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Abdominoplasty ( Tummy Tuck )
Abdominoplasty is a surgical procedure in which excess fat and sagging skin tissue present in the middle and lower abdomen area is detached during the operation, as well as the abdominal muscles that are tightened and strengthened. As a result of excessive weight gain and loss, postpartum, pregnancy or structural separation of the abdominal muscles, deformation of the abdominal muscles and skin due to aging and excessive fat accumulation, looseness in the structures forming the abdominal wall, cracks and sagging in the skin occur. These deformations, which spoil the appearance of the person, can be removed by abdominoplasty. With this surgery, the appearance of the fat belly and abdomen is improved dramatically; however, the scar due to the surgery is permanent. The aim is to remove excess on the abdominal area that cannot be treated through exercise; excess skin caused by pregnancy or losing a significant amount of weight can be examples. There are many techniques used by plastic surgeons for abdominoplasty. Abdominoplasty can also be performed with operations for body contour correction (aesthetic breast surgeries, liposuction, etc.)
Who is suitable for Abdominoplasty treatment?
While planning the abdominoplasty, to achieve the desired result; It is necessary to pay attention to some criteria such as the elasticity of the abdominal skin, the amount of sagging in the skin, the presence of cracks, and the degree of separation in the abdominal muscles. The amount of stretching in the abdomen is decided based on these characteristics of the person.
It is preferred that a person who is scheduled for a tummy tuck (abdominoplasty) surgery has lost some weight. The success rate increases in people who suffer from sagging and deformations in their ideal weight or the closest to their ideal weight; the desired tension of the abdomen can be achieved. Since the thickness of the abdominal skin is also high in overweight people, stretching may not be performed as much as desired.
Preparation before tummy tuck surgery
For pre-operative preparation, you will receive some specific recommendations, including points such as eating, drinking, smoking, taking, or not taking some medicines and vitamins. At least a week before the surgery, you should stay away from drugs and foods that dilute the blood. At the same time, you should inform your doctor about any medication you use and leave hormone preparations such as birth control pills, if any, under the doctor’s control. If you smoke, you should not smoke for at least two weeks before surgery and at least two weeks after surgery. Since smoking will create wound healing problems, permanent problems may occur in the scars. Besides, before the surgery, you should not apply for a harsh diet program in terms of decreasing body resistance, excessive diets can reduce the potential for recovery. In the presence of a cold or any infection during the operation period, the operation may be postponed. It will be beneficial if you eat plenty of pulp foods before the operation and take stool softening drugs a day before. This approach will prevent you from having constipation and gas problems after surgery and will allow you to have a more comfortable process. While you are preparing, it will also be useful to arrange for someone who will take you home after the surgery and help you for a few days if necessary.
What are the issues you should pay attention to after the surgery?
From the moment you leave the surgery, you will be wearing a corset. The corset will help prevent excessive edema accumulation with the pressure it provides from outside. You can wear your corset for about a week, without removing it, and wearing it during the day for three weeks after a week. At the 8th hour after the operation, your mobilization is provided with the help of the nurse. The more effort you put in walking and moving, the faster you will have a recovery and recovery process. Your walking position should be slightly tilted forward for the first 5-7 days. This position will reduce the tension in your abdomen and make you more comfortable. Likewise, keeping the head slightly upright while lying down and lying in the V position with support under the knees will prevent tension in the seam line. By completing the body adaptation process in a short time, a week, there will be no obstacle to your comfortable and casual physical movement. The process of returning to daily life, depending on personal characteristics, may take 10-15 days. You can take a bath or shower on the 3rd day after the surgery. Although starting light exercises about three weeks after the operation; You can return to your sports activities in the 6th week.
What are the risks of tummy tuck surgery?
All surgical procedures carry some uncertainties and risks. Hundreds of tummy tuck surgeries are successfully performed every year. This surgery gives very good results in the hands of an aesthetic surgeon who has experience in shaping the body. However, there are risks associated with anesthesia and special risks associated with this surgery, which can be seen in all surgical procedures.
Special risks that can be seen after abdominoplasty include wound infection, accumulation of blood or body fluid in the surgery area, blood clotting and poor wound healing.
Wound infection can be resolved with drainage and antibiotic use. Although the accumulation of blood or body fluid in the operation area is rarely seen due to the drains placed in the surgery, it is removed with a second intervention when necessary.
Blood clotting (embolism) is a complication that should be kept in mind, especially in elderly patients, that can risk life and can be seen after any surgery. This risk is usually eliminated by lifting the patient up and walking early after abdominoplasty, using compression stockings and using some medications.
Poor wound healing usually results in distinct scars. This situation sometimes makes you think of a second intervention to remove these bad marks. The risk of bad wound healing is higher in smokers and those with systemic diseases that disrupt wound healing (such as diabetes).