Abdominoplasty is a surgical procedure that is performed to correct excess skin and fat in the abdomen.
Combining operations with Abdominoplasty are:
- Liposuction of the abdomen in the lateral areas
- Suturing the muscles
Under the belly fat there are two elongated muscles, the abdominals. These muscles for various reasons, but especially after multiple pregnancies, move to the side. The surgical correction of this diastasis leads to a more flat belly postoperatively, but also improves the final shape.
What needs to be done preoperatively
- Classic preoperative check-up.
- We don't eat anything 12 hours before the operation, as well as we don't drink anything 6 hours before.
- We don't take any medicines the day of the surgery, before the anesthesiologist’s approval.
- Smoking and drinking alcohol should be stopped at least 3 weeks before the operation.
- Meeting with the anesthesiologist before the operation. The patient should inform the anesthesiologist about previous anesthetic experiences, either positive or negative ones and also he/she should inform the anesthesiologist about medical problems or medications, if any.
- We don't take aspirin, anti-inflammatory medicines or herbal supplements 10 days before the operation, because they might increase the possibility of bleeding during and after the operation.
- We wash our body with a medicinal soap once a day, 3 days before the operation.
Type of anesthesia
The above operations can be performed either under general or epidural anesthesia.
The patient must remain at the hospital for 1-2 days.
With a low incision in the belly and as long as it is hidden in the swimsuit area, we detach the skin and belly fat over the muscles of the abdominal wall. In order to move the abdominal skin down, we are forced to make a cut around the umbilicus and release it from the abdominal skin. The umbilicus remains in place and just the skin of the abdomen moves down. In a total abdominoplasty, the abdominal skin and fat located above the umbilicus are moved down and placed in the area where the initial incision has taken place. In other words, the skin under the umbilicus is completely removed during abdominoplasty and the one above the umbilicus is placed in the slip area.
The duration of the operation is about 2-3 hours, depending on the case.
- The doctor applies a dressing to the wound for about 2 weeks.
- It is necessary to use a pressure garment for 4 weeks 24 hours a day and 2 weeks only during the day.
- The scar is red for the first 3 months and gradually becomes white, with the final result being fixed in 1 to 3 years.
- The incision should not be exposed to the sun for the first 3 months.
- Progressive recovery of fitness is allowed after the 6th week.
- The final aesthetic effect is visible after the first year of surgery.
- The incision will not disappear completely. There will be a white line in the swimsuit area. For better healing, it is recommended to massage with a cream every day and apply silicone sheets locally to the cut, until the desired aesthetic effect.
- Some imperfections in the final result may occur, such as a visible incision. Such defects can be corrected by local anesthesia one year postoperatively.
- Hematomas: It may appear from small bruising up to a collection of blood above the abdominal wall. To avoid hematoma, the plastic surgeon performs very good haemostasis during surgery, but also leaves a drainage tract, which is usually removed 1-2 days postoperatively.
- Inflammation: In order to avoid this complication, antibiotics are administered intraoperatively.
- Wound opening: To avoid this complication, the plastic surgeon does not stitch the wound with high tension to the skin.
- Pulmonary embolism: Possible complication of any surgery. It is prevented with anticoagulants, immediately after surgery and with immediate mobilization of the patient.
- Hypoesthesia: If observed, it mainly concerns the area below the umbilicus. It gradually resumes after 3 - 6 months.
- Organ perforation: rare complication. It can happen with the procedure of liposuction.
- Skin necrosis: In order to avoid this complication, the plastic surgeon avoids sewing the wound with high tension.
- Heavy Smoking is a possible negative factor.
To sum up, it should be understood that you should never overestimate the risks of this operation, just realize that it is a relatively simple surgery, which can have complications.
The above information may give rise to new questions. We are at your disposal for any further information.