What is abdominoplasty?
The abdominoplasty also called plasty of the abdomen, is an extensive procedure perform in order to improve the appearance of the abdomen, remove excess skin and subcutaneous tissue, smoothen the skin and improve the contour of the abdomen and waist. It is not only an aesthetic operation, but it also improves muscular tonus affecting their function and generally improves the quality of life. This is not and should not be considered a procedure to reduce body weight. Therefore, this procedure is mainly intended to either ladies after pregnancies, with both myofascial and skin flaccidity which is often accompanied by stretch marks and the abdomen looses its flat shape, or women after a significant weight loss, provided they have already reached a target weight and this weight is close to normal and there will not be any major fluctuations. It is not indicated to perform this operation immediately after intensive weight loss, or as an introduction to weight loss. In many cases, abdominoplasty is combined in the first stage with liposuction. This allows to shape the body with less need for tissue dissection. This is what we do more and more often in the Promedicon Clinic.
Abdominoplasty – why is it performed?
With age tissues such as skin, deeper layers, muscles and fascia sag. Pregnancy, especially a multiple one, accelerates this process. Obesity is one of the civilization diseases leading to a significant excess of skin and subcutaneous tissue. Even an effective weight loss is not able to cope with drooping skin, which is both an aesthetic problem that makes choosing appropriate clothes more difficult as well as a hygienic one, because skin sores appear in between the folds. In such cases abdominoplasty is the only solution.
Is the abdominoplasty for you?
You should consider abdominoplasty if:
- abdominal muscles are weakened
- sagging skin on the abdomen
- the problem appeared after pregnancy or after a significant weight loss
- your skin is getting old
- your weight is stable
The advantages of abdominoplasty
- chance for shaping a prettier abdomen
- removal of excess skin
- smoothing the skin
- removal or reduction of stretch marks
- improvement in abdominal wall tension
- improvement in wait shape
- it allows you to wear more fitting underwear and clods therefore improving well-being and self-esteem
How should you prepare for the procedure?
You should be in generally good physical and mental condition. Do not lose weight right before surgery, especially with various types of elimination diets, because it can lead to vitamin and microelement deficiencies, which may further affect recovery. You should keep stable weight for at least three months. It is recommended to quit smoking for at least three months before surgery, as nicotinism significantly impairs microcirculation. The risk of complications regarding healing and perfusion is significantly higher in smokers. It is not indicated to use popular analgesics and anti-inflammatory drugs, including aspirin derivatives, for at least a week or two before the procedure, because these drugs impair blood coagulation. The procedure is performed under general anesthesia. Before the procedure it is necessary to perform additional tests and the results must be within the normal range. People who permanently take drugs due to additional diseases, such as hypertension should receive their treatment (reduced blood pressure) and take their medications regularly. In some cases, it may be necessary to obtain additional consultations (cardiological, endocrine, etc.) in order to prepare for surgery. Due to the need to reduce physical activity after the operation it is important to inform your employer and co-workers, as well as provide some help of the family, which is especially important, when you have little kids.
What does abdominoplasty look like?
Abdominoplasty is performed under general anesthesia. Before anesthesia, the patient receives an intravenous prophylactic dose of a broad spectrum antibiotic. The operation usually takes about four hours, depending on the anatomical conditions and the structure of the tissues. Combining abdominoplasty with liposuction, that is suction of the abdominal fat tissue, prolongs the first phase of the operation, however by limiting the extent of dissection, it shortens the next stage, so the total operation time is similar or only slightly longer. The skin incision is performed transversely over the pubic symphysis and goes towards the iliac spines on both sides. A flap of the skin along with subcutaneous tissue is dissected up to the costal arches and the xiphoid process incising the belly button foundation. Almost always there is a gap between the rectus abdominis muscles, which is stitched with a double layer of threads. This improves the tension of the myofascial layer of the abdominal wall thus making the waist look slimmer Next, the belly button is reconstructed, the stitches securing the skin flap with subcutaneous tissue are fixed, and the excess skin and subcutaneous tissue is resected and the wound is stitched. After the procedures, usually two drains are left. A dressing is made and the patient puts on a special postoperative clothing. In the post-operative period, antibiotic therapy is continued and the patient receives anticoagulant prophylaxis.
Abdominoplasty Warsaw – recovery
The early postoperative period is similar to the state after other procedures performed under general anesthesia. Some ladies compare this to sensation after a caesarean section. Directly after the operation, the patients are transferred to the postoperative supervision unit, and then to their own room after the time determined by anesthesiologist. Al this time the patient remains under supervision of qualified medical professionals. On the day after surgery the patient is mobilized to stand up and walk. This is performed under the supervision of medical personnel. The time the patient stay in the hospital after abdominoplasty is determined individually, and usually does not exceed 3 days. Patients who leave the Clinic receive a printed copy of the discharge summary with recommendations, phone numbers to the clinic and surgeon, prescriptions and scheduled dates for the follow-up visits. It is indicated to limit physical activity (however, not staying in bed) for a month after the operation and to wear the postsurgical clothing for at least a month after the operation, and if it is possible even for the next two months. The coplete effect of abdominoplasty that is the end of scar healing and remodeling is obtained approximately a year after the operation.
Abdominal plastic surgery – effects
Abdominoplasty usually gives good and permanent results, provided that the body weight remains stable. Despite the extent of the surgical incision, scars in most cases are satisfactory, but only after complete remodeling, which can last up to one year. The scars can be covered by underwear. Apart from the early postoperative period, when limitation of physical activity is indicated, there are no other limitations.