Open Book Tummy Tuck (Abdominoplasty) Sydney Before & After Gallery
An Open Book Tummy Tuck™ (OBTT ™ Abdominoplasty procedure) is a reconstructive procedure performed almost exclusively on individuals who have undergone extreme weight loss and where extreme excess skin remains.
The Open Book Tummy Tuck™ (Abdominoplasty) typically more complex problems of the abdominal wall, which is typical after this type of extreme weight loss.
Performed on the correct patient, it is an ideal form of abdominal wall reconstruction.
The term “open book” is a reference to the appearance of the abdominal wall during the operation. During the procedure, the fatty layers and skin are opened like the pages of a book. Excess skin and fat are then removed, then the skin is closed and stitched.
What is an Open Book Tummy Tuck™ (Abdominoplasty)?
The Open Book Tummy Tuck™ (Abdominoplasty procedure) procedure involves
- Removing excess skin and fat in the entire abdominal area (upper and lower)
 - Addressing abdominal muscle separation (diastasis recti) common after weight loss or pregnancy.
 - The same bidirectional scar as the Fleur De Lis (Abdominoplasty procedure) which includes a lower abdominal scar and a vertical anchor scar.
 - Additionally, it has a third scar that extends horizontally along the entire chest.
 - Many individuals who seek this procedure are concerned with medical or functional issues that impact day-to-day living, including skin infections caused by heavy skin folds or the ability to exercise or shower.
 - The Open Book Tummy Tuck™ (Abdominoplasty procedure) can be combined with other procedures such as Breast Augmentation (breast implants), an Arm Lift (Brachioplasty), or Bra Lipectomy (reconstruction of the upper back and upper lateral chest wall along the bra line).
 
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
44yo, 173cm, 95kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy and Breast Augmentation
36yo, 171cm, 84kg, 0 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy
48yo, 173cm, 111kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy and Breast Reduction (Mammaplasty)
55 yo, 158cm, 72kg, 5 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
64yo, 153cm, 60kg, 3 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
40yo, 163cm, 89kg, 4 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Belt Lipectomy
46yo, 167cm, 97kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Breast Lift (Mastopexy) and Breast Augmentation
40yo, 165cm, 78kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Belt Lipectomy and Breast Lift (Mastopexy)
41yo, 150cm, 76kg, 1 child
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy and Breast Reduction (Mammoplasty)
49yo, 160cm, 85kg, 4 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
40yo, 168cm, 83kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Belt Lipectomy (Previous Abdominoplasty performed elsewhere)
36yo, 167cm, 63.6kg, 4 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Belt Lipectomy
34yo, 168cm, 85kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Belt Lipectomy
59yo, 173cm, 88kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Belt Lipectomy
43yo, 164cm, 110kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy
32yo, 174cm, 107kg, 3 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy
32yo, 162cm, 73kg, 1 child
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy
35yo, 152cm, 68kg, 1 child
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy
29yo, 175cm, 87kg, 0 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
41yo, 168cm, 74kg, 3 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy
26yo, 160cm, 66kg, 0 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
43yo, 160cm, 87kg, no children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
37yo, 167cm, 84kg, 3 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
43yo, 167cm, 80kg, 3 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
47yo, 152cm, 89kg, 4 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Breast Reduction (Mammoplasty)
45yo, 180cm, 112kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
29yo, 182cm, 100kg
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Breast Reduction (Mammoplasty) and Bra Lipectomy
41yo, 150cm, 76kg, 1 child
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
51yo, 155cm, 83kg, 4 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
43yo, 169cm, 130kg , 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) and Breast Implant Replacement
45yo, 80kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy
35yo, 171cm, 107kg, 0 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Male Breast Reduction (Gynaecomastia) and Bra Lipectomy
37yo, 179cm, 85kg
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy
20yo, 169cm, 93kg, 0 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
46yo, 168cm, 77kg, 1 child
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
34yo, 167cm, 60kg, 2 children
                    
                    
                    
                      
                      
                      Open Book Tummy Tuck™ (Abdominoplasty)
46yo, 164cm, 100kg, 1 child
                    
                    
                      
                      Open Book Tummy Tuck™ (Abdominoplasty) with Bra Lipectomy
52yo, 162cm, 105kg, 0 children
The displayed before and after pictures are provided as an educational tool to demonstrate some of the results achievable from plastic surgery. All surgeries on this page are performed by Dr Eddy Dona and are published with the written consent by the patients.
All surgery carries risks and requires recovery time. LEARN MORE
The content on this page is general in nature and is not a substitute for a formal consultation. Before proceeding, please seek medical advice from an appropriately qualified medical practitioner.
 
