Abdominoplasty or Lipectomy is skin tightening and fat removal. of the abdominal region. Abdominoplasty is a plastic surgery restoring the abdominal wall by removing the excess of skin and fat, if necessary, and strengthening the weakened muscles.
Abdominoplasty leaves a scar that remains hidden by the underwear. This plastic surgery is good for men and women, and improves a lot the appearance of the abdomen, making it flatter and firm.
2-Women with one or more pregnancies. During pregnancy, extra skin is created due to the its expansion, mostly during the last three months when the fetus grows most. After childbirth, the skin looks slack and the abdomen looks bulging. This expansion of the skin of the abdomen also causes stretch marks. Candidate women to this surgery should not become pregnant again and must use a contraceptive method. However, in case they become pregnant, they can get to full term, although the skin deformity can be produced again.
The abdominoplasty is carried out through a long incision from one hip to the other, just above the pubis. A second incision is made around the navel to separate it from the surrounding tissues. Then, the skin of the abdominal walls is pulled up to the ribs until exposing the abdominal muscles. These muscles are the tensed and joined together in the midline, thus creating a firm abdominal wall and a narrower waist. The separated skin is stretched toward the pubis and the extra skin is removed; the navel is placed in its new position. Finally, it is stitched and a temporary draining tube is placed to remove any excess of fluids in the operated area, and covered with a bandage. In case of a mini-abdominoplasty. The skin is separated only between the incision and the navel, the extra skin is removed and then stitched.
During the first days after the surgery, the abdomen is somewhat swollen and one can feel some pain that can be controlled with medication. Depending on the extension of the surgery, the patient can go home after a few hours or stay in the clinic for 2 or 3 days. The plastic surgeon will instruct you on how to take a shower and change the bandages. Although you should not stretch yourself at first, you should start walking as soon as possible. The outer sutures on the skin will be removed in 5 to 7 days; the internal sutures, whose ends protrude from the ends of the incision, in 2 or 3 weeks. The bandage will then be replaced by an abdominal supporter.
Back to normal can take from a few weeks to a few months. If your physical condition before the surgery was good, including strong abdominals, the recovery after the abdominoplasty will be fast. Some people return to work after 2 weeks, while others require 3 or 4 weeks of rest and recovery. Physical exercises help recovery. Even people who did not do exercises before the surgery, must follow a training program to reduce swelling and the formation of venous clots, and to tone up the muscles. However, you should avoid strong exercises until you feel comfortable. Scars might not look good during the first 3 to 6 months while they are healing, which is normal. The patient should wait 9 months to a year for the scars to flatten and clear. Although they will never disappear, they will not be visible, even when wearing a bikini or bathing suit.
Abdominoplasty, either full or mini, provides excellent results in patients whose abdominal muscles are weak and have an excess of skin and fat. In most cases, the results are definite, provided the patient follows a balanced diet and does regular exercises. If you have realistic expectations and are capable of handling the presence of a permanent abdominal scar, though a disguisable one, and a long period of recovery, then, abdominoplasty can be good for you.
Hospitalization regularly lasts 2 to 5 days, and full recovery takes from 4 to 6 weeks. Nevertheless, it is recommended not to do make physically demanding efforts during the first three months. This surgery is contraindicated to smokers, because there is a high risk of necrosis of the abdominal skin flap. Like any other plastic surgery, abdominoplasty has some infrequent risks which can generally be corrected later: loss of sensitivity, small irregularities, infection or a bad cicatrization.