Am I a candidate for Abdominoplasty?
An individual must be in good health, not have any active diseases or serious, pre-existing medical conditions and must have realistic expectations of the outcome of their surgery.
This is an operation which requires patience and stability in dealing with the healing period. There is sometimes a lull or depression after surgery and if there is already a pre-existing emotional problem, this low period can develop into a more serious issue. Please consider this before committing to a procedure. If the above describes you and you have the desire to rid yourself of loose sagging skin of the abdominal area, you may be a good candidate for Abdominoplasty.
Normally women seek this procedure after pregnancy - although it is advised to wait until you are finished having children to have this procedure as the skin and muscles can get stretched out again as well as the dangers of your newly taut skin being unable to accommodate another pregnancy.
How is Abdominoplasty performed?
Abdominoplasty is performed most commonly under General Anesthesia or Light Sleep IV Sedation. Local anesthesia is then used to numb the abdomen.
The Procedure is typically performing thus:
How long does an Abdominoplasty last?
This procedure can last for many, many years. If there are no large weight gains, and no pregnancies after the tummy tuck then the changes can be relatively permanent.
Relaxation of the tissues can reoccur but not to the extent prior to surgery
Is there a lot of swelling involved with a Abdominoplasty?
Is there much pain associated with Abdominoplasty?
The amount of pain associated with this procedure is quite variable. Some patients note a moderate amount of discomfort, but for some it is more intense.
Patients will often note some back discomfort due to the 45 degree positioning for 4 to 5 days after surgery.
Valium is sometimes given to alleviate muscle spasms of the back and for relaxation.
What are the different techniques for Abdominoplasty?
What are the risks of Abdominoplasty?
As with any surgery under anesthesia, primary risks are associated with the anesthetic.
There are more risks with Abdominoplasty due to the fat and its surrounding tissues becoming necrotic (dead tissue). If the fat becomes necrotic from lack of blood supply, the fat tends to turn orange-ish clear and a little may drain from the incision. Although this is very normal to have fluid this color drain from the incision. There will be fat damage, there will be fluid retention, and there will be blood-tinted drainage.
If the tissue becomes necrotic, or you have a massive die off of fat cells you must have the tissue removed before a major infection develops. This is extremely rare and taking precautions can certainly make a difference:
Sometimes Liposuction is part of the Abdominoplasty procedure. Even with the ultrasonic technique, patients have been known to receive actual burns from the ultrasonic technique. The fat is actually melted within the body by 'exciting' the fat molecules with high frequency radio waves and is suctioned out. There may be asymmetry, hyperpigmentation (permanent dark spots) from the bruising. Major blood loss is a factor is some cases.
Another risk is Pulmonary Thromboemboli - a blood clot that breaks free and travel to the lungs. This can put a patient into adult breathing distress and subsequently into cardiac arrest or coma. Pulmonary Thromboemboli can occur within three weeks of the surgery but will most likely show symptoms of shortness of breath and fatigue within the first 72 hours. Pulmonary Thromboemboli can occur suddenly, without warning.
What does a typical Abdominoplasty consultation entail?
What is Abdominoplasty?
What should I expect post-operatively?
Patients are usually able to walk immediately after surgery and is in fact encouraged to do so 3 or 4 times per day for 1 to 2 minutes each time. Usuall y however, they cannot stand up straight, and walk with a hunched posture. The skin of the abdomen will be quite tight and patients are usually instructed to remain bent over at least 45 degrees for the first 4 to 5 days after surgery.
Patients will often note some back discomfort due to the 45 degree positioning for 4 to 5 days after surgery - Surgeon sometimes give muscle relaxants or valium.
The drains are removed 4 to 14 days after surgery. At the end of 4 days the patient may begin to straighten up and by six days post-op may or may not be fully straight.
You should not exert themselves for at least two weeks after surgery. While the drains are in, bed rest with a very small amount of walking as outlined above is recommended.
If drains are requored for an extended amount of time, patients are notexpected to sit in bed all day. An abdominal pressure garment may be given at a post-operative appointment. These are used for 3 o 6 weeks.
Some swelling and discoloration are normal but are generally minimal and dependent upon the individual.
When is Abdominoplasty usually performed?
When will I be able to see the results?
After the swelling subsides and the drains are taken out you will start to see a difference. However, underlying tissues have been cut and that an Abdominoplasty is a very invasive procedure. The body needs time to heal.
You will in time reap the benefits of this procedure.
When will the sutures be taken out and does this hurt?
Where are the scars located involving an Abdominoplasty?
This is not a scar-free surgery; and depend upon:
Indeed, in some cases, scarring can be severe. Most surgeons choose to offer their patients lesser scarring techniques that leave a well-hidden horizontal or slightly bowed scar which can be covered by a standard bikini.