Abdominoplasty
What is abdominoplasty?
Who is a good candidate?
Risks
Preparing for abdominoplasty
Recovery
What is abdominoplasty?
An abdominoplasty -- also known as a "tummy
tuck" -- is major surgery to tighten the
stomach muscles and remove excess skin and fat
from the middle to lower part of the abdomen.
The goal of the surgery is to make the abdomen
flatter and smoother.
Abdominoplasty requires a rather large incision
across the pubic area and around the navel. The
surgeon separates the skin from the abdominal
wall, then tightens the vertical stomach muscles.
When the muscles are stitched in their new, tightened
position, the physician removes the abdominal
skin and reattaches it in its new position.
Depending on the extent of abdominal wall looseness,
the surgeon may do a complete or partial abdominoplasty.
A complete abdominoplasty usually requires one
to two nights in the hospital, and at least a
two-week recovery period. Those in good physical
condition before surgery usually recover more
quickly.
A partial abdominoplasty incision is smaller,
because there is more loose skin, rather than
fat, to remove. Partial abdominoplasties may be
done on an outpatient basis, and the recovery
period is shorter.
Surgeons often perform this procedure in combination
with liposuction to achieve the best results.
Who is a good candidate?
Sometimes, after several pregnancies or dramatic
weight loss, the abdominal muscles lose elasticity,
and only surgery will improve the abdominal profile.
If conscientious dieting and a good exercise regimen
haven't helped you flatten a protruding stomach,
this surgery may improve your overall appearance,
make it easier for you to find well-fitting clothing,
and increase your self-esteem.
Abdominoplasty does leave a permanent scar,
but it fades over time and it can usually be hidden
by clothing. Abdominoplasty is not for everyone.
It isn't a substitute for a healthy diet and regular
exercise, and anyone who undergoes this procedure
should be in general good health. Women who plan
to have more children should wait before having
this procedure.
Risks
Every type of surgery has risks, but you can usually
help prevent complications by carefully following
your physician's instructions. It's important
to talk with your plastic surgeon before surgery
to be sure you understand the potential risks
and complications. If you don't understand something,
ask!
After an abdominoplasty, infections or blood
clots can occur, although they are rare. As with
all surgery, there will be scars, but your surgeon
will try to minimize them. If the scars are noticeable,
you may need surgery to improve them.
Preparing for abdominoplasty
If you smoke, you will need to stop at least two
weeks before your abdominoplasty. Your physician
will tell you what medications and supplements
you may continue to take.
Recovery
Because abdominoplasty is major surgery, you may
spend one or two nights in the hospital afterward,
especially if you're having other surgery at the
same time. Expect to be sore and plan to limit
your activities during the recovery period.
Most people are able to go back to their usual
activities and exercise after about six weeks,
but you may continue to wear a binder or other
garment for support for two to three months. After
a few months, your scars will become less noticeable.
Coupled with a healthy diet and regular exercise,
your abdominoplasty will help you feel better
about your appearance and increase your self-confidence.
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