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Abdomen


Abdominoplasty

There are two types of Abdominoplasty procedures: the complete, also known as Full Tummy Tuck or Abdominoplasty, and Mini Tummy Tuck also known as the mini Abdominoplasty. A specified recommendation is needed to undergo either the full tummy tuck or Abdominoplasty or a mini tummy tuck or Abdominoplasty.

The criteria used are usually skin laxity and elasticity, sagging or bulging of the muscular wall, and the amount of fat in the area. Sagging skin might be identified as extra volume, visible when the person is sitting down, or even by wrinkles, depressions or irregularities, visible when the person sits down.

Usually, a mini tummy tuck or Abdominoplasty is recommended when there is little excess of skin and bulging of the muscular wall. In this case, a mini tummy tuck or Abdominoplasty treats it with a small cut on the skin and muscle.

In case of a bigger amount of skin laxity, wrinkles or cellulite in the belly, more extensive incision is needed, which also includes working on a more extensive area.

Younger patients are usually recommended for a mini tummy tuck or Abdominoplasty, which is sometimes combined with Liposuction. Patients around 40 years old, who have gone through pregnancy, are usually recommended for a full tummy tuck or Abdominoplasty.

The best candidates for the Abdominoplasty or Tummy Tuck Surgery are men and women who are in relatively good shape but are not happy with large fat deposit or loose, stretch marked abdominal skin that won't diminish with diet or exercise. The Abdominoplasty or Tummy Tuck 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 helped. 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 are tightened during the surgery and can separate again during pregnancy. The Abdominoplasty or Tummy Tuck Surgery can enhance your appearance and your self-confidence; however, since the Abdominoplasty or Tummy Tuck Surgery has certain limitations, your expectations should be discussed during your consultation.

A complete Abdominoplasty procedure or Tummy Tuck Surgery usually takes two to four hours, depending on the amount of work to be done. A partial Abdominoplasty procedure or Tummy Tuck Surgery may take an hour or two. Most commonly, a long incision is made from hipbone to hipbone, going down from one hipbone and passing just above the pubic area, then going up to the other hipbone. A second incision is made during the Abdominoplasty procedure or Tummy Tuck Surgery to free the navel from surrounding tissue. With a partial Abdominoplasty procedure or Tummy Tuck Surgery, the incision is much shorter and the navel nay not be incised, albeit it may be pulleddownward a bit, as the skin is tightened and stitched. Next, the skin is separated from the abdominal wall all the way up to the ribs and a large skin flap is lifted to reveal the vertical muscles (the Rectus Abdominis Muscles) in your Abdomen. These muscles are tightened by pulling them close together at the midline of the body 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 may be inserted to drain excess fluid from the surgical site. In a partial Abdominoplasty procedure or Tummy Tuck Surgery, the skin is separated only between the incision line and the navel. The skin flap is stretched down, the excess is removed, and the flap is stitched back into place.

Hospital stay takes from 1 to 2 nights, depending on the type of Abdominoplasty or tummy tuck performed. A drain will be placed, which might remain from 2 to 5 days after the Abdominoplasty or tummy tuck procedure. The use of drain is efficient in reducing almost 100% incidence of seroma, the accumulation of fluids inside the abdomen during the postoperative.

A compression garment should be worn during the postoperative or the Abdominoplasty or tummy tuck, from 45 to 60 days. The compression level might be from light to medium, depending on each case.

In about 2 weeks, the patient can start to go out, avoiding stretching the hips completely, remaining a slightly bent. From 20 to 30 days after the Abdominoplasty or tummy tuck procedure, the patient can go back to work, if recovery goes well.

Navel Surgery

Navel Plastic Surgery, also known as Umbilicoplasty, might be performed for several reasons. In most cases, a Navel Plastic Surgery or Umbilicoplasty is associated with an Abdominoplasty or tummy tuck, when the navel is rebuilt after reshaping the abdomen and the scar is hidden inside the navel. In other situations, a Navel Plastic Surgery or Umbilicoplasty might be performed to retouch or even to fully rebuild the navel.

The navel is usually reconstructed when a previously performed surgery results in a serious infection around the navel, and also in case of post bariatric patients, when it is usually necessary to build a new navel.

In case of an Abdominoplasty or tummy tuck surgery, anesthesia might be general or eperidural with assisted sedation (the patient is monitored and sedated with the assistance of an anesthetist). The decision is from the anesthetist, even the general anesthesia being considered the safest option, especially after the development of new equipments and more efficient anesthetic drugs, with a reduced risk of complication. .

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