If you’re considering abdominoplasty...
Abdominoplasty, more commonly known as a ‘tummy tuck’, is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen. But bear in mind, it does produce a permanent scar, which, depending on the extent of the original problem and the surgery required to correct it, can extend from hip to hip.
If you’re considering Abdominoplasty, this will give you a basic understanding of the procedure: when it can help, how it’s performed, and what results you can expect.
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The best candidates for abdominoplasty
The best candidates for Abdominoplasty are people who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won’t respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved.
Patients who intend to lose a lot of weight should postpone the surgery. Also, women who plan future pregnancies should wait, as vertical muscles in the abdomen that are tightened during surgery can separate again during pregnancy. If you have scarring from previous abdominal surgery, your doctor may recommend against Abdominoplasty or may caution you that scars could be unusually prominent.
Abdominoplasty can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.
All surgery carries some uncertainty and risk
Thousands of abdominoplasties are performed successfully each year and the results are generally quite positive. Nevertheless, there are always risks associated with surgery and specific complications associated with this procedure.
Post-operative complications such as infection and blood clots are rare, but can occur. Infection can be treated with drainage and antibiotics, but will prolong your hospital stay. You can minimize the risk of blood clots by moving around as soon after the surgery as possible.
Poor healing, which results in conspicuous scars, may necessitate a second operation. Smokers should be advised to stop, as smoking may increase the risk of complications and delay healing. You can reduce your risk of complications by closely following your surgeon’s instructions before and after the surgery, especially with regard to when and how you should resume physical activity.
Planning your surgery
In your initial consultation, your surgeon will evaluate your health, determine the extent of fat deposits in your abdominal region and carefully assess your skin tone. Be sure to tell your surgeon if you smoke and if you’re taking any medications, vitamins or other drugs.
Be frank in discussing your expectations with your surgeon. He/she should be equally frank with you, describing your alternatives and the risks and limitations of each.
If, for example, your fat deposits are limited to the area below the navel, you may require a less complex procedure called a partial Abdominoplasty, also known as a mini-tummy tuck. You may, on the other hand, benefit more from partial or complete Abdominoplasty done in conjunction with liposuction to remove fat deposits from the hips, for a better body contour. Or maybe liposuction alone would create the best result. In any case, your surgeon should work with you to recommend the procedure that is right for you and will come closest to producing the desired body contour.
During the consultation, your surgeon will also explain the anaesthesia that will be used, the type of facility where the surgery will be performed and the costs involved.
Preparing for your surgery
You will be given specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and taking or avoiding certain vitamins and medications.
If you smoke, plan to quit at least two months before your surgery and not to resume for at least two months after your surgery. This will help expedite your recovery period and encourage better healing on cellular level. Avoid overexposure to the sun before surgery, especially to your abdomen and do not go on a stringent diet, as both can inhibit your ability to heal. If you develop a cold or infection of any kind, your surgery will probably be postponed.
You should arrange for someone to drive you home after your surgery, and to help you out for a day or two after you leave the hospital, if needed.
Types of anaesthesia
The procedure will be performed under general anaesthesia.
Complete Abdominoplasty usually takes two hours, depending on the extent of work required. Partial Abdominoplasty may take an hour or two.
Most commonly, the surgeon will make a long incision from hipbone to hipbone, just above the pubic area. A second incision is made to free the navel from surrounding tissue. With partial Abdominoplasty, the incision is much shorter and the navel may not be moved, although it may be pulled into an unnatural shape as the skin is tightened and stitched.
Next, the surgeon separates the skin from the abdominal wall all the way up to your ribs and lifts a large skin flap to reveal the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline.
The skin flap is then stretched down and the extra skin is removed. A new hole is cut for your navel, which is then stitched in place. Finally, the incisions will be stitched, dressings will be applied, and a temporary tube is inserted to drain excess fluid from the surgical site.
In partial Abdominoplasty, the skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess skin is removed, and the flap is stitched back into place.
After your surgery
For the first few days, your abdomen will probably be swollen and you’re likely to feel some pain and discomfort which can be controlled by medication.
If you smoke, plan to quit at least two months before your surgery and not to resume for at least two months after your surgery. This will help expedite your recovery period and encourage better healing on cellular level.
Your doctor will give you instructions for showering and changing your dressings. And though you may not be able to stand upright at first, you should start walking as soon as possible.
Before and after