Warwickshire plastic surgeon

The cosmetic surgery procedures you may never have heard of: trunk reduction

Reflecting the ever increasing rise in plastic surgery in the UK, the internet has become a vast resource of information – often excellent, but sometimes misleading or sketchy. I find that many prospective patients that arrive for a consultation at my Leamington plastic surgery practice are fully conversant in the pros and cons of breast augmentations, tummy tucks and liposuction, but it can also mean that they have fixed ideas on which procedure is best for them.

I offer a range of cosmetic surgery procedures and sometimes a patient may require something less straightforward to achieve the results they are hoping for. Here I look at some of the less well-known cosmetic surgery procedures I offer.

The tummy tuck or abdominoplasty is a very popular procedure and many men and women arrive for a consultation at my Leamington cosmetic surgery practice believing that this is the procedure for them.

For some, excess skin and fat continues round onto the flanks and into the middle of the back. Unfortunately, this is a common side effect of losing a great deal of weight. The remedy is a trunk reduction.

What does this involve?

The surgical procedure involves a careful mark-up before surgery and, during surgery, includes all the essential steps for an abdominoplasty. So, the incision on the front runs horizontally across the top of the pubic area and, staying low, out onto each side. This allows access to the tummy muscles all the way up to the lower chest area so that these can be tightened up if they have weakened and spread, following pregnancy or excessive weight gain, for instance. Excess skin and fat is then removed low down and the tummy button repositioned as necessary.

With the patient on his or her tummy, I focus on the pre-marked area and make the incision from the point low on each side, continuing across the upper buttocks to meet in the mid-line low in the lumbar region of the back. Excess fat and skin are removed and the entire surgical wound is closed with dissolvable stitches. In practice, the ‘face-down’ part of the operation is generally done first.

The benefits of a trunk reduction

Most patients want smoother, tauter contours and, although they may have fixated on a particular problem area, such as their paunch, it is my responsibility to highlight areas of skin and fatty excess which will be made much more obvious on the low flanks and back if just the tummy tuck is done and to advise on the surgical procedure most likely to achieve overall satisfaction, even with the trade-off of a more extensive scar.