What is abdominoplasty?

Abdominoplasty (aka tummy tuck) is an operation that mainly aims at correcting any sagging in the abdomen. At the same time, fat is removed from the front and side of the abdomen, while the abdominal wall is narrowed and strengthened

PROBLEMS THAT CAN BE SOLVED VIA ABDOMINOPLASTY

Abdominoplasty is recommended when dealing with the following problems:

  • Major sagging in the abdominal skin following pregnancy or extensive weight loss.
  • Loosening of the abdominal wall, i.e. the muscles that form them, as well reduced endurance in abdominal wall.
  • Stretch marks in the area surrounding the navel or lower.
  • Vertical scars in the area under the navel.
ABDOMINOPLASTY

HOW ABDOMINOPLASTY IS PERFORMED

The procedure requires the removal of all skin and fat located beneath the navel. In practice, a horizontal incision is made at the lowest point of the abdomen, i.e. the section generally covered by underwear. Through this incision, skin and fat are detached from the muscles of the abdomen all the way up to the chest.

Afterwards, the navel is also detached. The skin is stretched downwards and the excess of skin is removed, as is the fat that underlies it.

The muscles pertaining the abdomen are sutured between them in order to enforce and narrow the waist. 

Once the excess of skin and fat has been removed, the surgeon performs a suture upon the lowest of the abdomen, as well as the area of the navel, in order to restore the navel to its initial position.

The procedure must be performed in an operating room.

It can be performed using general or epidural anaesthesia.

The patient is generally required to remain at the hospital for approximately 24 hours.

 

HOW ABDOMINOPLASTY IS PERFORMED

AFTER ABDOMINOPLASTY

The procedure requires the removal of all skin and fat located beneath the navel. In practice, a horizontal incision is made at the lowest point of the abdomen, i.e. the section generally covered by underwear. Through this incision, skin and fat are detached from the muscles of the abdomen all the way up to the chest.

Afterwards, the navel is also detached. The skin is stretched downwards and the excess of skin is removed, as is the fat that underlies it.

The muscles pertaining the abdomen are sutured between them in order to enforce and narrow the waist. 

Once the excess of skin and fat has been removed, the surgeon performs a suture upon the lowest of the abdomen, as well as the area of the navel, in order to restore the navel to its initial position.

The procedure must be performed in an operating room.

It can be performed using general or epidural anaesthesia.

The patient is generally required to remain at the hospital for approximately 24 hours.

 

OTHER INFORMATION ABOUT ABDOMINOPLASTY

PAIN DURING ABDOMINOPLASTY

Contrary to what most people believe, abdominoplasty is not a particularly painful procedure. Most people do not experience any particular pain, and if such a pain is felt, it can be regulated quite well with common painkillers.

 

LIPOABDOMINOPLASTY – ABDOMINOPLASTY AND LIPOSUCTION

Abdominoplasty can be combined with liposuction, and as such is referred to as lipo-abdominoplasty. In this case, the results are even more satisfying. It is preferable for almost every abdominoplasty to be combined with liposuction. The plastic surgeon must not only aim to remove the sagging, excess skin, but also to reshape the area of the abdomen altogether. In most cases, after all, apart from sagging skin the patient may suffer from excess fat in the abdomen, as well as other areas. It is best to combine the correction of these flaws into one operation.

 

MINI ABDOMINOPLASTY

When dealing with cases wherein there is a small degree of sagging, focused mainly in the area beneath the navel, liposuction can be combined with mini abdominoplasty. Not all cases, of course, are suitable for mini abdominoplasty, just as all cases are not suitable for standard abdominoplasty. A plastic surgeon must possess the skill and experience to judge which technique is most appropriate for each case.

 

Full vs Mini abdominoplasty
Mini abdominoplasty has the following advantages:

•    The incision can be made much lower.

•    Navel repositioning is not necessary.

•    The incisions are smaller.

One the other hand, mini abdominoplasty does not correct any sagging in the abdomen above the navel. For this reason, it is recommended only in cases wherein there is no sagging in this area.

 

FLEUR DE LIS ABDOMINOPLASTY

Bariatric patients that have lost many kilos (usually over 50) are many times presenting a very intense skin laxity in both directions horizontal and vertical. 

The ordinary abdominoplasty adjusts only the vertical direction of the skin laxity by performing a low horizontal scar. 

The horizontal component of the laxity is not usually so intense to need correction. In cases of severe laxity the correction of the vertical component itself, is not enough to give a satisfactory result. In these cases a vertical incision is needed to improve the horizontal component as well. This technique is named “fleur de lis”. 

The disadvantage of this technique is that a vertical scar is added to the already existing horizontal one. This scar is not easily covered by the swimming suit. Aesthetically improves after few months but never disappears completely.  The advantage is that the improvement of the body shape is by far superior.

 

MARKS LEFT BY ABDOMINOPLASTY

The scars left by abdominoplasty improve in time. Of course, they never truly vanish, but tend to be located in the area that is generally covered by underwear or swimwear.

 

RESULTS OF ABDOMINOPLASTY

Results can last for several years, provided the patient does not put on much more weight or experience pregnancy. Pregnancy is not necessarily a problem, but there is a possibility that it could result in a certain degree of sagging. The results of abdominoplasty are impressive, as in most cases they tend to achieve a flat abdomen.

 

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