Whois candidate to this surgery?
The ideal candidates to be put under an abdominoplasty are those women or men who have a relatively good silhouette but that they are worried about the fat accumulation or the excess leather in the abdomen and that nonimprovement in spite of the diet or the physical exercise. This surgery is especially useful in women who have had several pregnancies, after which the skin and abdominal muscles have relaxed and they have not recovered his initial tone. Also the loss of elasticity of the skin in greater people can better, frequently associated situation to a moderate obesity.
Who must hope?
Those patients who must lose much weight must postpone the surgery, like the patients whom they try to have futures pregnancies, since during the surgery the vertical muscles of the abdomen are tightened and can return to relax in the course of this one. If previous scars in the abdomen exist, this surgery can be contraindicated or the scars can change of position. In other cases, this surgery is able to eliminate them.
The intervention and the anesthesia
The operation is realised in our operating rooms.The anesthesia type more using to realise an abdominoplasty is the general anesthesia, during which he will be slept until the surgery finalizes. In some cases, mainly in the mini-abdominoplasty and abdominal liposuction local anesthesia can be used more sedation, so that during the surgery you will be wide-awake but relaxed, and the region of the abdomen is insensible to the pain.
A complete abdominoplasty usually lasts between 2 and 4 hours, following the amount of necessary correction. An mini-abdominoplasty usually lasts between 1 and 2 hours. The abdominoplasty is realised through a long incision of a hip to the other, just upon the pubis. One second incision around the navel is realised, to be able to separate it of weaves of around.
In the mini-abdominoplasty a small incision is used much more, also upon the pubis, not being necessary the incision around the navel, that in some cases can be descended when stretching the skin.
Next, the skin of the abdominal wall separates upwards until reaching the ribs, exposing the abdominal muscles. These muscles are tightened and united in the mean line, providing therefore an abdominal wall it signs and a narrower waist. The separated skin is stretched in the direction of the pubis and the leftover skin extirpates gives; the navel is placed in its new position. Finally the sutures are realised and it is placed a bandage and a temporary water drain to eliminate the excess of fluid that can be accumulated in the taken part zone. In the mini-abdominoplasty, the skin only separates between the incision and the navel, extirpates the leftover skin and the sutures are realised.
During the first days the abdomen usually is something inflamed and can notice some annoyances or pain that are controlled with medication. Following the extension of the surgery, it will be possible to be marched to house after some hours or will remain 2 or 3 days in the clinic. His plastic surgeon will give instructions him to take a shower and to change the bandages. Although at the outset he does not have to stretch absolutely, he will have to begin to walk as soon as it is possible. The external points of the skin will be retired between the 5 and 7 days; the internal points, whose ends leave by the ends of the incision, in 2 or 3 weeks. The bandage will be replaced by a body belt.