Abdominoplasty, in other words, abdominoplasty surgery is performed on people with abdominal wall laxity and excess fat. Who Will Benefit? Men and women who have sagging abdominal skin that does not respond to diet and exercise, but whose body contours are smooth, are candidates for this surgery. This surgery is especially beneficial for women who have given birth several times, have cracked and sagging abdominal skin, and weakened abdominal muscles. Patients who intend to lose weight should postpone this surgery. It is also beneficial for women who intend to give birth to postpone this surgery until after delivery.
If smokers are planning tummy tuck surgery, they should stop smoking 1 month before and should not smoke until one month after the surgery. If using vitamin E and aspirin, it should be interrupted and strict diet regimens should be avoided. A cold or another infection may require the operation to be postponed.
In abdominoplasty surgery, excess fat and sagging skin tissue in the middle and lower abdomen are removed and the abdominal muscles are tightened by stretching. Obese people should lose as much weight as they can before this surgery. With this surgery, the appearance of the fat belly and abdomen will improve dramatically; however, the scar due to the surgery will be permanent. There are many techniques used by plastic surgeons for abdominoplasty. The technique to be used differs according to the lubrication and sagging skin of the person. Other surgeries (liposuction, breast surgeries, etc.) can be performed together with abdominoplasty, this does not increase the risk of complications of the surgery.
Generally, general anesthesia is preferred for this surgery.
Full abdominoplasty may take 2-5 hours, mini abdominoplasty 1-2 hours depending on the width of the surgery. An incision line that extends from one hip to the opposite hip but can be hidden in a swimsuit and a second round incision around the navel is often required. In mini abdominoplasty, the incision line is shorter and the navel location may not be changed. During the surgery, the skin of the abdomen is released from the muscles below it from the groin to the level of the ribs. If there is a weakness or hernia in the abdominal muscles, this place is reinforced, the excess skin is cut off and separated from the body. These procedures performed in mini-abdominoplasty are more limited. After the operation, the wound is closed with subcutaneous (under the skin) sutures and covered with dressings. One or two tubes, called drains, can be placed under the skin to remove excess fluid and blood that may accumulate in the area. Drains are removed after 1-3 days.
In the early postoperative period, there may be swelling in the abdomen and pain that can be controlled with painkillers. Drains are removed after 1-3 days on average, and stitches after 1-3 weeks. On average, you need to stay in the hospital for 1-3 days. It may take a few months for you to feel the same as before. You can return to work after 7-10 days. Scars may not look beautiful at first, but they become acceptable in 6 months to 1 year and can be hidden under a swimsuit. It will not disappear completely. Partial or full abdominoplasty procedures give excellent results for patients with abdominal muscle weakness or serial sagging. In most patients, excellent results can be maintained for years with regular exercise and diet.
It is rare that there are problems after abdominoplasty surgery, apart from the possible risks of each surgery. Wound problems, scars and incision site may rarely have step deformity. These can be corrected with minor interventions. Skin loss can be seen in smokers.
Depending on aging, pregnancy and weight gain and loss, body contour changes may develop outside the operation area.