Long-Term Healing and Follow-Up

Swelling gradually subsides over several months, with results becoming more noticeable as healing progresses. Wearing a compression garment as directed supports skin retraction and reduces swelling. Regular follow-up appointments assess healing and ensure the best outcome. Scar care instructions are provided to help incisions fade over time.

Possible Risks and Complications

A tummy tuck carries some risks, though complications are uncommon with proper care. Scarring is expected but can fade over time. Swelling, bruising, and temporary numbness gradually subside. Infection and fluid build-up (seroma) are rare but manageable with wound care and drainage if needed. Healing may take longer in some cases, especially with factors like smoking or certain health conditions. Light movement aids circulation and reduces the risk of blood clots. Regular follow-ups help monitor recovery and address any concerns.

Conclusion

A tummy tuck is an effective option for men looking to achieve a more contoured and defined abdomen. The procedure removes excess skin, tightens the abdominal muscles, and enhances body proportions. Recovery requires patience and adherence to post-surgical care, but the long-term benefits make it a worthwhile consideration for those looking to refine their physique.

Schedule a consultation today to discuss your goals and explore the most suitable approach for achieving a firmer, more sculpted abdomen.

Hair Transplant: A Plastic Surgeon’s Guide

Hair loss is a common concern for many men and women, with various factors such as genetics, ageing, and medical conditions contributing to thinning or baldness. While non-surgical treatments may slow hair loss, hair transplant surgery provides a lasting solution by restoring natural hair growth in areas with reduced density. Advances in surgical techniques allow for precise and natural-looking results, ensuring that transplanted hair blends seamlessly with existing hair.

This guide outlines the key aspects of hair transplant surgery, including who may benefit, available techniques, the surgical process, recovery, and expected outcomes.

Who Can Benefit from a Hair Transplant?

Hair transplant surgery is suitable for individuals experiencing hair loss due to various factors. The best candidates typically include:

Men with Male Pattern Baldness: Those experiencing receding hairlines or thinning at the crown due to hereditary hair loss.

Women with Localised Hair Thinning: Suitable for women with specific areas of hair thinning rather than diffuse hair loss.

Individuals with Hair Loss from Scarring: Those with hair loss caused by injuries, previous surgeries, or burns.

Stable Hair Loss: Candidates should have a predictable pattern of hair loss with sufficient donor hair to achieve desired coverage.

Hair Transplant Techniques

There are two main techniques used in hair transplant surgery, each with distinct approaches to extracting and implanting hair follicles.

Follicular Unit Transplantation (FUT)

This technique involves removing a thin strip of scalp from the donor area, usually the back of the head where hair is denser. The strip is carefully dissected into individual follicular units under a microscope before being implanted into the recipient site.

  • Benefits: Allows for the transplantation of a larger number of grafts in a single session, making it ideal for those requiring extensive coverage.
  • Considerations: Leaves a linear scar at the donor site, though it is typically concealed by surrounding hair.

Follicular Unit Extraction (FUE)

In this method, individual hair follicles are directly extracted from the donor area using a specialised micro-punch tool. The harvested follicles are then implanted into the recipient area to restore hair density.

  • Benefits: Leaves minimal scarring and allows for a quicker recovery period.
  • Considerations: Suitable for those preferring shorter hairstyles, as there is no linear scar, but may require multiple sessions for significant hair loss.

Both techniques aim to produce natural results, with the choice depending on factors such as hair loss extent, donor hair availability, and personal preferences.

Step-by-Step Hair Transplant Procedure

Consultation and Planning: A thorough scalp assessment is conducted to determine the most suitable technique and the number of grafts required. The hairline is carefully designed to achieve a natural and balanced appearance, considering facial proportions and hair density.

Preparing for the Procedure: The donor and recipient areas are trimmed if necessary. Local anaesthesia is administered to numb the scalp, ensuring comfort throughout the procedure.

Hair Follicle Harvesting: In follicular unit transplantation (FUT), a thin strip of scalp is removed from the donor area and dissected into individual follicular units under magnification. In follicular unit extraction (FUE), each follicle is extracted individually using a specialised tool, leaving minimal scarring.

Graft Preparation: The harvested follicles are sorted, cleaned, and preserved to maintain viability. Only healthy and intact grafts are selected for transplantation to optimise growth and coverage.

