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Surgery of the Abdomen (Abdominoplasty)
Abdominoplasty, known more commonly as a "Tummy Tuck", is a
major surgical procedure to remove excess skin and fat
from the middle and Lower Abdomen and to tighten the
muscles of the Abdominal wall. |
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The procedure can dramatically reduce the appearance of a
Protruding Abdomen. But keep in mind, it does produce a
permanent scar, which varies in length, depending on the
original problem and on the surgery used to correct it.
Who is best for Abdominoplasty?
The best candidates for Abdominoplasty are men and women who
are in relatively good shape but are bothered by a large fat
deposit or loose, stretch marked Abdominal skin that won't
respond to diet or exercise. The surgery is particularly
helpful to women who, through multiple pregnancies, have
stretched their Abdominal muscles and skin beyond the
pointwhere they can return to normal. Loss of skin
elasticity in older patients, which frequently occurs with
slight obesity, can also be improved.
Patients who intend to lose a lot of weight should postpone
the surgery. Also, women who plan future pregnancies should
wait, as vertical muscles in the Abdomen are tightened
during the surgery and can separate again during pregnancy.
Abdominoplasty can enhance your appearance and your
self-confidence; since it has certain limitations, your
expectations should be discussed in consultation.
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Anesthesia |
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This procedure
may be carried out using general Anesthesia, in which case
you will sleep through the operation. Another option is an
epidural block, the same type of regional Anesthesia
commonly used in childbirth; it may combined with a sedative
to make your drowsy. With this type of Anesthesia, your
abdominal region and your legs will be insensitive to pain. |
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Surgery |
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Complete
abdominoplasty usually takes two to four hours, depending on
the extent of work required. Partial Abdominoplasty may take
an hour or two.
Most commonly, a long incision is made from hipbone to
hipbone, going down from one hipbone and passing just above
the pubic area, then going up to the other hipbone. A second
incision is made to free the navel from surrounding tissue.
With partial Abdominoplasty, the incision is much shorter
and the navel nay not be incised, although it may be pulled
downward a bit, as the skin is tightened and stitched.
Next, the skin is separated from the abdominal wall all the
way up to your ribs and a large skin flap is lifted to
reveal the vertical muscles (the Rectus Abdominis Muscles)
in your Abdomen. These muscles are tightened by pulling them
close together at the midline of the body and stitching them
into their new position. This provides a firmer abdominal
wall and narrows the waistline.
The skin flap is then stretched down and the extra skin is
removed. A new hole is cut for your navel, which is then
stitched in place. Finally, the incisions will be stitched,
dressings will be applied, and a temporary tube may be
inserted to drain excess fluid from the surgical site.
In a partial Abdominoplasty, the skin is separated only
between the incision line and the navel. The skin flap is
stretched down, the excess is removed, and the flap is
stitched back into place.
Your new Appearance:
Abdominoplasty, whether partial or complete, can produce
excellent results for patients with weakened Abdominal
Muscles or excess skin. And in most cases, the results are
long lasting, if you follow a balanced diet and exercise
regularly.
If you are realistic in your expectations and prepared for
an adequate recovery period and a permanent scar which may
be hidden with your clothing or bathing suit, Abdominoplasty
may be just the answer for you.
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Your
new Appearance |
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Abdominoplasty, whether partial or complete, can produce
excellent results for patients with weakened Abdominal
Muscles or excess skin. And in most cases, the results are
long lasting, if you follow a balanced diet and exercise
regularly.
If you are realistic in your expectations and prepared for
an adequate recovery period and a permanent scar which may
be hidden with your clothing or bathing suit, Abdominoplasty
may be just the answer for you.
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Side
effects |
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Side
effects include temporary bruising, swelling, numbness,
soreness. Infection, fluid loss, fluid accumulation,
asymmetry, pigmentation may occur. |
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Recovery
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Swelling
and bruising may take one to two weeks. Result is usually
permanent with sensible diet and exercise. |
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