ABDOMINOPLASTY

Basics of Abdominoplasty

Abdominoplasty, commonly known as tummy tuck, is a cosmetic plastic and aesthetic that involves the removal of excess lower abdominal skin and its attached layer of fat, with simultaneous tightening of the abdominal wall. Abdominoplasty creates a flatter abdomen with the elimination of loose skin, stretch marks, and post surgical scars below the umbilicus (commonly vertical caesarian section scars). The protuberant appearance is likewise addressed by way of tightening of the muscle and facial layers. Most patients who undergo this procedure are those who have had multiple pregnancies or those coming off from major weight loss.

The first step a potential patient should do is have an informative and meaningful consultation with a certified cosmetic plastic surgeon. The patient should discuss all expectations with regards to looking and feeling better after the Abdominoplasty or tummy tuck. However, she should keep in mind that the acceptable outcome is basically a reasonable improvement and enhancement of her current features and never the impossible and unachievable “perfection”. Emotional stability in a potential patient is a minimum requirement while reasonable expectation is a must. Having a “new” look from an Abdominoplasty will never guarantee a financially rewarding and successful career or even a happy and problem-free marriage. It solely improves your appearance and possibly helps boosts self-confidence. This is realistically what a tummy tuck may just accomplish for you. How you handle the positive physical effects and gains of an Abdominoplasty is actually up to you. It should be kept in mind that the objective of a tummy tuck is a flatter abdomen devoid of most of the unsightly stretch marks and previous operative scar.

The Procedure of Tummy Tuck

A straightforward Abdominoplasty takes approximately three to four hours to complete. However, it may take longer if combined with other cosmetic plastic surgery procedures such as liposuction or some other facial or body surgeries. Abdominoplasty may be safely done in an outpatient setting or on a hospital basis under general anesthesia. Once under general anesthesia one will be sleeping soundly all throughout surgery. At times, it may be done under spinal or epidural anesthesia especially in hospital settings.

The incision is done from hip to hip just above the pubic area. Another incision is made around the belly button to free it from the abdominal skin. The abdominal skin and underlying fat is then elevated from the abdominal wall revealing the muscle and facial layer to be tightened. After tightening, the excess skin is removed and the wounds are closed. The preserved belly button stalk is then brought out through a new hole in the abdominal skin. Liposuction is commonly performed in safe areas to give a better definition and form.

Closure of the incisions is always carefully and meticulously done by your cosmetic plastic surgeon. All patients should keep in mind though that scars are realistically inevitable and are natural consequences of any incision or surgery. Your cosmetic plastic surgeon will try his best to keep them inconspicuous and well concealed as possible. Following surgery, dressings and bandage will be applied over the wounds and abdomen while closed suction drains will have to be maintained for a few days to facilitate drainage of any expected fluid.

The Risks on Abdominoplasty

Operative risks and side effects in cosmetic plastic surgeries are always possible. Bleeding, infection, fluid accumulations, vascular compromise, paresthesias, and healing problems may occur though not that common. Patients are therefore properly cleared and screened by the surgical team while the patient wholeheartedly understands all the possibilities. Any pain or discomfort may be effectively controlled more often than not by the right oral medications. It is prudent however to inform your plastic surgeon or any staff member of any unusual and persistent problems. Swelling and bruising are common and expected, and usually subside in a few weeks. A sense of numbness and tightness may be present, which eventually improves and subsides. Post Abdominoplasty patients are instructed to rest for at least a day and are ordered to avoid any exertions. Sutures and drains will usually be out after a week while an abdominal binder should be maintained for weeks. Most patients do return to work after approximately two to three weeks. Optimal results are seen after about three months.

For the potential plastic surgery patient in general, it is strongly advised to consult with a certified plastic surgeon. Patients are strongly encouraged to ask around and be properly and thoroughly informed regarding the procedures they seek. Adequate knowledge, skill, and care will be exercised by your certified cosmetic plastic surgeon prior, during, and after surgery.