TUMMY TUCK
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ABDOMINOPLASTY - TUMMY TUCK SURGERY
Abdominoplasty or dermolipectomy ("tummy tuck") is a procedure by which excess skin and subdermal tissue from the abdomen (so called hanging belly) are removed and complete musculature of the abdominal wall is tightened.
"Hanging belly" occurs mostly with persons who have lost a significant amount of weight or women who gave several births. Of course, hereditary factors play a significant role.
TUMMY TUCK CANDIDATES
Some of the indications that confirm that you are a candidate for dermolipectomy are excess skin and fatty tissue on the belly, limp and loose belly, striae on the lower part of the belly as well as loose and separated muscles of the abdominal wall.
PREOPERATIVE ASSESSMENT
Preparation of the patient for the tummy tuck surgery usually begins on the first examination. Patient consent is the first step in preparation of the patient for the surgery. It is very important that feeling of trust between the patient and the doctor is created. Surgeon informs the patient what the surgery includes and what needs to be done before the surgery. During the initial examination the surgeon will probably ask you to show exactly what kind of change you would like to be done to your belly.
During the examination you will give anamnestic data on illnesses or surgical treatments you hade previously, medicine allergies, diabetes, hypertension, anemia, chronic infections. It is important to give the information whether you are using some medication such as aspirin, estrogen, vitamin C, etc. It is very important to provide complete information.
During the examination that is performed in standing and lying position, level of excess skin and subdermal fatty tissue needs to be established as well as degree of looseness of abdomen wall musculature and possible presence of ventral hernia.
TUMMY TUCK PROCEDURE
Incision is horizontal and is made in lower part of the belly above pubic hairs and extends lateral towards pelvic bones. Length of the incision depends on level of looseness and skin excess. Generally, incision is hidden and has contours of the bathing suit so it can't be seen on the beach.
The whole complex of skin and subdermal tissue are prepared all the way to muscular fascia and up to ribs. Abdominal muscles are tightened and they are connected (plicated) shaping and forming new beautiful contours of the body. After that excess skin and subdermal tissue are tightened all the way up to navel which is removed. A new navel is created that has to look like the real one. Sometimes liposuctionneeds to be combined. Drains are placed that are left for a few days.
POSTOPERATIVE TREATMENT
Patient needs to be in the position with bent legs for a few days, after which drains are removed. Sutures are removed after about 14 days. After tummy tuck surgery special corsets are worn that need to be worn for a month after the surgery. Physical strains must be avoided for a month.
One day after the surgery patients has to get out of bed and go for a short walk in bent position in order to increase blood circulation. Straining, sudden straightening and physical activities must be avoided. Sexual activities are avoided for at least two weeks after the surgery.
COMPLICATIONS
Complications are rare and can be early and late. Early complications are: hematoma, infection, necrosis around the incision and usually occurs with smokers and diabetics. After the surgery seroma can accumulate under the skin and in lower parts of abdomen that can be present for a few months after the surgery. Later complications include appearance of hypertrophic scar.
Abdominoplasty or dermolipectomy ("tummy tuck") is a procedure by which excess skin and subdermal tissue from the abdomen (so called hanging belly) are removed and complete musculature of the abdominal wall is tightened.
"Hanging belly" occurs mostly with persons who have lost a significant amount of weight or women who gave several births. Of course, hereditary factors play a significant role.
TUMMY TUCK CANDIDATES
Some of the indications that confirm that you are a candidate for dermolipectomy are excess skin and fatty tissue on the belly, limp and loose belly, striae on the lower part of the belly as well as loose and separated muscles of the abdominal wall.
PREOPERATIVE ASSESSMENT
Preparation of the patient for the tummy tuck surgery usually begins on the first examination. Patient consent is the first step in preparation of the patient for the surgery. It is very important that feeling of trust between the patient and the doctor is created. Surgeon informs the patient what the surgery includes and what needs to be done before the surgery. During the initial examination the surgeon will probably ask you to show exactly what kind of change you would like to be done to your belly.
During the examination you will give anamnestic data on illnesses or surgical treatments you hade previously, medicine allergies, diabetes, hypertension, anemia, chronic infections. It is important to give the information whether you are using some medication such as aspirin, estrogen, vitamin C, etc. It is very important to provide complete information.
During the examination that is performed in standing and lying position, level of excess skin and subdermal fatty tissue needs to be established as well as degree of looseness of abdomen wall musculature and possible presence of ventral hernia.
TUMMY TUCK PROCEDURE
Incision is horizontal and is made in lower part of the belly above pubic hairs and extends lateral towards pelvic bones. Length of the incision depends on level of looseness and skin excess. Generally, incision is hidden and has contours of the bathing suit so it can't be seen on the beach.
The whole complex of skin and subdermal tissue are prepared all the way to muscular fascia and up to ribs. Abdominal muscles are tightened and they are connected (plicated) shaping and forming new beautiful contours of the body. After that excess skin and subdermal tissue are tightened all the way up to navel which is removed. A new navel is created that has to look like the real one. Sometimes liposuctionneeds to be combined. Drains are placed that are left for a few days.
POSTOPERATIVE TREATMENT
Patient needs to be in the position with bent legs for a few days, after which drains are removed. Sutures are removed after about 14 days. After tummy tuck surgery special corsets are worn that need to be worn for a month after the surgery. Physical strains must be avoided for a month.
One day after the surgery patients has to get out of bed and go for a short walk in bent position in order to increase blood circulation. Straining, sudden straightening and physical activities must be avoided. Sexual activities are avoided for at least two weeks after the surgery.
COMPLICATIONS
Complications are rare and can be early and late. Early complications are: hematoma, infection, necrosis around the incision and usually occurs with smokers and diabetics. After the surgery seroma can accumulate under the skin and in lower parts of abdomen that can be present for a few months after the surgery. Later complications include appearance of hypertrophic scar.