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Abdominoplasty or Tummy Tuck

Know more about Abdominoplasty

Pregnancy, severe weight loss and aging can lead to an accumulation of fat, sagging skin and muscle weakness in the abdominal region. The abdominoplasty or tummy tuck improves the contour of the abdomen by removing excess skin and fat, correcting sagging skin and repositioning the muscles of the abdominal wall, which provides a flat abdomen and thin waste.

Indication

Remove excess skin and fat from the abdomen and treat the abdominal muscles.

Does the abdomen surgery leave visible scars?

The scar resulting from an abdominoplasty is located horizontally just above the pubic hair, extending laterally to a greater or lesser extent, depending on the volume of the abdomen to be corrected. This scar is designed to be disguised under bathing suits (there are cases where even the thong itself can be used), and inevitably pass through the following stages of evolution:

A – IMMEDIATE PERIOD: Up to the 30th day with very slight visibility. Some cases have a mild reaction to the stitches or bandages.

B – INTERMEDIATE PERIOD: From the 30th day until the 12th month. During this period, there is a natural thickening of the scar and color change, passing through a dark stage (red to brown) that will gradually clear up. This period is the least favorable point of healing and is what worries most patients. As we can not rush the natural healing process, we recommend that patients not to worry, the late period of this evolution will initiate the reduction the scar remains.

C – LATE PERIOD: From the 12th to 18th month. During this period, the scar begins to become clearer and less consistent, thus reaching its final appearance. Any assessment of the final outcome of the surgery, about the scar, should be made after this period.

It is true that there will be a new navel?

No. Your navel will be transplanted and, if necessary, redesigned. One should take into account that encircling the navel will produce a scar that will suffer the same evolution as the scar below. Several techniques exist for redeployment of the navel. All are subject to future surgical revisions, should they become necessary. This occurs due to the anomaly of the healing evolution of certain patients and is amenable to correction by minor surgery under local anesthetic, after a few months.

Anesthesia

General or epidural anesthesia.

Surgical time

On average, the adominoplasty can take from 90 to 120 minutes. This period may be extended if the case demands. However, the time of surgery should not be confused with the length of the patient’s stay of in the operating room environment, because this includes the period of preparation for anesthesia and postoperative recovery. Your doctor will inform you about the total time.

Length of hospital

Generally, 24 hours.

Recovery time

The patient can return to daily activities within 20 days. Mild exercise can be resumed within 3 weeks. In one month, the patient is free to go. One must avoid exposure to sunlight for 30 days. Physical and heavier activities are allowed after only 40 days. One must make use of a special brace/ belt for three months. During the first two months, it should be worn 24 hours a day. During the second month, you can use only when you sleep.

Final result

In the first months after a dermolipectomy, the abdomen will present a relative insensibility and be subject to periods of “swelling”, which will resolve spontaneously. At this stage, the abdomen may appear “stretched”. Over the months, having performed the modeling oriented exercises, your abdomen will gradually reach the final outcome. The final results should never be considered before 12 to 18 months postoperatively.

Recommendations for an Abdominoplasty

PREOPERATIVE

– Communicate with your plastic surgeon until two days before surgery, in case of flu, menstrual period, malaise, etc..

– Attend a surgical site (hospital, clinic) on schedule according to your surgical plan;

– Avoid alcohol or very hearty meals the day before surgery;

– Avoid any slimming drugs, which eventually are used for a period of 10 days before surgery. This also includes certain diuretics;

– Schedule your social activities, home or school, so as not to become indispensable to others for a period of approximately 2 to 3 weeks.

POSTOPERATIVE

– Avoid strenuous activity for 14 days;

– Sleep on your back;

– Eat balanced meals to prevent constipation;

– Stand up as often as is recommended by the hospital discharge, obey the periods needed to be spent sitting and avoid stairs as much as possible;

– Avoid wetting the dressing during the first phase;

– Bathe only after the tube removal after five days;

– Do not expose yourself to the sun or cold for a minimum period of 2 weeks;

– Sunbathe sparingly for six months;

– Walk curved with a slight flexed trunk and maintain short steps, for a period of 14 to 20 days;

– Obey the prescription;

– Return to the office for dressing maintenance in subsequent days and times set;

– – Probably you will be feeling so well, to the point of forgetting that you were operated on recently.

