Abdominoplasty

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Abdominoplasty

Abdominoplasty (tummy tuck)


Fotografija stomaka sa linijama gde će hirurg operisati

Abdominoplasty involves the removal of fat deposits, excess skin as well as tightening the abdominal muscles. It is a surgical intervention in the field of cosmetic surgery which achieves a flat and tight abdomen, but also provides a significant loss of fat deposits in the abdomen. After the operation, your abdomen will be reshaped and you will wear clothes several sizes smaller.

In 85% of cases, in addition to abdominoplasty, liposuction of the abdominal region is performed, which gives a more beautiful and harmonious appearance.

Another type of procedure is dermolipectomy, which involves only surgical removal of excess skin of the abdomen. The third type of intervention in the abdomen is diastasis of the abdominal muscles.


Why is abdominoplasty performed?

Abdominoplasty can be a way to get a flat stomach if:

  • You have excess skin on your abdomen after major weight loss, childbirth or liposuction
  • If you have had a caesarean section or an operation that performed a large incision in your abdomen
  • you have excess fat and skin in the navel area
  • you have weak muscles of the lower abdominal wall.

Who is not a good candidate for abdominoplasty?

Unfortunately, abdominoplasty cannot be performed if:

  • you have a body mass index greater than 30
  • you are planning a pregnancy or a significant weight loss
  • you have a serious chronic illness
  • you have significant scar tissue from an operation in the abdomen.

What preparation is required for an abdominoplasty/tummy tuck?

Abdominoplasty is an extensive operation that requires serious preparation. The most important thing is a conversation with a cosmetic surgeon who will describe the whole procedure, answer all your questions and explain what results you can expect.

The complete process of preparation for the surgery is done at our clinic and included in the price. it includes all the necessary laboratory analyses complete blood tests results, basic biochemical analysis with the coagulation factors, blood type, and RH factor.The complete process of preparation for the surgery is done at our clinic and is included in the price. It includes all the necessary laboratory analyses complete blood tests results, basic biochemical analysis with the coagulation factors, blood type, and RH factor.

It also includes :

  • Internist and cardiovascular examination with ECG
  • Lung X-ray with a radiologist's reportLung X-ray with radiologist's report
  • Abdominal ultrasound
  • Clinical examination by an anesthesiologist.

If you are a smoker, it is necessary to stop smoking a few weeks before the surgery because smoking negatively affects the circulation and the healing process of wounds, thus prolonging the recovery time.

You will need to stop taking aspirin and any anti-inflammatory drugs such as ibuprofen three to five days before the intervention because they affect increased bleeding. At the same time, you will need to start taking anticoagulants to prevent blood clogs.

What you need to know is that at least 6-8 hours before the planned operation, you should stop eating and drinking. You need to remove nail polish or gel polish from your fingernails. It is necessary to remove the complete make-up from the face, any piercings and jewelry. Do not apply body milk 4-6 hours before the operation. A few days before the operation, it is desirable to do depilation, if there is any hair on the part of the body that is undergoing the operation.

It is necessary to bring personal hygiene items and a personal document with a picture (ID card or passport), complete medical documentation and any medications that are part of your chronic therapy.

How is abdominoplasty with dermolipectomy performed?

 Abdominoplasty is performed under general anesthesia. Depending on the scope of the operation, the surgeon determines the operative approach, which can be a horizontal incision and in some cases a horizontal and vertical incision.

The surgical incision is made about 5 cm above the pubic bone, in the bikini area, from one hip to the other. It is necessary for the incision to be long enough to remove excess skin evenly.

The skin is lifted, the subcutaneous tissue is separated from the muscles by the entire front side. The abdominal muscles are brought to the correct position and a certain degree of tension, and then they are stitched to the surrounding connective tissue. There is also the possibility of achieving a narrower waist by the application of the abdominal muscles.

In the next step, a part of the subcutaneous adipose tissue is extracted. Then the skin is tightened and the excess is removed - the so-called overhanging fatty apron.

