Abdominoplasty

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Abdominoplasty or " tummy tuck " is a beauty surgery procedure used to make the stomach thinner and firmer. Surgery involves removing excess skin and fat from the middle and lower abdomen to tighten the muscles and fascia of the abdominal wall. This type of surgery is usually sought by patients with loose tissue or sagging after pregnancy or major weight loss.

Video Abdominoplasty

Procedures

Abdominoplasty surgery varies within scope and is often divided into several categories. Depending on the extent of surgery, a complete abdominoplasty can take 1 to 5 hours. Partial abdominoplasty (mini-tuck abdominoplasty) can be completed between 1 and 2 hours.

Complete abdominoplasty

In general, complete abdominoplasty (or full) follows these steps:

1. The incision is made from the hip to the hip just above the pubic area.
2. Another incision is made to free the navel from surrounding skin.
3. The skin is released from the abdominal wall to reveal muscles and fascia to be tightened. The walls of the muscle fascia are tightened with stitches.
4. Liposuction is often used to correct the transition zone of the stomach statue.
5. Replace and sometimes compression garments are applied and any excess fluid from the site is drained.

Partial abdominoplasty

Partial abdominoplasty (or mini) takes place as follows:

1. A smaller incision is created.
2. The skin and fat in the lower abdomen are released in a more limited way than the muscle fascia. Skin stretched and excessive skin removed.
3. Sometimes the navel stalk is divided from the muscles below and the navel slips down lower in the abdominal wall.
4. Sometimes some of the walls of the stomach muscles are tightened.
5. Liposuction is often used to form transition zones.
6. The lid is sewn back into place.

Extended abdominoplasty

Extended abdominoplasty is a complete abdominoplasty plus a lateral thigh lift. The resulting scar extends from the posterior axis line (when putting your open arms around your hips, the thumb is lying along the posterior axis line.) The operation performs all the abdominal contours of complete abdominoplasty and allows further enhancement of the pelvis (waist), and smooth upper thigh contour.

The high tension abdomen multiplying

This is an advanced technique that takes more than four and a half hours to perform. Conventional abdominoplasty tightens muscles in vertical lines. In this new method, known as high tension lateral abdominoplasty , in addition to vertical line tightening, the muscles are tightened horizontally. The end result with this technique is a flat stomach dramatically with significantly more clearly defined waistlines.

Floating Abdominoplasty Technique or FAB

This new technique, also known as the extended mini abdominoplasty, allows it to tighten and form through smaller incisions that are not placed around the navel. Through this smaller incision, the excess skin is removed and the navel is temporarily released, floating above the muscle during this process. The muscles are tightened and reshaped from the sternum to the pubic area. The skin is then tightened and the navel is reconnected, or moved one or two centimeters if desired. Liposuction can also be done to achieve the desired result.

Circumferential abdominoplasty

Circumcial abdominoplasty is an extended abdominoplasty plus a buttock lift. The resulting scar stretches across the body, and this operation is also called Belt Lipectomy or the lower body lift. This surgery is most appropriate for patients who have experienced massive weight loss.

Combination procedure

Abdominoplasty can be combined with liposuction to make Lipotuck, which performs body contour around the hips, thighs, and buttocks.

It can also be combined with contouring liposuction, breast reduction, breast lifting, or occasional hysterectomy, depending on the reason for the hysterectomy. The popular name for the breast augmentation procedure performed in conjunction with the abdominoplasty is the "mother makeover".

Maps Abdominoplasty

Recovery

• Depending on the issues to be addressed, surgical techniques, and other factors. It can take one to four weeks and the patient is advised to take at least part of this recovery time from the job.
• Heavy lifting should be avoided during this time.
• Initially there may be bruising and discomfort.
• A belly binding material or a supportive compression outfit can minimize swelling/bruising, and support improved tissue. This compression outfit also effectively helps the skin in the treated area according to its new shape.
• Patients are advised to avoid all forms of nicotine for a month or longer before surgery and also during the recovery period.
• Full recovery takes 3-6 months, with the fading of further scars. The scars may appear red and prominent at first, but with proper care, they heal into thin and silvery lines.

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Risk

Abdominoplasty carries certain risks that may be serious or life-threatening. When making the decision to undergo such a procedure, it is recommended to compare the benefits with potential risks and complications. Therefore, all patients should be informed of all the risks they face. Severe complications occur in rare cases and these include blood clots, thrombosis, heart and lung complications or infections.

