Abdominoplasty step by step

 

Abdominoplasty is one of the most common procedures of Plastic Surgery in Delhi to correct the waistline. Abdominoplasty is an abdominal plastic surgery to remove excess skin in the region. It can be performed on men and women who want to correct different conditions, such as:

• sagging: people with excess flaccidity in the abdomen and who cannot eliminate it with methods such as diets, physical exercises or other aesthetic procedures;
• stretch marks: excess stretch marks in the abdomen region can also be eliminated with the procedure if it is associated with sagging;
• Diastasis: consists of the separation between the rectus abdominis muscles 
• Muscle weakness: Patients with muscle weakness in the abdominal region may also undergo surgery to promote stabilization of the abdominal wall.

Although not the only cases, these situations are common in post-pregnancy, patients who underwent bariatric surgery or who lost a lot of weight in a short time.

Genetic factors are also related to a greater predisposition to skin accumulation and sagging in the abdominal region, explains the Cosmetic Surgeon in Delhi.

Abdominoplasty Steps

Abdominoplasty in Delhi is performed with epidural or spinal anesthesia with intravenous sedation for the patient to sleep, or with general anesthesia when associated with other surgeries, such as liposuction. Therefore, this surgery is always performed in the hospital.

After asepsis of the skin, the surgeon makes the incision lines: in general, the first is made in the pubis, from one hip to the other, and the second from the first in a vertical direction, passing around the navel. Then the tissue is lifted to expose the abdominal muscles, explains the Plastic Surgeon in Delhi.

In this way, the surgeon can sew the muscles that are strained. Afterwards, the skin that was lifted to expose the muscles is repositioned, passing over the navel, which will be hidden (as it is attached to the internal abdominal wall).

To expose the belly button again, the surgeon makes a hole in the tissue around it. Then, the excess skin and fat are removed from the original incision, in order to solve the problem of sagging.

The next step is to insert the drains to prevent fluid build-up and suture the incisions. Finally, dressings are made and the patient is dressed in the compression garment. The surgery takes 2 to 3 hours, explains the Plastic Surgeon in Pitampura.

Types of Abdominoplasty

Above, we have described the classic tummy tuck step-by-step, but there are other variations of this procedure. Learn more about them:

• Classic abdominoplasty : this is the most traditional method, which aims to remove excess skin and correct muscle sagging. It is recommended for patients with large excess skin and significant spread of abdominal muscles;
• Extensive abdominoplasty : in addition to removing excess skin and correcting abdominal sagging, this surgery also removes excess located on the sides, hips and lumbar, so the incision is larger. It is a highly sought-after surgery after pregnancy;
• Miniabdominoplasty : is a minor surgery compared to the classic method, indicated for patients who want or need to eliminate only excess fat skin below the navel, in the region called “belly foot”. Your recovery is faster;
• Lipoabdominoplasty : associates abdominoplasty with liposuction, indicated for patients who have a thicker layer of fat in the abdomen. It removes excess fat from the belly, waist and back, reshaping the outline.

Care before surgery

Ten days before the Abdominoplasty in Delhi, it is necessary to stop the use of drugs to lose weight and other substances as recommended by the Plastic Surgeon in Delhi. The day before, you should avoid consuming alcoholic beverages and heavy meals.

On the day of surgery, the patient must attend the hospital for admission at the previously agreed time to fast for 8 hours, including water. In case of flu or other ailments, the patient must notify the team up to 2 days before surgery.

A very important detail before having a tummy tuck in Delhi is to have everything properly organized so that you can take a two-week home rest after the procedure, allowing your recovery, says the Plastic Surgeon in Pitampura.

Abdominoplasty recovery

The patient may experience pain and discomfort for the first three days, which are usually relieved with simple painkillers prescribed by the doctor. It will not be possible to get fully erect right away, but it is recommended to take short walks.

The dressings must be removed within 24 hours, and the patient can take a full bath. Drains are usually removed in two to three weeks. The diet can be normal, just avoiding foods that favor the accumulation of gases.

It is essential that the patient uses the compression belt for at least 30 days. It helps keep tissues in their new locations and facilitates healing, as well as providing patient safety.

The patient should avoid straining and lifting weights for 30 days, gradually resuming physical activities as authorized by the Plastic Surgeon in Delhi. Lymphatic drainage sessions are recommended from the fourth day onwards.

Abdominoplasty risks

As with any surgery, there are risks of infection, hemorrhage, necrosis and thromboembolism. But if the patient takes proper care, recovery will occur in a healthy and positive way, explains the Plastic Surgeon in Shalimar Bagh.

