With the passing of time, changes in weight, pregnancy, etc., abdominal skin loses elasticity and abdominal wall muscles lose tone.
The tummy tuck or abdominoplasty is a surgical procedure whose purpose is to remove excess skin and fatty tissue from the bottom and middle of the abdomen, so as to achieve tight abs, flat and firm without excess skin and fat. This technique is often associated with a liposuction of the upper abdomen or hip area and aplication or tightening of the abdominal muscles to optimize the aesthetic result.
Ideal candidates are those patients who are more or less in their correct weight, but suffer from a bulging abdomen, with accumulation of excess fat and skin that does not improve despite exercise or diet. Patients with obvious overweight should diet and stabilize their weight before surgery and patients who plan to have more pregnancies should postpone it until they have decided not to have more children.
It is important that during the first visit you discuss if you have a serious medical condition, if you take aspirin ® or sintrom ® or if you are a smoker. Patients who smoke should stop smoking several weeks before undergoing this surgery, because it delays the healing process and the scarring is worse.
Abdominoplasty is performed in the operating room under general anesthesia or spinal anesthesia. The procedure usually takes 2-3 hours (if it is a mini-tummy tuck the duration is about 1.5 hours). The incision is made from one to the other hip and is intended to remain hidden beneath underwear or bikini. We make another small incision around the navel to take it to the new position. We proceed to separate the skin and fatty tissue from the abdominal muscles are tightened using a permanent suture. Then we see the amount of skin and fatty tissue have to remove and put the navel in the new position. Intradermal sutures used for skin and put a couple of drains and tight binding.
Patients remain in the hospital 24 to 48 hours, but start walking the day after surgery to minimize the risk of thrombosis. The drains are removed 48-72 hours later and stitches three weeks later. The patient should wear a snug elastic garment or sash for a month to reduce the swelling of the abdominal area.
Patients can return to work within 2-3 weeks and should avoid strenuous exercise during the first month and a half.
The scars remain red and hard the first six months, thereafter begin to improve. However, since we use withdrawn sutures, a series of patches and silicone creams improve and accelerate healing.
Possible complications that can occur, although rare, include necrosis of the skin in the area above the pubis, seroma and postoperative hematomas that will require longer post-op and possible evacuation or reoperation.
The intervention may be short if the patient is cared for, has a balanced diet and exercise routine; that part of being healthy guarantees longevity of the surgery and the patient.
The scars are hidden in the bikini or underwear. You should be aware that they can take time to clear and flatten at least about 9 months.