Infections and blood clots are potentially serious risks after abdominoplasty, but are rare. Infection is usually treated with antibiotics and drainage. Patients are encouraged to move as soon as possible after surgery to minimize their risk of developing blood clots. Pulmonary embolism, heart attack or stroke is a very rare complication that can occur after all types of surgery due to immobility after surgery that results in blood clots that can travel to the heart, lungs or brain. Thus, pulmonary embolism is a serious risk after the "tummy tuck" procedure and, if it occurs, usually occurs within three weeks after surgery, but more often within the first 72 hours after the procedure.

If complications occur, they usually delay the healing process. In rare cases, other surgeries are needed to correct potential complications. Skin necrosis is one of the complications that may require other procedures because dead skin should be replaced with a skin graft. Although necrosis is very rare, smokers have an increased risk of developing skin necrosis. Stopping the use of nicotine and smoking a few weeks before and a few weeks after surgery cleanses the body and increases the likelihood of a smooth recovery.

One of the more common problems after abdominoplasty is the collection of fluid under the skin after the sewer has been removed. A surgeon can absorb the fluid with a needle. Drainage stops within a month and does not affect the final result.

Scars due to long abdominoplasty, large in appearance, and permanent. The size of the scar depends on the amount of skin that has been cut, the techniques used for surgery, the skills of the surgeon, and the body's ability to recover. Although this scar will never be seen, it is usually placed under the swimsuit line so it is covered by clothes. It usually takes nine months to a year before the scar fades and lightens the color.

Possible risks of abdominoplasty include:

• Bleeding
• Liquid accumulation
• Wound healing is bad
• Losing skin
• Numbness or other changes to skin sensation
• Anesthesia complications
• Prolonged skin color and/or swelling changes
• The fat tissue found deep within the skin may be dead (fat necrosis)
• Large wound split
• Asymmetry
• Recurring skin cleavages
• Pain, which may be settled
• Continual swelling in the leg
• Nerve damage
• Possible revisional operations
• Hematoma (can occur in 3 to 4% of cases)
• Keloid (severe scar)
• Seroma
• Rupture yarn
• Swelling
• The visible scar
• Off

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Cost

The cost of "tummy tuck" varies from country to country and even within countries. Like most cosmetic surgery operations, the cost depends on various factors such as the age of the patient, their weight and their health condition. Depending on the individual, there may also be other costs involved after the surgery. This does not include follow-up visits as requested by some doctors.

In the United States this procedure can cost from $ 4,000 to $ 15,000.

Preoperative and post-operative treatments, facility costs, anesthesia, and medicines should be considered when reviewing operating costs. No surgery is guaranteed success and therefore a second or tactile procedure may be necessary to achieve the desired appearance. These costs are usually not included in the original fee.

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Related procedures

Liposuction , also known as lipoplasty, is a type of surgery that removes fat from the human body in an attempt to change its shape. The evidence does not support effects on weight beyond a few months and does not seem to affect obesity-related problems. Serious complications include but are not limited to death, deep venous thrombosis, organ perforation, bleeding, and infection. While the permanently sucked fat cells disappear, after a few months overall body fat generally returns to the same level as it was before the treatment. This despite maintaining diet and exercise before. While the fat returns somewhat to the treated area, most of the increase in fat occurs in the abdominal area. Visceral fat - the fat around the internal organs - is increasing, and this condition has been linked to life-shortening diseases such as diabetes, stroke, and heart attacks.

Body contouring is a generic term that refers to various plastic surgeries performed to different parts of the body in order to enhance the shape and tone of the tissue beneath which supports fat. This is a common procedure performed for people who have experienced great weight loss. This can be done in men and women.

Breast reduction , or reduction mammoplasty, is a cosmetic surgery used to change breast size, in women with large breasts and men with gynecomastia. This type of surgery is performed to treat a breast condition known as hypertrophy, which refers to a breast that is too large. This condition usually occurs in both breasts and generally develops at puberty or shortly thereafter.

Breast tightening , also referred to as mastopection, is a surgical procedure that lifts the excess skin and tightens the tissue around the breast, which causes breast enlargement and tightening. Mastopeksi has a certain level of risk as well as other types of surgery.

Hysterectomy is sometimes done with abdominoplasty. Hysterectomy consists of removal of the uterus and may be complete (when the body, fundus and cervix are removed) or partially (when only the uterine body is taken surgically). This procedure is usually performed by an obstetrician and is one of the most common gynecological operations. This type of surgery is used to treat some benign tumors, ovarian cancer, uterus or cervix, Adenomyosis but not endometriosis and also performed in transmen.

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Picture gallery

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See also

• Abdominal bowel

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References

Source of the article : Wikipedia