Description of the procedure
After the examination and interview with our surgeon and anesthesiologist, you decide jointly on the procedure. It is very important to create trust between the doctor and the patient, and clarify what are the expectations in regard to the possible outcomes of the procedure.
It is necessary to stop smoking a month before the procedure due to a detrimental effect on microcirculation; a week before, it is necessary to stop taking preparations based on acetylsalicylic acid (Aspirin, Acisal, etc.) and other medications and preparations that can affect blood clotting in order to avoid unwanted bleeding.
Course of the procedure
Skin and subcutaneous tissue are re-stuffed all the way to the muscle fascia, upwards toward the ribcage. The abdominal muscles are tightened and put together, shaping new body contours. Excess tissue is tightened and removed. Belly button is moved, or a new one is formed that looks like the current one. In some cases, drains are placed during the next few days; however, they are mostly unnecessary.
Sometimes, along the abdominoplasty, it is necessary to do a hydroliposuction at the same time, during the same procedure.
Postoperatively, a custom-made corset is immediately put on. Patient stays in a suite during the next few hours for the sake of surveillance, analgesia and bleeding control. If necessary, the patient stays overnight. The patient should be lying with knees bent – in order to avoid abdominal tension around the incision. Corset is worn for 6-8 weeks after the procedure.
7 days after the surgery: first control examination; still avoid strain, physical and sexual activities
2 weeks later: 10-14 days postoperatively, sutures are extracted, and the patient can return to his private and professional activities. Swelling will reduce and hematoma will disappear in a few weeks; in a couple of months, real results of abdominoplasty will be evident. Some parts of the abdomen will be numb – due to cutting of the skin nerves – it will last for a couple of months. In the beginning, the incision will be red or pink colored; such color will remain for the next couple of months after the procedure, but will fade over time.
Precautions and limitations
Side effects and complications
Early complications are: hematoma, infection and necrosis around the incision; most commonly in smokers and diabetics. Serum can be accumulated as well in lower parts of the abdomen, under the skin; it can be present for several months after the surgery.
Late complication can be the occurrence of a hypertrophic scar.
Package does not include: preoperative laboratory tests (blood tests), ECG, intern’s examination, consulting with other specialists (specialist for diabetes, asthma, high blood pressure, thyroid gland, transfusion), medications that you will take at home.