Tummy tuck scars

The scar is located horizontally, just above the pubic hairline, and is normally covered by underwear and bathing suits. The size of the scar depends on the volume to be corrected in the Tummy tuck in Delhi.

In the first 30 days, the scar will be quite discreet, perhaps with some reactions to the stitches and dressings. From the second month onwards, there is a natural thickening and a change in color, in which the scar changes from red to brown, becoming darker.

Between 12 to 18 months after surgery, the scar gradually starts to get lighter and less consistent, reaching its final appearance only after that period, says the Plastic Surgeon in Shalimar Bagh.

Tummy tuck and liposuction: what are the differences

While abdominoplasty in Delhi aims to correct sagging and reposition muscles, liposuction promotes the removal of localized fat. Liposuction in Delhi is performed by inserting cannulas that suck out excess adipose tissue.

These two procedures can be combined to promote an even more complete surgery, providing better results to patients when needed.

Frequently asked questions about abdominoplasty

Throughout this post we will try to solve the most frequent questions about abdominoplasty in Delhi that are usually asked in the consultation.

All these issues and others that we have should always be discussed before this plastic surgery.

How long does the surgery take?

Approximately two to three hours.

It should be remembered that between the departure to the OT and the return should not be taken as the duration of the surgery.

Therefore, what is the surgical procedure is this that we indicate. It can take longer if combined with other procedures.

Can you use an epidural?

Abdominoplasty is usually done with general anesthesia, although in moderate cases it could be done if circumstances allow it with local anesthesia and sedation.

Being a long procedure, plastic surgeon in Delhi recommend general anesthesia for both our comfort and that of the patient.

Are tummy tucks and liposuction the same?

The tummy tuck in Delhi is intended to correct a loose abdomen. This is the main objective, so a specific technique is used for it.

Sometimes it happens that in addition to flaccidity there is excess fat. And that is when you have to resort to liposuction.

This is only used to eliminate excess fat, and is not only practiced on the gut. It is also used in other parts of the body such as double chin, arms or cartridge belts.

Abdominoplasty in Delhi is the intervention that is performed when there is excess skin and fat in the abdomen. A liposuction would aggravate the loss of redundant skin over the pubis. The skin tone, the amount of fat and the quality of the skin will make us recommend one or another intervention.

How is excess skin removed? Will the scar be visible?

There are different techniques and this influences the scar. The most common is a horizontal line that passes over the pubic hair, and extends from one hip to the other. This shape has been widely used with the use of the bikini, but currently we use a W-shape, which is better adapted to the current fashion of underwear and swimsuits, and leaves a better scar.

When the excess of tissues is great, the removal of the skin of the lower abdomen is total, in this case a reimplantation of the navel is carried out.

In cases where the defect is not very marked, a lesser technique can be performed, called miniabdominoplasty, with less skin resection and generally combined with liposuction in Delhi. The application of one or the other depends on the characteristics of each particular case.

If you have scars on the abdomen, can you have surgery?

If you have scars from previous operations and they are in the lower half of the belly there is no problem, in fact they can be removed during the operation. However, if they are located in the upper half then abdominoplasty is contraindicated.

What risks does it have?

When it comes to surgery, the risks exist. Bleeding, infection, and poor healing are some of the negative effects that can occur.

Occasionally, seromas appear or a small piece of skin is lost at the incision line. Very rarely, patients experience abdominal pain that lasts longer than the usual period. In other rare cases, blood clots form in the patient's legs.

Remember that this information is intended to help you make an informed decision.

Before surgery, plastic surgeon will indicate the complete series of risks. Although tummy tuck is considered a very safe procedure, all decisions regarding this surgery must be made carefully.

If you want to get pregnant again, can you have a tummy tuck?

It is advisable that if you plan to have new pregnancies, you do so before surgery.

Anyway, once operated, you can have more children although the result of the intervention may be altered.

What requirements must the patient meet?

Most people who have become obese and then lost weight often have a residue of skin and fat left on the abdomen.

Fortunately, this condition can be corrected with a tummy tuck, which is a procedure that removes not only excess skin from the abdomen. But also that of the flanks, on the sides of the waist, and excess skin in the lower part of the abdomen.

Abdominoplasty is often recommended by plastic surgeon in Rohini after pregnancy, too. And in those people who for various reasons have a flaccid area and want to improve it.

What effect does tobacco have on the result?

Due to the great extension of the detachment and the dimensions of the area that is normally practiced in this type of intervention. It is important that smoking patients stop smoking at least three weeks before the operation.