Caution! The euphoria can cause you to behave unsafely, which can result in certain disorders. It is noteworthy that between the 3rd and 5th day after surgery, there may be a slight depression, emotional or even physical. This is predicted and explained by the recovery of your body, in favor of your body physiology;

– Do not worry about the forms of the intermediate phases. Trust your plastic surgeon and only with him any questions that may arise;

– In case of very obese patients, the elimination of a certain amount of yellowish or bloody liquid may occur at one or more points of your scar. Do not worry, if this occurs it it does not mean any complications have arisen;

– Eat normally (except in special cases). We recommend eating high protein (meat, eggs, milk) as well as the use of fruit;

– Wait to make your “diet or weight loss regime” until after a medical release. The anticipation of this conduct may result in difficult consequences to be remedied;

– Avoid smoking in order not to disrupt healing.

Learn more about the tummy tuck.

How much weight will I lose weight with abdominal dermolipectomy?

As a surgery that removes a certain amount of skin and fat, of course there will be a reduction in body weight following an abdominoplasty, which can vary according to the volume of the abdomen of the patient. There are, however, the “pounds” withdrawn that define the aesthetic result, but the proportions that the abdomen maintain with the rest of the body. For the patient who is overweight, it’s worth remembering that the “excess fat” in other neighboring areas of the abdomen will still exist, which leads us to advise them that they have to continue with a clinical or physiotherapy, for better end result.

What kind of bathing suit can I use after surgery?

The type of swimsuit will depend exclusively on your own tummy. Of course the lower waistlines are more “generous” (thongs), and will account for cases in which the results are more natural. Remember that the surgeon’s knife only enhances their own forms, which can be improved further, with the care of a physical therapist or esthetician, provided they associate these complementary treatments in the first few weeks after surgery.

Can I have children in the future? Will the results be affected?

Your gynecologist will inform you of the convenience or otherwise of a new pregnancy. They will inform you if the results can be preserved, as long as your weight is controlled during the new pregnancy. However, we recommend having all children before undergoing an abdominoplasty..

Is this operation dangerous?

Rarely an abdominoplasty surgery has serious complications, if carried out within the technical criteria. This is due to the fact that each patient is properly prepared for before surgery. The danger is not greater or smaller than traveling by plane or car, or even crossing a public street.

Are bandages used?

Yes dressings are used along with appropriate straps.

When are the stitches removed?

The removal of the stitches can be initiated around the eighth day and shall be made selectively, in the days that follow. Rarely are they completely removed in two weeks.

When can I take bathe?

Generally after 3 days.

What is the postoperative outcome?

You should not forget that until your abdomen can achieve the desired result, several phases are characteristic of this type of surgery. However, some concern may occur in order to “achieve the desired end result ahead of schedule.” Be patient, because your body will take care of resolving all small inconveniences that could invariably call the attention of someone who might question: “Will this go away again?”. Clearly any concern on your part should be transmitted to us. We will give the necessary explanations for your tranquility. In some patients, there is some anxiety at this stage, due to some transient effects (swelling, numbness, scarring, etc.).. This is temporary and usually reflects the desire to achieve the final result as soon as possible. Remember that no result of abdominal surgery should be considered definitive before 12 to 18 months.

In case of very obese patients, the “elimination of a reasonable amount of yellowish fluid” may occur after the eighth day from one or more points of the scar. This phenomenon is nothing more than surgical fat liquefaction that is being eliminated from the residual scar. This does not constitute a complication. There are resources to prevent this leak if it occurs in inappropriate situations.

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ALL THE PROCEDURES

Abdomen – abdominoplasty
Abdomen – in anchor
Abdomen – miniabdominoplasty
Abdomen – ex-obese
Abdomen – lipoabdominoplasty
Abdomen – liposuction
Arm – ex-obese
Arm – lifting
Arm – liposuction
Arm – plastic surgery
Plastic surgery for ex-obese

Body– liposculpture
Thigh– ex-obese
Thigh – lifting
Thigh – liposuction
Cullote – liposuction
Scars– correction
Face – lifiting of the inferior area
Face – lifiting of the middle third
Face – minilifting
Face – plastic
Gluteal – liposuction

Gluteal – lipograft
Gluteal – prosthesis
Breast– areolal implant
Breast - submamal implant
Breast – narrow mammoplasty
Breast – mastopexy (suspension)
Breast – suspension with implant
Nose - open rhinoplasty
Nose – closed rhinoplasty
Ninfoplasty – Intimate Surgery
Ears – otoplasty

Eyelids – inferior (external)
Eyelids – inferior (internal)
Eyelids – superior
Calves – prosthesis
Chest – ginecomasty
Neck – liposuction
Neck – lifting
Chin – prosthesis
Forehead – lifting

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