Abdominoplasty - Abdominal Dermolipectomy

Abdominoplasty is a surgery that aims to remove a certain amount of skin and fat from the abdomen. 

It favors weight loss, but it is not the amount of grams removed that will define the final aesthetic result. 

This depends on maintaining the proportionality and harmony of the body as a whole. 

Paradoxically, the abdomens that show the best results are those where the smallest removals are made, such as cases of postpartum sagging, with a predominance of skin over a small amount of localized fat.

However, in cases where the patient's weight is above normal, but still stable, good results can also be achieved, especially when associated with liposculpture of the remaining regions, says plastic surgeon in Delhi.

Specific information

Type of anesthesia:  

Generally, epidural anesthesia with sedation is used. In special cases, general anesthesia or local anesthesia under sedation may be used.

Duration:  

On average, 2 hours when performed alone and 3 hours when associated with liposculpture.

Postoperative: 

The abdominoplasty is usually not painful, but the first five to seven days are very uncomfortable, due to the presence of the drain and the arched position that is necessary for a good healing of the operative wound. 

After removing the drain, the patient will be able to stretch the body a little more and the freedom brought about by the removal of the drain will really enable a great improvement in recovery. 

Fifteen days after the surgery, the incision stitches are removed and the patient will be walking upright, but not stretched. 

Twenty days after surgery it is already possible to drive short distances, and after thirty days the patient returns to practically normal activity, only not being able to perform tasks that require a lot of effort. 

Hiking is already allowed, but gym only after ninety days (about three months). The main swelling will have reduced a lot,

Scars:   

Up to the thirtieth day, the cut looks good, and there may be a slight reaction to the stitches or to the dressing. 

From the thirtieth to the twelfth month, there will be a natural thickening of the scar and a change in its color tones, which may change from red to brown, and then begin to lighten. 

As it is the least favorable period of healing evolution, it is the one that most concerns patients. 

However, it is worth remembering that it is temporary and varies from patient to patient. 

From the 12th to the 18th month, the scar tends to become lighter and less thick, thus reaching its definitive appearance. 

Therefore, any definitive evaluation of a surgery of this type must be done after a period of 18 months.

Dressings:  

Special elastic straps (modelers) are used for about thirty days.

Possible complications: 

Each organism reacts differently. 

Thus, in all patients, there are those who achieve an ideal result, while others may present negative results, in greater or lesser proportions, regardless of whether the medical work was done with zeal, expertise and caution.

Among the negative results of abdominoplasty - which fortunately are rare - the patient may present:

1	Infection.
2	Skin necrosis due to circulatory deficiency (smoking being its main cause).
3	Skin necrosis.
4	Stitch dehiscence – opening of stitches performed.
5	Venous thrombosis – blood clotting within the veins.
6	Anesthetic complications - depending on the type of anesthesia performed - allergy to medications (anaphylactic shock), malignant hyperthermia, post-epidural headache (headache), etc. may occur.
7	Aesthetic complications – each person has a type of scarring and the appearance of keloids, scar hyperchromia (darkening of scars), irregularities in the operated area, etc. are examples of cosmetic complications.

Preoperative recommendations:

• Communicate, up to two days before surgery, any occurrence, such as flu, indisposition, fever, menstrual period, etc.
• Check into the hospital/clinic, following the time indicated on the guide.
• Avoid any medication to lose weight and AAS, for a period of 10 days before surgery (which also includes diuretics).
• Avoid alcoholic beverages or large meals on the day before surgery.
• Schedule your social, domestic or school activities so as not to become indispensable to others for a period of approximately two weeks.

Postoperative recommendations after abdominoplasty:

 Avoid physical exertion for thirty days.

• Getting up as often as recommended, at the time of hospital discharge, obeying the periods of remaining seated, as well as avoiding, as much as possible, going up or down long stairs.
• Avoid wetting the dressing during the first phase (the first two days).
• Do not expose yourself to the sun or cold for a minimum period of sixty days.
• Walking in slight flexion of the trunk (curved body), keeping short steps, for a period of 15 days.
• Strictly obey the medical prescription.
• Return to the office to change dressings, on the days and times set.
• Normal food (except in special cases that will receive specific guidance).
• Wait to make or continue your “diet or slimming regimen” after medical clearance. The anticipation of this conduct, on its own, can trigger undesirable and harmful results.
• In the case of very obese patients, or when the surgical procedure is associated with liposuction, it is common for the elimination of yellowish fluid to occur in one or more points of the scar, which usually happens after the eighth day after surgery, however, this time may vary from patient to patient. It's lipolysis (destroying fat).
• Consult this information leaflet as many times as necessary to perfectly clarify and eliminate your doubts. If there is any question left, contact the plastic surgeon in Delhi.
• The good end result also depends on you.

Withdrawal of stitches:  

On average, from the tenth to the thirtieth day.

Complete bath:  

Usually after three days of surgery.

A new pregnancy:  

Abdominoplasty in Delhi does not prevent the patient from having children. Still, it is her gynecologist who will inform her about the convenience or not of a new pregnancy. 

As for the aesthetic part, the ideal is that the children have been programmed for before the tummy tuck in Delhi. 

If this is not possible, and in case of a new pregnancy, one way to preserve the good result obtained is to control the weight properly during the new pregnancy.

Until the ideal result is reached, several phases will occur and are characteristic of this type of intervention.

Sensitivity:  

In the first few months, it is normal for the abdomen to show relative insensitivity, in addition to being subject to periods of edema (swelling), which will spontaneously regress.

Shape:  

The abdomen may appear stretched or flat at this stage. Over time, and with the help of modeling exercises, the final result will be gradually reached. As for the umbilicus, it can be remodeled when we use the patient's umbilicus and a new umbilicus can also be made.

Fat in the stomach region:  

Tummy tuck in Delhi does not always correct that excess fat that some people have on the mentioned region. This does not depend on the plastic surgeon in Jammu, but on the physical type of the patient, as if the trunk (set of chest and abdomen) is of the short type, it will hardly be able to be corrected, while the long type is already more favorable. It is also necessary to take into account the thickness of the adipose panniculus (fat layer) that covers the patient's body. For the complementary treatment of the region, associated liposuction must be performed.

Surgery scar location:  

The scar resulting from a abdominoplasty is located horizontally, just above the pubic hair, extending laterally to a greater or lesser extent, depending on the volume of the abdomen to be corrected. The scar is planned to be hidden under the bathing suits, there are cases in which even a thong can be used, therefore, the type of swimsuit or bikini to be used will depend on your own mannequin, as the plastic surgeon in Chandigarh only improves your pre-existing personal form.

Postoperative pain:  

A normally evolving abdominoplasty should be pain free.