The reason for this is that tobacco causes an alteration of the microcirculation that can seriously compromise the final result.

Will I be able to do sit-ups again?

One month after the surgery, you will be able to recover normal physical activity. The incorporation of abdominals should be gradual, like that of any other exercise.

Do lax or open abdominal muscles have a solution?

One of the muscular bands of the body is the so-called “rectus abdominis”. Which is the area that allows us to carry out movements such as the so-called “abdominals”.

Made up of two parts, these muscles are attached from the sternal bone and ribs to the pubic bone, forming an internal system that firmly supports the abdomen.

During pregnancy, these muscles separate to allow the baby to grow. After birth, these muscles often remain separated. Making it impossible to firm the lower abdomen with exercise, diet, or other non-surgical means.

With abdominoplasty, this condition, called diastasis recti abdominis, is treated by bringing the muscles back together and restoring their strength and tone.

Is the scar from the abdominoplasty or dermolipectomy large?

The scar from a tummy tuck depends on the patient, the problem to be treated, the technique used and the quality of the skin.

The scar that remains will always be hidden by the clothing or swimsuit chosen.

Will I have a lot of pain?

During the first days, the abdomen is swollen and you will have some discomfort that is controlled with medication and rest.

You will also have a limitation of mobility, which will be prolonged in time. According to the magnitude of the muscular reinforcement and to each patient in particular.

Does a tummy tuck remove stretch marks?

Stretch marks represent a big problem for many patients.

Depending on the distribution of the marks across the abdominal skin, most if not all of them can be removed during a tummy tuck.

This is because the skin of the lower abdomen (the exact place where stretch marks tend to concentrate) is removed during the procedure.

7 Main Questions about Tummy Tuck

A tummy tuck in Delhi is a procedure that aims to remove excess fat and skin from the abdomen, providing an aspect more tuned and toned. It is the third most performed cosmetic surgery in Delhi.

Despite this demand, many people have doubts about how abdominoplasty in Delhi is performed, what the indications are, among other issues. To minimize such questions, plastic surgeon in Delhi answered the 7 most recurring questions when it comes to abdominoplasty. Check out!

1. How does abdominoplasty surgery work?

The first step in an abdominal dermolipectomy, also known as abdominoplasty, is the patient's anesthesia. Then, the cosmetic surgeon in Delhi makes a horizontal incision below the navel close to the pelvic area and makes a tunnel under the skin that goes up to the level of the stomach.

The next step is to detach the skin from the abdominal muscle and suture the musculature, preventing it from loosening in the future. Because of this, abdominoplasty is also used to restore muscles that are weakened or separated.

Finally, the plastic surgeon in Delhi removes the remaining skin and holds the patient's navel, since it is necessary to release it to perform this type of plastic surgery on the belly, and closes the skin incisions.

2. When is abdomen plastic surgery indicated?

It is important to note that abdominoplasty in Delhi is not indicated for weight loss. Only dietary reeducation and physical exercise, both performed with the appropriate professional support, are capable of providing weight loss.

Therefore, in order to undergo plastic surgery on the belly, the patient must be in favorable physical conditions, as well as having the ideal weight based on the BMI. In addition, plastic surgery in Delhi for the abdomen is advised in the following cases:

• Aging: due to the increase in sagging in the abdominal region that appears over time;
• Pregnancy: when there is excess tissue and flaccidity after a pregnancy;
• Weight variation: due to sudden weight loss or gain, generating the famous “concertina effect”;
• Previous surgery on the abdomen: abdominoplasty is used as a restorative surgery when other procedures leave the region more flaccid, such as bariatric surgery;
• Genetic inheritance: when the person acquires flaccidity due to the genetic influence of family members.

3. What is the difference between liposuction and abdominoplasty?

Both are surgeries performed on the belly, however, the difference is in the objective of each one. While abdominoplasty removes excess skin, providing an effect on the outer part of the skin, liposuction eliminates the fat located below the skin, generating an internal effect.

In most cases, these procedures are combined to offer an even more noticeable result and consistent with the patient's expectations.

4. How much does an abdominoplasty cost?

Although the price of abdominoplasty is a popular topic on the internet, it can only be clarified in the office through a specific assessment of each case.

However, it is possible to show the aspects that are covered when determining the value of plastic surgery on the belly. Are they:

• Consultation before the procedure;
• Diagnostic tests (in this case, you can use the health insurance);
• Fees of the surgeon and the team that will participate in the surgery (based on experience, location of the office, etc.);
• Hospital expenses for hospitalization and use of the operating room;
• Costs with the trip to and from the hospital;
• Expenses with medications and compression mesh after plastic surgery on the belly;
• Conducting lymphatic drainage to reduce swelling.

