Abdominoplasty aims to remove excess skin and fat from the lower abdomen, which occurs after a significant weight loss or after birth. This surgery is not a weight loss method for the obese patient. Surgery remodels the body by altering the shape of the abdomen, improving the profile and the silhouette. At the same time, possible defects of the abdominal wall (hernia, ovulation) can be corrected. Sometimes, in order to achieve the desired result, abdominoplasty can be combined with lipoaspiration, surgery that takes place over several months.
Patient selection is very important for this type of intervention, they must be healthy (with no associated chronic, cardiovascular, pulmonary, renal), and also informed about the possibility of secondary interventions.
Two weeks before surgery, the treatment with aspirin or other anti-inflammatory drugs should be discontinued to avoid excessive bleeding. If antihypertensive therapy is being followed, the anesthetist should be informed in advance.The patient’s diet is very important; those who have a weight loss regimen do not heal well. Fish oils can influence the activity of platelets.Preoperatively, sunburn or any other skin lesion will be avoided as they can be a potential infection site.Smoking should be discontinued two weeks before surgery. The patient is hospitalized the day before or on the day of surgery to be properly trained.
The intervention is carried out under general anesthesia, consisting of the following stages: the incision of the “W” shaped skin modified in the lower abdominal fold; the abdominal skin along with the adipose tissue are raised from the abdominal muscles to the ribs; the navel is released from the skin and abdominal fat; the muscle wall is restored if it has been stretched or destroyed; skin and excess fat are resected, and the wounds are approximated with hidden sutures with resorbable thread, and with non-resorbable interrupted wire; the navel is sutured so that it returns to its normal position. If excess skin is important, especially in lateral areas of the abdomen, a vertical incision from the umbilical to the suprapubic line may be required. In order to give a youthful look, the medial rafion is increased by superficial liposuction.
Due to the very large take-off, two drain tubes will be put in place for a few days to prevent the formation of the hematoma. The postoperative scar is less visible. Postoperatively the patient will sit with the thighs in easy flexion to relax the scar. For 3-5 days, antibiotics and anticoagulants should be used, belts or braces will be used for 6 weeks. to prevent the formation of hematomas, serums, especially if the patient has nausea, vomiting, coughing. To deal with bruises and minor irregularities, ultrasounds are used twice a week for 2-3 weeks or with endermology using the Cellu M6.
The patient can get down from bed after 24 hours postoperatively; after removing the drainage tubes. The operating area will be protected by a simple dressing for 6-10 days.
Daily activity can be resumed immediately after discharge, avoiding intense physical activity. Also, a healthy diet is required. Postoperative complications are rare.
Abdominoplasty causes an improvement in the appearance of the patient, becoming “form” and trustworthy.