removal of extraneous fat and skin from the lower and mid-abdominal areas, followed by reconstruction of the rectus abdominis muscle
extra fat and skin as a result of, for example, many pregnancies, decreased abdominal skin elasticity due to aging, or rapid weight loss; this extra fat and skin may be resistant to reduction by exercise or dietary methods
anesthesia : general or epidural, lasting approximately 3 hours
procedure:the incision is made in the lower abdomen, from the left to the right anterior iliac spine. It is often necessary to move the skin surrounding the belly button - in this case, an incision is made around the belly button. The extra tissue is removed from the lower abdominal incision to the arch of the ribcage and the lower border of the sternum, taking particular care not to damage the perforating blood vessels in this region as they may later be a site of bleeding. A weakening of the abdominal muscles, with the possibility of subsequent herniation or muscle dysjunction which may need to be treated surgically, are seen frequently. Excess fat tissue is removed using an electric scalpel or by lipectomy (suctioning of fat tissue).
There is a possibility that the belly button will not need to be replanted, but other times it may be necessary to reconstruct the belly button.
The wound is sutured by layers and Redon drains are placed in the area for 1-2 days
POST OPERATIVE CARE :
There is a dressing directly on the wound, and the entire abdomen is dressed with a tension bandage (abdominal tension bandage) that must be worn for about 2 weeks. Because the skin remains slightly taut after the procedure, complete straightening of the body can be accomplished after the 3rd postoperative day. Pain and abnormal sensation from the operated area are frequently seen in this procedure and should resolve within a few weeks.
Abdominal plastic surgery is a major procedure and therefore has a high risk of surgical complications. This surgery is not a weight loss method. Complications and undesired results are rarely seen, with the most dangerous being fat embolism, various infections, and hematomas all of which can nullify the cosmetic effect of the procedure. A large or unsatisfactory scar or necrosis of the wound and surrounding skin may also occur.
LENGTS OF TIME PATIENT MUST REMAIN AFTER THE PROCEDURE:
usually 2 days
TIME NEED FOR RECUPERATION:
Full function is obtained after about 3 months. In the meantime, the patient must not overexert herself.
Cleaning of the bowel (special at-home preparation or enema the day before surgery) is necessary as this procedure may require opening the peritoneum. Low molecular weight heparin and/or compression stockings may also be necessary to decrease the risk of vein thrombosis. Shortly preceding the procedure, about 1 week, it is necessary to avoid long travel and air flights.
REQUIRED TEST :
abdominal ultrasound, blood morphology, blood type, bleeding time, clotting time, urinalysis, EKG
uncontrolled hypertension, diabetes mellitus, hyperthyroidism, coagulopathies, vascular hemorrhagic diathesis, emotional instability, deep vein thrombosis (including history of), use of salicylates (i.e. aspirin)
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