Since part of the tissue is removed, the navel often loses its position, so in many cases it is necessary to make a new navel at the appropriate height. In order to drain the wound, it is usually necessary to place drains on both sides of the surgical incision. Drains are usually removed 2 days after surgery. Then suturing is done on the inside, which allows for minimal scars. In order to achieve the ideal appearance of a flat and tight abdomen with firm abdominal muscles, it is recommended to do liposuction at the same time.

Dermolipectomy is another type of abdominoplasty that only removes excess skin and fat deposits from the lower abdomen. This type of procedure is most often performed on women who want a smaller correction of stretched skin of the abdomen after childbirth.

The procedure takes 2-3 hours.

The scar is located in the bikini area, so it will not be visible when wearing a bathing suit. A year after the operation, it will fade and become almost invisible.

After the operation, the patient wears a compression garment which contributes to the reduction of pain and easier and faster recovery.

The patient stays in the hospital for 1-2 days.

What is abdominal diastasis and how is it resolved?

In a significant number of pregnant women, especially those older than 35 and who were carrying twins, the abdomen still looks like they are still pregnant after giving birth. The reason for that is that the muscles of the left and right part of the abdominal wall remain apart because the connective tissue between them stretched, which is called diastase of the abdominal muscles. This means that your abdomen is "protruded" because the space between the right and left abdominal muscles, which usually holds your abdomen in place, has expanded to about 2.7 cm, leaving the uterus, womb and other internal organs to move forward more than they otherwise should. Diastasis can cause back pain, abdominal hernia, involuntary urination and pelvic pain. In such cases the only permanent solution is abdominoplasty, during which both sides of the longitudinal parallel muscles of the abdominal wall are placed in the initial position, connected and sutured.

The scar is located in the bikini area, so it will not be visible when wearing a bathing suit. One year after the operation, it will fade and become almost invisible. After the operation, the patient wears a compression garment that contributes to reducing pain and easier and faster recovery. They stay in the hospital for 1-2 days.

What does the recovery period look like after a tummy tuck?

Immediately after the operation and for the next fifteen days, you will feel pain, so you will take painkillers that your doctor recommends. Most patients take anticoagulants and antibiotics for some time. For faster recovery, it is good that the patient does not lie down all the time, but occasionally walks around the room.

You may feel numb and tired and have swelling and bruising that usually goes away after 3 weeks. Bending over, squatting and carrying loads will be a problem for you, so it would be good to have someone to help you with household chores.

For the first two days after the operation, you should eat easily digestible foods: mashed potatoes, rice, boiled carrots, soup, broth, boiled chicken, grits, pudding and yogurt. Avoid salty foods. After that, it is recommended to eat foods rich in proteins (meat, eggs, cheese) that promote faster healing. Drink as much water or tea as possible.

Smoking, alcohol consumption and sexual intercourse should be avoided for the first 15 days.

It is recommended that you sleep on your back for the first month, and then you will be able to sleep on your side. You will also need to wear a compression garment while you sleep. It is allowed to take it off only during the shower.

Showering or bathing in the bathtub is not recommended for the first 36 hours after the operation, which does not mean that you must not maintain personal hygiene. You can use wet wipes or a damp towel. The surgeon will give you instructions on how to clean and care for the navel during the recovery period. It is expected that the umbilical zone will be swollen and that there will even be scabs after the operation. Complete healing of the navel can take up to 6 months.

In agreement with the surgeon, you will come for check-ups and dressings.

It is recommended that you return to work in 2-3 weeks. You should avoid exercise and strenuous physical activity for 6 weeks after abdominoplasty.

Are there any risks with abominoplasty?

As with any surgery, there are risks of allergic reaction to anesthesia, bleeding, and infection, but they are brought to a minimum when the surgery is performed in a completely sterile operational room and when the procedure is conducted according to a strict protocol by an experienced surgeon.



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