In what cases can abdominoplasty be recommended?
- Visible excess fat in the abdomen and pronounced folds.
- Omission (ptosis) of the abdominal anterior wall.
- The inability to remove excess skin of the abdominal front wall with the help of diet exercises, liposuction and other techniques.
- Visible pronounced stretch marks (pale striae).
- Weakened and stretched straight muscles of the abdomen.
- General weakness and stretch of the abdominal muscles.
- Expressed postoperative scars on the skin of the abdomen.
In addition to indications, abdominoplasty can also have contraindications:
- heart failure;
- pulmonary insufficiency;
- diabetes;
- severe obesity;
- hemophilia;
- various diseases of internal organs, manifested in severe form;
- minority;
- planned pregnancy (within 1 year).
Procedure for the plasticity of the abdomen
The procedure of abdominoplasty implies a high-tech way of changing imperfections in the shape of the abdomen. Due to the fact that this operation is rather complicated, a thorough examination of patients with all necessary tests is mandatory before it. Abdominoplasty lasts 2-5 hours, depending on the degree of complexity. During the operation, general anesthesia is used.
The technique chosen for conducting abdominoplasty depends entirely on its type, but a horizontal incision is always made above the pub with movement / without moving the umbilical orifice. The length of the incision will depend on the amount of excess skin that should be removed.
After the cut, the excess skin is removed, followed by adjustment, as well as the reshaping of the subcutaneous adipose tissue. Then the skin separates and rises from the abdominal wall and strengthens / connects the abdominal muscles, forms the navel and removes the excess of the stretched skin. After the operation is completed, drainage is installed under the skin for complete elimination of the blood and blood. In addition, the seams and all necessary bandages are applied.
Moving the umbilical orifice during abdominoplasty is a necessary action, due to the fact that it is impossible to tighten the upper abdomen area without this method. During this plastic surgery, the divergent muscles of the anterior abdominal wall are sewn and the surpluses of the skin and hernia removed. After abdominoplasty, there is a visible scar above the pubis, and scarcely a scar in the navel.
Today, when performing abdominal plastic surgery, various methods can be used:
- endoscopic method;
- minibdominoplasty;
- pannicullectomy;
- liposuction;
- W-shaped section;
- a pectoral incision;
- change the divergence of the rectus abdominis muscles;
- lifting of the body.
Rehabilitation period after abdominoplasty
After plastic abdomen, the patient should stay in the clinic for 5-7 days. His presence is caused by the fact that after abdominoplasty, there may be a buildup of blood or syphilis under the skin of the abdominal cavity. In the first day after the operation, you may need to use strong analgesics in the form of injections. The pain in such cases quickly passes and can be felt only when moving. Some patients may experience temporary numbness in the field of surgical intervention during the first days. Within 4 weeks, there will be hemorrhages and swollen abdominal tissue. It is recommended that physicians wear elastic compression underwear, bandages and exclude physical activity during a month.
On average, the rehabilitation period varies from two to three months. Its duration depends entirely on the following points:
- scope of surgical intervention;
- accuracy of compliance with the procedure after plastic surgery;
- general condition of the body and its reserve functions.
The scar, which appeared as a result of abdominoplasty, is recommended to be protected from sunlight for 6 months. The final result of the plasticity of the stomach can only be said after the expiration of six months.
Results of abdominoplasty
The effect of this type of plastic surgery is impressive. That is why abdominoplasty is so popular in recent times. The plasticity of the abdomen relieves of an excessive amount of overhanging skin, skin-fatty stretch marks of tissue, flabbiness. Abdominoplasty is able to restore the muscular corset of the abdomen. At the same time, the result can be kept constantly. It can only be changed by a large increase in weight and pregnancy.
Serious surgical procedures occur during surgery. They lead to scars on the surface of the body. The degree of scar formation can not be determined before surgery. Their depth and size entirely depend on the individual features of the patient's skin. In most cases, around the navel, an imperceptible scar is formed, and the scar on the bikini line is covered with underwear.
After the abdominoplasty, hematomas, subcutaneous lymphatic accumulations, asymmetry of the body contours when gaining a large weight, the formation of adhesions, renal insufficiency, etc. may occur. The type and degree of complication depends on the patient's characteristics, lifestyle and obesity. In those people who are experiencing the first or second degree of obesity, the possibility of side effects is up to 10%. In people with a fourth degree of obesity and higher complications occur in 60% of cases.
Abdominoplasty is not a way to treat obesity. Plastic surgery of the abdomen is only an auxiliary method in the fight against excess weight, while allowing only to simulate the contours of the body. The identification of the causes of obesity and its treatment does not apply to the qualifications of plastic surgeons.