17 Mar TUMMY TUCK
What is Abdominoplasty?
One of the areas most affected by aging and weight gain is the abdomen. After excessive weight gain and loss and pregnancy, serious sagging of the skin may occur, as well as relaxation in the abdominal wall muscles. This causes a convex appearance in the abdomen. Abdominoplasty is performed to correct these deformities.
Who Is Eligible For Abdominoplasty?
Patients who have had several pregnancies, who have recurrent weight gain and loss and who have experienced excessive weight loss, and patients who have sagging skin due to aging are suitable for this surgery. Young patients with more fat distribution disorder and regional lubrication than excess skin can only be treated with Liposuction. The procedure to be done is decided by examination during the interview.
Are There Types Of Abdominoplasty?
Abdominoplasty is applied in the form of full and mini tummy tuck.
In full tummy tuck, an incision is made from the lower abdomen to remain in the underwear, and the abdominal skin is lifted from the abdominal wall up to the ribs. The navel is protected by separating it from the removed skin. The parts under the belly button are cut and removed. The relaxation and separation of the muscle in the abdominal wall is repaired. The remaining skin tissue is stretched and the abdomen is closed. The belly button is adapted to its new location. A tight, thin abdominal wall is formed. Patients with excess skin and sagging in the upper part of the belly are candidates for full tummy tuck surgery.
Mini tummy tuck is especially suitable for patients with excess skin and sagging in the lower abdomen. In this surgery, an incision is made in the lower abdomen that will remain in the underwear. This incision is smaller than a full tummy tuck. The skin tissue is separated from the abdominal wall. The navel is not separated from the skin. Separation and looseness in the muscle in the abdominal wall are repaired. The skin is stretched to create a taut abdominal wall. Excess skin is cut off. In this surgery, the belly button is displaced approximately 2 cm down.
Mini abdominoplasty is a less preferred method than classical abdominoplasty. This is due to the limited number of suitable candidates available. Both full tummy tuck and mini tummy tuck can be combined with Liposuction. During the examination, it is decided which method to choose according to the severity of the patient’s deformity.
We recommend that patients lose weight, if possible, in order to achieve a better result and reduce complication rates in tummy tuck surgeries. However, if the sagging in the abdomen is an obstacle to the movements of the patient, preventing him from doing sports and losing weight, we can perform this surgery to relieve the patient.
As in every surgery, we recommend that smoking should be stopped at least 3 weeks in advance, as it impairs wound healing and affects tissue oxygenation. We do not recommend using it after surgery.
If blood thinners, weight loss drugs, herbal mixtures are used to lose weight, we want it to be discontinued before the surgery, as it may affect blood circulation and increase bleeding.
If you have a known blood clotting disorder or a disease, it will be appropriate for your health to share it with your doctor before the surgery.
Abdominoplasty is performed under general anesthesia. If a full tummy tuck is applied, it takes approximately 2 to 3 hours. If mini abdominoplasty is applied, it takes between 1 and 2 hours.
It usually requires 2 days of hospitalization. After the surgery, 2 drains are placed in your lower abdomen. Drains are taken according to the amount of fluid accumulated in the drains after the surgery.
We dress our patients in a corset when they come out of tummy tuck surgery and we want them to use this corset for about 1 month. In addition, we want to walk in a bent position from the waist to the front for about 1 week in order to reduce the tension in the stitches in the abdomen. At the end of 1 week, we allow a fully upright position. Patients can return to their normal daily lives after 1 week. To reduce the tension of the stitches in the abdominal area, we recommend lying down with the knees slightly bent and a height under them. It is possible to take a shower 1 day after the drains are taken.
We recommend only walking-like exercises for 1 month. We do not allow weight lifting for 1 month after the operation. We recommend leg exercises, as there may be blood pooling and coagulation in the legs due to long-term inactivity in abdominoplasty.
After this surgery, patients will have a scar that is slightly longer than a typical cesarean section scar (about the width of your two hands side by side). There is no scar around the belly button. This scar can be easily hidden as it will be under the bikini and clothesline. Surgical scars take on skin color over time and become indistinct. In addition, after the surgery, a scar care program is applied to ensure that the healing is healthy and fast.
One week after tummy tuck surgery, light exercises such as walking can be started. They can do all exercises except abdominal exercises 1 month after the operation. All sports are allowed two months after the operation.
The most common complication after abdominoplasty is the accumulation of fluid between the abdominal skin and the abdominal wall. In order to prevent this, we can recommend that the drains stay longer if necessary. Apart from these, complications that may occur in all surgeries such as blood collection, infection and wound healing disorder are also valid for this surgery. Patients with advanced age, additional disease and overweight are in the risk group. For this, many precautions are taken before and after the surgery.
Abdominoplasty does not prevent pregnancy. However, sagging, skin and muscle laxity may occur again after pregnancy. Abdominoplasty is not recommended for our patients who are planning a pregnancy in the near future.
Op.Dr. Sultan YALÇIN
Op. Dr. Sultan Yalçın provides service in the “Plastic Reconstructive and Aesthetic Surgery Clinic” she founded in Antalya. Besides her domestic patients, she accepts many patients from all over the world, mainly from the Middle East and European countries. With using the latest technologies and new methods.