Abdominoplasty is a major surgical procedure, which removes skin and fat excess from the lower abdominal area. In the same time, defects on the abdominal wall can be repaired through surgery and it sutures on the median line of the rectus abdominis muscles. Abdominoplasty is a common practice since 1960 and if it is performed by an experienced plastic surgeon the results are highly positive. Abdominoplasty consists in the removal of the so-called “loose layer” from the lower abdomen. But it produces a permanent extended scar from one hip to another.
WHO CAN BENEFIT FROM ABDOMINOPLASTY?
Abdominoplasty can be of a major interest for men as well as for women, which present a skin and fat excess that cannot be removed through diet and exercises. The surgery is useful to women, which due to multiple pregnancies have the abdominal muscles diastases. Moreover, this surgical intervention can remove stretch marks and scars below the umbilicus.
Abdominoplasty is not recommended for women who wish to have another pregnancy or on patients who desire to keep one or more diets.
There are risks involved in undergoing any surgery. Being a major surgical procedure the risks of the abdominoplasty must be discussed thoroughly with the surgeon and with the anesthesiologist before surgery. Besides all risks implied by a general anesthesia and surgery such as infection, hematoma, embolism and non-esthetic scars should be discussed.
- Do not eat or drink after midnight before the surgery intervention
- Taking aspirin and drugs containing aspirin with two weeks before the surgical intervention is forbidden;
- Usually, for women, the surgical intervention must be performed besides menses;
- The surgeon and the anesthesiologist must be notified if any medical problems exist (blood pressure, vascular problems, heart attack, diabetes, lung problems, bleeding problems, epilepsy, neurological problems, allergies for different drugs);
- The doctor must be notified if you have a set of plates or eye lenses;
- If you smoke, plan to quit 2 weeks before the operation and do not start to smoke again for at least 2 weeks after the surgery;
- Avoid sunbathing in excess before surgery, particularly in the abdominal area;
- Do not follow a strict diet before surgery because it might delay the healing process;
- If you catch a cold or have any infection the surgery must be rescheduled
THE SURGICAL INTERVENTION
Abdominoplasty is performed under general anesthetic. The surgery intervention takes between 2 and 5 hours depending on the complexity of the case. The surgeon will make an incision just around the bikini line and another around the umbilicus to free the tissues around. The skin and subcutaneous tissue are lifted close to ribs area. In some cases rectus abdominis muscles are sutured at the midline by plication of the aponeurosis, thus solving the problem of the muscular diastasis.As the case may be, suturing the muscles on the median line can tighten the musculo-apoverotic muscle. The skin and soft tissue above the umbilicus are pulled down and its excess is completely removed. A new incision is made for attaching the umbilicus. Finally the incision will be closed with surgical threads and 1-2 drainage tubes are attached for a couple of days.
Due to the fact that abdominoplasty is a major surgical procedure, we consider that a longer hospitalization, from 3 to 5 days, is required for the patient’s safety and in order to reduce any complication that might occur. During this period, bandages and abdominal garmet will be worn and antibiotics and anti-thromboembolic drugs will be administrated.
Following the hospitalization, surgical stitches will be removed at 12 days after surgery, even by the family doctor. The patient will wear the abdominal garment for at least 2 weeks after the removal of the stitches. The recovery after abdominoplasty is individual. Some patients return to work after 2 weeks while others need 3-4 weeks of rest and recovery. Light recovery gymnastics is recommended to invigorate the abdominal muscles. As for scars, up to six month they blemish and swell and after 9 months to 1 year they become flat and will fade significantly. Sunbathing is to be avoided for at least 1 year after the surgery in order to avoid scar depigmentation. The scars will never disappear completely but they can be hidden under the bikini or even the bathing suit. In order to preserve the obtained result, it is mandatory to follow a hygienically and dietary regime recommended by a nutritionist. Do not hesitate to practice sports.
We have a great experience with the abdominoplasty and over 600 solved cases during the last 12 years. If your surgical expectations are realistic and you are prepared to bear the consequences – a permanent scar and a rather long recovery period- then abdominoplasty is the right solution for you.
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