The outcomes shown are only relevant for these patients and are not a guarantee that you will have similar results, even if you have a similar body type or shape. Results may vary due to many factors including an individual’s genetics and lifestyle.
Who is a suitable candidate for an Open Book Tummy Tuck™ (Abdominoplasty)?
The Open Book Tummy Tuck™ (Abdominoplasty) is suitable for:
- Individuals who have experienced significant weight loss through surgery or medications, and who have been left with excessive amounts of skin.
 - Individuals with functional issues like restricted mobility and difficulty exercising due to excess skin, or discomfort when sitting or wearing clothing.
 - Individuals with skin issues such as skin irritation and chafing in and around skinfolds; rashes and dermatitis where moisture accumulates; and overall hygiene challenges in difficult-to-clean areas.
 - Individuals with heavy skin folds (often weighing several kg in weight).
 - Individuals who have achieved a stable weight for at least six months
 
An Open Book Tummy Tuck™ (Abdominoplasty procedure) requires a minimum two-night hospital stay and is performed under general anaesthetic at Westmead Private Hospital or Norwest Private Hospital.
Bella Plastic Surgery is located in Bella Vista in the Hills District. However, we frequently service interstate and international patients. Please feel free to read essential information for Interstate/International patients here.
Can I have an OBTT™ (Abdominoplasty) after weight loss surgery or weight loss medications?
The best time to have an OBTT™ (Abdominoplasty procedure) is when weight has been stable for a minimum of six months.
Do I have to stop taking my weight loss medication?
- If you’re currently using weight loss medication from the GLP-1 receptor agonist class (or dual GLP-1/GIP agonists), and wish to continue the medication long term, you can still undergo surgery safely.
 - In fact, evidence shows that pausing longer-acting GLP-1 medications may impact stomach emptying and worsen metabolic control.
 - However, specific pre-operative precautions must be followed to minimise risk during anaesthesia.
 - This includes a strict fluid diet 24-hours before your procedure, then fasting from ALL fluids and solids for 6 hours before surgery.
 - This approach reduces risk of gastric contents being retained, which can lead to complications during general anaesthesia.
 - Your team may delay the procedure if you fail to follow the fluid diet.
 
Is muscle repair always included?
Muscle repair is often part of the Open Book Tummy Tuck™ (Abdominoplasty procedure), particularly in patients with diastasis rectus (separation of the abdominal muscles), which frequently occurs after pregnancy or significant weight loss.
Where is the Open Book Tummy Tuck scar placed?
The Open Book scar is three part and the incisions are placed:
- As a horizontal line low on the abdomen, just above the pubic area, and designed to sit below the line of underwear and swimwear.
 - Another vertical scar to form an anchor shape.
 - A third scar that extend horizontally along the entire chest, in the lower breast fold.
 
How long is the recovery period for an Open Book Tummy Tuck (Abdominoplasty procedure)?
- On average, patients will require a minimum two-night stay in hospital following their Open Book Tummy Tuck surgery.
 - On the day of discharge from hospital, you will attend our clinic for your first post-operative HeaLEd session – these in-clinic appointments will continue for several weeks, if not longer.
 - Most individuals can generally drive after three weeks you can drive.
 - Most individuals can generally return to home-based work or light office work.
 - After six weeks – you can return to life as usual which includes physically intensive work or exercise such as weights training. You will need to listen to your body and ease into it.
 - No heavy lifting for six weeks.
 
Can an Open Book Tummy Tuck™ (Abdominoplasty procedure) be performed with other procedures?
Yes, in most cases, you can combine the Open Book Tummy Tuck™ (Abdominoplasty procedure) with other procedures which can include Breast Reduction, Bra Lipectomy, among others.
Liposuction and Open Book Tummy Tuck (Abdominoplasty) Procedure
Most patients do not require Liposuction with an Open Book Tummy Tuck (Abdominoplasty procedure)to achieve the functional and aesthetic concerns that are associated with the tummy.
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Suite 413, 29-31 Lexington Drive, Bella Vista NSW 2153