5. What are the cares after abdominoplasty?

As it is a highly complex surgery, the patient must take some care after tummy tuck in Delhi to improve recovery and avoid complications. Check out some recommendations during this period:

• Start light leg movement as soon as possible;
• Keep in a moderately curved position during the first fortnight;
• Take care of the dressings as instructed by the plastic surgeon in Delhi;
• Adopt a light and balanced diet;
• Avoid physical effort;
• Bathing with the help of a close person to wash the rest of the body and avoid the abdomen;
• Sleeping on your back and with legs elevated and slightly bent;
• Getting out of bed without using the abdomen;
• Take only the medicines prescribed by the doctor;
• Walk at home with the help of a person to help with blood circulation;
• Use the compression mesh over approximately 35 days;
• Do not immerse baths in swimming pools or bathtubs until medical clearance.

6. How long does it take to recover from an abdominoplasty?

On average, it takes 12 months to recover from plastic surgery on the abdomen. However, this process happens gradually, and until the 6th month there will be a certain degree of swelling that will decrease with time.

7. How long can I work out again after abdominoplasty?

It is suggested that the patient wait 30 days after the abdominoplasty to resume physical activities, performing only exercises with less impact. After 90 days, if the surgeon authorizes it, the patient can return to weight training and abdominal exercises.

Before performing an abdominoplasty in Delhi, it is crucial that the patient is aware that the procedure is the most suitable for what he wants.

Abdominoplasty Surgery

The abdominoplasty surgery or popularly known as tummy tuck in Delhi is the skin and fat removal procedure from the abdomen. There are many factors that contribute to the change in the shape of the abdomen among them:

• Genetics
• Large variations in weight
• Pregnancy in the case of women

The abdominal wall formed by muscles, fascias, fatty tissue and skin end up "relaxing" and take on a disharmonious shape in relation to the rest of the body.

The plastic surgery called classic abdominoplasty or dermolipectomy, is one of the most performed in plastic surgery in Delhi, it consists of correcting the flaccidity of the entire abdominal wall through the plication (embryos with stitches) of the musculature and removal of a skin spindle and fatty tissue in the region. lower abdomen, explains the plastic surgeon in Delhi.

The resulting scar is a horizontal line below the waistline and around the navel. The aim is to “take advantage” of the scar from the previous cesarean if present. In some cases, a small vertical scar on the midline associated with the horizontal one is necessary.

Classic abdominoplasty in Delhi is performed in the operating room under general or epidural anesthesia and lasts around 2 to 3 hours. Hospital discharge is the day after surgery.

Variations of classic abdominoplasty:

• Lipo abdominoplasty

Lipo Abdominoplasty or popularly know as liposuction in Delhi is a technique in which liposuction of the entire abdomen is performed before muscle plication and skin spindle removal. The resulting scars are similar to those of classic abdominoplasty;

• Mini abdominoplasty

Mini abdominoplasty is a technique that corrects the flaccidity of abdominal muscles just below the navel and in which a smaller skin spindle is removed than in classic abdominoplasty. The resulting scar is a horizontal line below the waistline.

Frequently asked questions about abdominoplasty surgery:

How much weight will I lose with the surgery?

It depends on the amount of skin and fat removed (skin spindle or liposuction). The biggest change is visual, that is, the body contour and not the scale.

How long will I see the result?

The contour change is immediate, but the final result can only be seen after at least 3 months. The main reason for this period is that the lymphatic drainage is compromised by surgical manipulation and, thus, there is an accumulation of fluid that changes the shape of the abdomen. The lower region of the abdomen, that is, close to the scar is the one that remains swollen the longest. Lymphatic drainage performed by an experienced cosmetic surgeon in Delhi can shorten the recovery period.

Will I lose the result if I get pregnant?

As long as the patient becomes pregnant within a minimum of 2 years after surgery, the result can be kept very close to that obtained if some precautions are taken during pregnancy, such as not gaining excess weight (> 13 kg) and maintaining some regular physical activity (water aerobics, walking), suggests the plastic surgeon in Delhi.

Do I have to keep a drain?

With some exceptions, we use the drain in Classic Abdominoplasties and Lipo-abdominoplasties due to the accumulation of fluid under the skin and subcutaneous tissue. The drain remains for 7 to 10 days depending on the amount of liquid drained. Patients have no pain on withdrawal.

