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Abdominoplasty

Abdominoplasty: What do we talk about?

The tummy tuck or abdominoplasty can correct a belly dystrophic, that is to say, whose shape is altered. Three types of excess are involved: excess fat (removed by liposuction), excess abdominal skin (the "apron" abdominal skin is removed and tightened) and sagging stomach muscles. Combine when excess skin and sagging muscles are added to abdominoplasty, a cure hernia (doctors speak of "diastasis recti").

The standard abdominoplasty is to resect the wall by cutting a flap of skin under the crescent-shaped umbilicus. The upper flap is sutured to the ras lowered and pubic hair, the umbilicus is given in good position. The scar is around the umbilicus and pubic flush, concave upwards to meet the natural folds.

What are the uses (indications) of abdominoplasty?

We can offer abdominoplasty after pregnancy or weight loss, and whenever there is damage and a significant distension of the skin (wrinkles covering the pubic bone). Apart from these aesthetic reasons, a tummy tuck for preventive is to operate midlife women with excess weight concentrated in the stomach which inevitably worsen with age. Abdominoplasty can then reduce weight gain in this region by taking a portion of the stock of fat cells (adipocytes).

How is the tummy tuck?

Before the intervention, two surgery consultations spaced at least 15 days are required, and a visit by the anesthetist (72 hours minimum).

Three medical instructions are to be observed: smoking cessation previous two months to reduce the risk of scar tissue necrosis; stopping aspirin, anti-inflammatory or 15 days before oral anticoagulants to reduce the risk of hemorrhage possibly interruption of oral contraception in the previous month (other temporary contraception) to limit the risk of thromboembolism.

The procedure is performed under general anesthesia always. It lasts between 2 to 4 hours depending on the size of abdominoplasty with 1-3 days of hospitalization. Eight to 15 days off work is recommended.
After surgery, local drainage (rubber blades or suction drains) reduces the risk of hematoma, for a few days to a few weeks. The dressing is removed on the second day, replaced by a high retaining sheath to wear for 24 hours/24 1-2 months. The son is removed between 10 and 15 days after surgery, one or more times. Every effort abdominal muscles (especially the charging port) is prohibited for 2 months. Postsurgical monitoring consists of four visits at 1, 3, 6 months and 1 year. Six to 12 months are needed to judge the final result.





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