Recipient Site Creation: Tiny incisions are made in the thinning or balding areas, following the natural angle and direction of hair growth. This ensures that the transplanted hair blends seamlessly with surrounding hair.

Graft Placement: The prepared follicles are meticulously implanted into the recipient sites, ensuring proper spacing and density to achieve a natural, full appearance.

Post-Procedure Care: The treated areas are gently cleaned, and protective bandages are applied if needed. Patients receive detailed aftercare instructions to promote healing and ensure the survival of transplanted follicles.

What to Expect During Recovery

Initial Healing

Mild swelling, redness, and scabbing are expected in the first few days as the scalp begins to heal. Some discomfort or tightness may occur but is manageable with prescribed medication. It is necessary to keep the scalp clean and follow post-surgical care instructions to prevent infection.

Most patients can resume non-strenuous activities within a few days, while strenuous exercise, heavy lifting, and direct sun exposure should be avoided for at least two weeks to protect the newly transplanted follicles.

Long-Term Care

During the first month, the transplanted hair sheds, which is a natural part of the healing process before new growth begins. Hair regrowth typically starts around three to four months, with progressive improvements in density and coverage over time. By six months, noticeable changes can be seen, but full results take 12 to 18 months as the hair thickens and blends naturally with existing hair. Ongoing scalp care and a healthy lifestyle contribute to the longevity of the results.

Conclusion

Hair transplant surgery provides a long-term solution for restoring hair growth in areas affected by thinning or baldness. Whether through FUT or FUE, the procedure offers natural-looking results with minimal downtime. A thorough consultation ensures a personalised treatment plan tailored to individual needs and goals.

Schedule a consultation today to explore the most effective approach to hair restoration and take the next step towards regaining fuller, natural-looking hair.

Gynaecomastia Treatment Options

Gynaecomastia is a condition where male breast tissue enlarges due to hormonal imbalances, weight fluctuations, or certain medical conditions. It can affect one or both sides of the chest and may cause physical discomfort or self-consciousness. While the condition is not harmful, some individuals seek treatment to restore a flatter, more contoured chest.

There are different ways to address gynaecomastia, ranging from lifestyle changes to surgical intervention. This article outlines the available treatment options and what to consider when choosing the most suitable approach.

Non-Surgical Treatment Options

For some individuals, gynaecomastia may be managed without surgery, depending on the underlying cause and severity of the condition.

Lifestyle and Weight Management

In cases where excess fat contributes to the appearance of gynaecomastia, weight loss through diet and exercise may help. Reducing overall body fat can improve chest contour, though it may not always eliminate excess glandular tissue.

Medication

If gynaecomastia is linked to hormonal imbalances, medications such as selective oestrogen receptor modulators (SERMs) or aromatase inhibitors may be prescribed. These help regulate oestrogen levels and reduce breast tissue growth. However, medication is most effective when started early and may not work for all cases.

Addressing Underlying Conditions

Some cases of gynaecomastia result from conditions such as low testosterone, thyroid disorders, or the use of certain medications (e.g., steroids or anti-androgens). Treating the root cause can sometimes reverse the enlargement of breast tissue.

Surgical Treatment Options

When non-surgical methods are ineffective or the gynaecomastia is more pronounced, surgical options provide a lasting solution.

Liposuction

Liposuction is used when excess fat is a major component of gynaecomastia. Small incisions are made in the chest, and a thin tube (cannula) is inserted to remove fat deposits. This technique is effective for improving chest contour but does not address excess glandular tissue.

Glandular Tissue Removal (Excision Surgery)

For individuals with significant glandular breast tissue, surgical excision is required. This involves removing the firm, dense tissue that cannot be eliminated through liposuction alone. The incision is typically made around the lower half of the areola to minimise visible scarring.

Combination of Liposuction and Excision

In some cases, both liposuction and excision are performed together to achieve a more natural chest contour. This approach is particularly beneficial for those with a mix of excess fat and glandular tissue.

Choosing the Right Treatment

The most suitable treatment depends on the severity of gynaecomastia and its underlying cause. Non-surgical approaches may be effective for mild cases, while surgery is the preferred option for persistent or significant breast tissue enlargement. A consultation with your surgeon will provide a detailed assessment and personalised recommendations.