Abdominoplasty: Discover it

Having a flat stomach is a challenge that even the thinnest people face. Making the abdomen area appear flat, firm and toned is not always easy, no matter how much you exercise and diet. In these cases, plastic surgery in Delhi manages to correct these problems, especially through tummy tucks.

What is abdominoplasty?

This plastic surgery operation is designed to help the abdomen recover firmness. Keep in mind that there are various abdominoplasty techniques, suitable for various problems that a person in the belly area may have. The plastic surgeon in Delhi will determine who is the most appropriate for each case, depending on the state of the skin.

The operation of abdominoplasty in Delhi lasts 2 hours and consists of extracting the excess fat in the area of ​​the lower abdomen and the subsequent correction of the space between the muscles of the abdominal wall. In this way, the patient can show a smooth and firm abdomen again. The whole process leaves a slight scar of small size in the pubic area.

They are done under general anesthesia and require a hospital admission of a couple of days.

After the operation

The postoperative period of a tummy tuck requires controls by the plastic surgeon in Pitampura, who will verify that the evolution of the process is appropriate. In addition, the patient must wear a restraint for a few weeks. Although you will be able to return to work quickly, you should start physical activity progressively, after 4 weeks from the date of the operation.

The results of the operation are visible in a short time and improve as inflammation disappears during the first days of plastic surgery in Delhi.

The tummy tuck

One of the most innovative techniques of tummy tuck is, less aggressive than usual and designed to eliminate the belly that can have a thin person and which cannot eradicate through traditional diet or exercise.

The tummy tuck is also known as mini- tummy tuck and involves removing part of the skin and fat from the lower abdomen, suturing the fasciae of the muscles and also doing abdominal liposuction in Delhi. If you diet and exercise before the operation, the operation will be minimized.

This mini-operation can be done ambulatory, with local anesthesia and sedation, and allows patient discharge 12 hours later. After 3 days, the patient can return to work, although he should wear an abdominal girdle and be careful with physical exercise.

Keep in mind that tummy tuck is not a technique to lose weight, but is designed to reduce the reactive fat deposits in the area of ​​the belly.

Abdominoplasty or Lipectomy in Delhi for Excess Fat Removal

It is a procedure designed to remove excess skin and fat from the lower half of the abdomen taking advantage of strengthening the muscles of the abdominal wall.

When they are performed by a qualified plastic surgeon in Delhi with experience in body contouring the results are very positive.

The ideal patients for abdominoplasty in Delhi are healthy men and women who present deposits of fat and loose abdominal skin. It is especially useful for women who after their pregnancies have their abdominal muscles and their skin loose to a level impossible to recover with exercises, in addition to stretch marks or scars.

Planning the Lipectomy or Abdominoplasty:

The plastic surgeon in Rohini, Pitampura, Delhi will give specific instructions on how to prepare including recommended diet and weight. Sun exposure should be avoided especially in the abdomen before surgery. Also very strict diets since this can affect the healing capacity.

Anaesthesia in this Plastic Surgery: 

The specialist will determine the ideal type of anaesthesia for each case. The most used is general anaesthesia.

Abdominoplasty Procedure: 

A full tummy tuck takes about three hours depending on the technique and procedures used. Usually, the plastic surgeon in Shalimar Bagh, Ashok Vihar, Delhi makes an incision just above the pubis that extends to both hips. A second incision is made around the navel to release it from the surrounding tissue. The skin and fat are separated from the abdominal wall up to about 15 cm above the navel by suturing the abdominal rectus muscles that have usually separated with the pregnancies. Subsequently all excess fat and skin are removed. Finally drains are installed and the skin over the pubis is covered with dressings and a girdle.

Most of the time it is associated with lipoaspiration to obtain a harmonic result in the entire abdominal body contour

Post-operative in this surgery

The first few days the abdomen will be slightly inflamed and controllable discomfort can be felt with medication. The hospitalization is usually for 2 days. The position in the bed is semi-sitting. Even though at the beginning it is difficult to stand completely straight, you should start walking as soon as possible. The sutures are removed between seven and fourteen days. If the person has a good abdominal muscles recovery is faster and you can return to work after 10 days to two weeks.

Scars:

Abdominoplasty scars can become more noticeable in the first three to six months as they mature.

This situation is transitory. It takes more than nine months to make the scars flatten and pale.
They do not disappear completely but with time they become more imperceptible. It should be mentioned that there are many individual variations in the type and quality of the cicatricial process.