For whom and who gets the best result?
Abdominoplasty is good for the persons having extra loose skin and fat around the abdomen with or without, decreased elasticity of the underlying muscles.
- Following Pregnancy
- Major weight loss after dieting or weight loss surgery
Who should not undergo it?
Those who still want to reduce the weight should undergo surgery only after weight reduction. If there is weight reduction after surgery, the result of surgery is spoiled.
Women desirous of pregnancy should undergo abdominoplasty only if there are no options working.
What is done in the operation?
The doctor examines the elasticity of your skin and underlying muscle during the first consultation. Routine blood investigations and sonography is generally advised.
On the day of operation a detailed marking is done on the skin and a formal plan is finalized.
The operation is done under general anesthesia.
An incision is made from one waist to the other as low as possible. The incision is generally given in such a way that it remains hidden under the undergarments. The skin above the incision is separated and one of the two procedure described below is completed.
- If there is excess of fat in the area above and bellow the belly button, a formal abdominoplasty is done. Here the surgeon removes extra skin and fat and separates skin from underlying muscles going high above the belly button. The belly button is repositioned. Stitches are given to make the underlying muscles stronger and taut. Current trend is to do liposuction for better definition of the waistline as well as contouring of upper abdomen.
- If the excess of fat is ony in the area bellow the belly button, a procedure known as mini-abdominoplasty is done. Here extra skin and fat is removed as before but the belly button and the skin and muscles above it are not disturbed. Sometimes this procedure is combined with liposuction in the skin above the belly button.
Stitches are given to close the skin. In some cases a drain tube is brought out to remove collected blood.
What is the care after operation?
The patient can be allowed to move around after 24 hours. Under most circumstances you will be discharged after 24 hours. It may be difficult for you to stand up initially but becomes easy once the movement is started. It is very important to start moving around after 24 hours.
You can move around in the house in 3 days. It is advisable to take rest for a week after operation. The drain tube is removed between 4 to 7 days or after it stops draining the fluid. The dressing is changed every 3 days and stitches are self dissolving type. Light exercise like slow walking can be started after 2 weeks. Lifting of weight and heavy exercise are allowed after 3-4 weeks. You will be advised to put on special pressure garments after surgery. The duration of this may vary between 4-12 weeks depending on the extent of liposuction done alongwith.
The incision line remains permanent. It may look red and elevated to begin with but becomes invisible over a period of about 6 months.
What are the risks associated?
Most of the operations end up without any risks or complications. The procedure however carries as much risk of anesthesia as any other (non-cosmetic) operation. Other complications are generally related to healing of incision. More specific complications can be advised after your first clinical examination.