Abdominoplasty - Tummy Tuck
Tummy Tuck - Abdominoplasty
The indication for the plastic modification of the abdominal wall is given by an excessive dermal and adipose fold under the navel, or by the weakening of the abdominal wall caused by a partition of the abdominal muscles, often occurring after childbirth. Also a greater weight reduction causes the release of the dermal fold, which becomes more and more accentuated with further weight reduction, and it does not disappear even after intensive exercise. These conditions, unfavourable cosmetically, can be resolved by abdominal wall Plastic surgery. It lies in the strengthening of the parted abdominal muscles via suturation, and in the removal of excessive skin and subcutis from the incriminate parts of the abdomen. The incision leads above the pubic hair in such a way as to allow the resulting scar to be hidden below the underwear. The skin is released from the muscles and stretched by pulling down. We cut off the excessive tissue and put the navel into a new position. The appearance and the size of the scar depend on the type and the size of the abdomen. In the event that the skin is looser, and there is enough tissue hung on the abdomen, then the horizontal scar is placed deep in the lower abdomen, hidden by the underwear. There also is a scar around the navel, which must be moved during the surgery to a different place in the abdominal wall. However, if there is not enough excessive skin and fat, or the other way round, if there is too much excessive skin and fat in the mid-abdomen and around the navel, the incision must be selected in such a way as to keep the first, horizontal scar deep in the lower abdomen, with the second, vertical scar upright. The operation is often combined with liposuction of the hips and upper abdomen to achieve better shape after the surgery. The surgery is carried out under general anaesthesia, and requires 2-3 days of hospitalisation.
With mini abdominoplastics, excessive tissue is only removed under the navel, and the resulting scar is only in the lower abdomen, not around the navel.
It is necessary that the patient gets out of bed as early as on the day of the surgery, with due regard to the prevention of an embolism.
Two days after the surgery, the doctor removes the drains used to drain off the rest of the blood liquids. The abdomen is tightened by an elastic belt or tights after the surgery. The cuts in the abdomen are strapped up by patches to be kept in place for 14 days. Sterile gauze is placed over the patches. When the patient is released from the hospital, s/he removes the elastic clothes from the abdomen every other day, removes the gauze, and dresses the patches with disinfectant without removing them. The cut is then again covered by sterile gauze and the abdomen is tightened by elastic clothes. The cuts are not washed for 14 days. Two weeks later, the doctor removes the gauze from the abdomen and also removes the patches. It is possible that the patients remove the patches themselves in the event that they cannot come to the re-bandaging. The stitches are absorbent, and they do not need to be removed. In the event of hip liposuction being carried out as well, it is possible that tiny stitches remain on the skin, and it is recommended to remove these 14 days after the surgery. It is possible to take a shower after the patches are removed from the abdomen , and pressure massages of the scars should begin 18 days after the surgery. A finger is used to exert pressure on the scar for 30 seconds and then the finger is moved to another place on the scar. This massage is carried out several times a day and it is also suitable to use scar creams. An elastic belt or clothes are worn for 4 weeks after the surgery. In the event of liposuction, it is necessary to cover the drained body parts with compression clothes for 4 weeks constantly. The patient maintains a state of rest for 14 days following which it is possible to carry out office work. Full physical strain is possible 4 weeks after the surgery.
With mini abdominoplastics, the patient treats the cuts similarly as with the classical abdomen surgery, with office work, however, being possible as early as a week later and full physical strain 3-4 weeks later.