Deliveries and weight loss may result in loss of the old firm and healthy appearance of the abdomen. Abdominoplasty surgery is based on the principle of removing sagging excess skin and fat in the middle and lower abdomen, and repairing the loose abdominal muscles by tightening up. Depending on the extent of sagging, the belly area can be replaced or left in its place. Liposuction can be added as well, if fat deposits are concomitantly present.
Ideally, the surgery should be performed after patient loses excess weight. It is important to cease smoking at least 2-3 weeks before the surgery and to discontinue the use of drugs that slow down coagulation, such as aspirin, at least 1 week before the surgery.
The surgery is performed under general anaesthesia. Following an incision made just above the pubic hair region so as to remain under the underwear, excess fat tissue under the abdomen and the skin are removed. The loose abdominal muscles are tightened in the midline. The belly is removed from its location. The drainage is provided with fine silicone tubes (drain) to prevent blood and fluid from accumulating in the abdomen. The surgery takes 2.5-4 hours. 1 or 2 nights of hospital stay is required. The drains are removed within 1-2 days depending on the amount of drainage. Patient should walk by bending slightly for 1-2 weeks to reduce the tension of the wound site during the healing process, and it is recommended to put a pillow under the knees while lying down. An abdominal corset is used for 4-6 weeks. During this time, it is important to avoid lifting weight and doing sports. The sutures dissolve and disappear on their own.
Although the scar in the incision area is reddish at first, the colour fades over time. Depending on the structure of the skin, even invisible scars may form if not looked very carefully. There may be problems in the wound healing in a very small group of people. In such case, it is also possible to have more swollen and bad-looking scars. Receiving the support of various pharmaceutical creams and laser therapies to reduce the scar is extremely important to support the result of the surgery. Also, the application of tattoos of objects which are liked by patient in this area is another technique for hiding the scar.
Abdominoplasty is one of the most pleasing cosmetic surgeries. It refreshes the self-confidence of an individual.