It is a surgery that is applied especially for patients who have sagging abdominal skin due to excessive weight gain or who want to remove the cracks in the skin experienced during pregnancy.
Abdominoplasty is based on the principle of removing excess skin and fat tissue from the lower abdomen, from the groin to the belly button, and tightening the underlying muscle layers. Generally, patients who do not want children from women are preferred.
There are two types of abdominoplasty.
Mini (incomplete) Abdominoplasty.
In total abdominoplasty, all the skin from the groin area to the navel is removed and the new belly button is created, while in mini abdominoplasty, it is sufficient to remove some skin from the groin area, and no new belly button is created.
How Is This Surgery Performed?
The surgery is performed under general anesthesia. An incision is made from one end of the pelvis to the other, usually in the underwear. The abdominal skin is lifted over the abdominal muscles and the excess skin is pulled down. A new belly button is created. If there is a separation between the abdominal muscles, these muscles are tightened again. The incisions created are sutured aesthetically. Usually, two drains are placed in the surgical area and a special surgical corset is worn.
It is usually sufficient to stay in the hospital for 1 or 2 days after the operation. The drains placed in the surgery will be withdrawn after the amount of fluid coming into them decreases. Our patients need to pay attention to their dressings for about 10-15 days, and they usually spend this time in the form of home rest. Generally, after the 3rd week, scar removal creams are recommended.
Frequently Asked Questions about Abdominoplasty
It is important for the patient to inform his doctor about his chronic diseases (heart-lung goiter anemia (anemia)), if he has, to tell him what treatments are applied, and to talk in detail about the operations he has had before, especially in the abdominal region. If the patient has special diseases related to the lung, heart and intestinal systems, these should be controlled for a certain period of time before the operation. Among these, diseases such as chronic bronchitis and asthma that cause respiratory problems and cough problems, hypertension that cause post-operative bleeding, and chronic constipation that can cause straining that can damage our sutures are particularly important.
It should not be forgotten that uncontrolled diabetes mellitus (diabetes mellitus) may cause complications during the recovery period after surgery.
In particular, it is recommended not to use blood thinners from two weeks before to two weeks after surgery.
It is appropriate to stop all kinds of vitamins or herbal medicines two weeks before the surgery. If a birth control pill is used, it is recommended that it be discontinued before one cycle.
Especially quitting smoking 1 month before the surgery is very important in terms of wound healing and prevention of other undesirable complications after surgery.
Patients should take precautions against unwanted pregnancies both before and in the early postoperative period.
After the surgery, the first 10-15 days are usually a rest and dressing period, and you should take the necessary medications prescribed for you and have your dressings, taking into account the warnings we will make to you during this process.
In general, after the 2nd week, you can do your daily work more comfortably. In order for your scars to heal well, you can use special creams or bands after the 3rd week.
After the operation, you will need to use the special corset that we will wear for you for 3-4 more weeks.
We usually recommend simple walks after the 4th week, but heavy sports should not start before 3 months.
For natural wound healing, it takes a certain amount of time for your scar in your underwear to heal. This period does not occur before 6-12 months.
Although it is generally preferred to perform tummy tuck surgery alone, in some cases, a certain amount of liposuction can be applied to the skin of the anterior abdominal wall and especially to the lateral areas.
In such cases, the extra risks of combining these two surgeries should be shared with our patients.