Conclusion

While some cases of gynaecomastia improve with lifestyle changes or medication, surgery remains the most effective solution for long-term correction. Liposuction and glandular tissue removal can restore a more contoured chest for individuals with persistent gynaecomastia.

Schedule a consultation with Dr Marco today to explore the best treatment options for gynaecomastia tailored to your needs.

Labiaplasty Cost in Singapore: What You Need to Know

Labiaplasty is a surgical procedure that reshapes or reduces the size of the labia minora or labia majora. Some people choose to undergo this procedure due to physical discomfort, personal preference, or functional concerns.

If you are considering labiaplasty in Singapore, knowing the factors that influence the cost, the estimated price range, and additional expenses that may arise can help you plan ahead. This article outlines these aspects to give you a clearer overview of what to expect.

Factors Influencing the Cost of Labiaplasty

The cost of labiaplasty is influenced by several key factors, which contribute to variations in pricing.

Type of Procedure

The surgical approach used in labiaplasty affects the complexity and duration of the procedure, which in turn influences the cost. The two most common techniques are:

  • Trim method: This involves removing excess tissue along the edge of the labia. It is often chosen for those seeking a more uniform appearance.
  • Wedge method: A V-shaped section is removed from the labia, preserving the natural edges while reducing bulk. This technique may involve more detailed suturing, potentially increasing the procedure time.

In some cases, additional refinements such as clitoral hood reduction are performed alongside labiaplasty, which may add to the overall cost.

Surgeon’s Experience and Qualifications

A surgeon’s expertise and training in labiaplasty influence the cost. Those with extensive experience in aesthetic and reconstructive procedures often have higher fees, reflecting their skills, credentials, and patient demand. Pricing may also vary based on the surgeon’s reputation and additional qualifications in cosmetic surgery.

Anaesthesia Fees

Labiaplasty can be performed under local anaesthesia, where the surgical area is numbed while the patient remains awake, or general anaesthesia, where the patient is fully sedated. Local anaesthesia generally costs less as it does not require an anaesthetist to be present. For patients opting for general anaesthesia, the cost is higher as it requires an anaesthetist and continuous monitoring.

Surgical Facility and Operating Theatre Fees

The choice of surgical setting influences costs. Procedures performed in an accredited surgical centre or hospital operating theatre generally involve higher fees due to strict sterilisation standards, specialised equipment, and the presence of medical staff for monitoring. In contrast, some procedures performed in a private clinic under local anaesthesia may have lower facility charges.

Pre-Surgical Consultation and Tests

A consultation with the surgeon is required before the procedure to discuss the patient’s concerns, goals, and medical history. Additional pre-surgical tests, such as blood work or other assessments, may be needed to ensure the patient is fit for surgery, adding to the total cost.

Post-Surgical Care and Follow-Ups

Recovery requires proper aftercare, which includes medication, wound dressings, and follow-up consultations to monitor healing. Patients who require additional adjustments or minor refinements may also incur additional costs.

Estimated Cost of Labiaplasty in Singapore

Labiaplasty in Singapore typically costs between SGD 7,000 and SGD 10,000, influenced by the surgeon’s fees, surgical facility, anaesthesia type, and procedure complexity. This estimate generally includes professional fees, anaesthesia, operating theatre charges, and immediate post-surgical care.

However, pricing varies across clinics, and the final cost will depend on individual requirements and the specifics of the treatment plan.

Additional Costs to Consider

Beyond the main surgery cost, there are other expenses that patients may need to account for.

Consultation Fees: Initial consultations typically range from SGD 100 to SGD 250 per session, covering assessments and treatment planning.

Pre-Surgical Tests: Necessary medical evaluations, such as blood work or health screenings, may cost between SGD 100 and SGD 300.

Medication and Wound Care: Post-operative care, including pain relief medications, antibiotics, antiseptic solutions, and specialised wound dressings, can add approximately SGD 50 to SGD 300 to the overall expense.

Conclusion

Labiaplasty costs in Singapore depend on factors such as the surgical technique, surgeon’s background, anaesthesia type, and post-surgical care. Patients should also account for consultation fees, medical tests, and recovery-related expenses. Learning about these cost components allows you to plan for the procedure.

Schedule a consultation today to discuss your goals and receive a personalised plan tailored to your specific needs.

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