Healthcare & Wellness

Abdominoplasty (Tummy Tuck) Informed Consent

Informed consent for abdominoplasty (tummy tuck), including full, mini, and extended variants, covering procedure details, risks, alternatives, and patient acknowledgments.

📄 1 signer📅 30-day expiry🏷 Healthcare & Wellness🔖 consent, plastic-surgery, abdominoplasty, tummy-tuck, cosmetic, surgical, body-contouring

About this template

The Abdominoplasty (Tummy Tuck) Informed Consent is a ready-to-use healthcare & wellness template you can send for signature in minutes. It is written for 1 signer (patient) and, by default, expires 30 days after it is sent if left unsigned. It covers consent, plastic surgery, abdominoplasty, tummy tuck, cosmetic, surgical. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.

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# Abdominoplasty (Tummy Tuck) Informed Consent > **Important — not medical advice.** For use by a licensed provider; tailor to the patient, your protocols, and state law. **Patient Name:** ___________ **Date of Birth:** ___________ **Procedure Date (anticipated):** ___________ **Surgeon:** ___________ **Planned procedure variant:** ___________ --- ## 1. Procedure Description Abdominoplasty removes excess abdominal skin and subcutaneous fat, tightens the abdominal wall fascia and muscles, and repositions the umbilicus (navel) to a natural location on the newly contoured abdomen. **Full abdominoplasty:** A low transverse incision is made from hip to hip above the pubic area. The skin and fat of the lower abdomen are elevated, underlying rectus diastasis (separation of the abdominal muscles) is repaired with permanent sutures, excess skin is excised, and the umbilicus is brought out through a new opening. **Mini abdominoplasty:** A shorter incision addresses the lower abdomen only, typically without umbilical repositioning, suitable for patients with isolated lower abdominal skin laxity and no significant rectus diastasis above the navel. **Extended / circumferential variants:** Incisions extend to address lateral thighs, flanks, or the lower back (belt lipectomy), appropriate for massive weight loss patients. **Planned procedure details as discussed with your surgeon:** ___________ --- ## 2. Indications **Indication(s) documented by your surgeon:** ___________ Common indications include significant abdominal skin laxity following pregnancy or major weight loss, rectus diastasis causing functional difficulty, and excess abdominal fat resistant to diet and exercise. Ideal candidates are at or near their goal weight and do not plan future pregnancies. ---

Fields (12)

patient name
text · required
date of birth
date · required
procedure date
date · required
surgeon name
text · required
procedure variant
select · required
procedure details
textarea · required
indications
textarea · required
pregnancy acknowledgment
select · required
photo consent
select · required
patient questions
textarea
patient full name
text · required
representative relationship
text

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