Indications and contraindications for abdominoplasty
Abdominoplasty is indicated if you:
- gave birth, after which you still have a sagging belly and stretch bands;
- quickly lost weight and an unaesthetic skin fold appeared on the stomach;
- you want to eliminate fat deposits and tighten the skin in the abdomen;
- wish to remove stretch marks and scars that have remained from previous surgical procedures;
- you have a paraumbilical or umbilical hernia (in such a situation, a combined operation is shown – elimination of the hernia and correction of the shape of the abdomen).
Contraindications to an abdominoplasty are divided into general and particular. Common ones include exacerbations of chronic diseases and acute infectious processes, bleeding disorders and intolerance to anesthesia. Private contraindications are pathological processes in the area where the operation is performed.
Types of abdominoplasty
There are 5 types of abdominoplasty. They differ in the course of the operation, the type of anesthesia and the price:
- Classic. It is indicated for significant skin folds and divergence of the rectus abdominis muscles.
- Vertical. The surgeon makes an additional incision in the midline of the abdomen. This feature allows you to eliminate scars from previous operations, get rid of stretch marks in the navel and evacuate more fat.
- Side. Incisions in the lateral abdomen can be additional or primary access. Modification is used if stretch marks and excess body fat are concentrated in this area.
- Endoscopic. The surgeon makes 3-4 incisions on the front abdominal wall for the supply of tools. The diameter of the incisions does not exceed 5 mm. The method is characterized by low invasiveness and good reviews from patients.
- Miniabominoplasty. The difference from the classical method is the smaller size of the incision in the suprapubic area. It is indicated for small skin folds and a small amount of fat deposits.
Operation process
Classical abdominoplasty begins with marking the skin and photographing the area of intervention. Then the anesthesiologist injects anesthesia. Plastic surgery uses general or spinal anesthesia.
The surgeon makes an incision in the suprapubic area along the skin fold. After that, it eliminates the defects of the anterior abdominal wall: hernia and divergence of the rectus abdominis muscles. The next stage is the correction of the shape and liposuction of the abdomen. To do this, the surgeon excises excess fat tissue so that the layer between the muscles and the skin is minimal. At the end of the operation, skin defects are removed: folds, stretch marks and scars from previous interventions.
Abdominoplasty ends with layer-by-layer closure of muscles, aponeurosis, and skin with fat tissue. The patient is removed from anesthesia and transferred to the ward.
Rehabilitation period
The recovery period is about a month. During this time, the surgeon removes the stitches, and the stomach acquires a natural shape. At this time, give up physical exertion, visits to the solarium and beaches, smoking, as well as from the use of products that can cause constipation and gas formation.
Abdominal correction results
The effect of abdominoplasty can be seen immediately after plastic surgery. The final result can be estimated at the end of the rehabilitation period. After the classic plastic surgery remains a scar in the suprapubic area. To make it invisible, surgeons use intradermal suture.
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