Abdominoplasty

Abdominoplastia
 

WHAT IS THE MAIN MOTIVATION OF WHO SEARCHES THIS TYPE OF SURGERY?

The main motivation for a patient to look for an abdominal plastic surgery is the annoyance produced by that undesirable "tummy" when one decides to put on a certain clothing or to expose the abdomen to other people.

WILL I GET HOW MANY KILOS WITH THE SURGERY?

Plastic surgery of the abdomen is not intended for weight loss. In this surgery, the excesses of skin and fat that cause sagging belly are removed. Obviously, when a certain amount of skin and fat is removed, there will be a reduction in body weight, which varies according to the volume of the abdomen of each patient. However, it is not the "pounds" taken away that will make the abdomen look good, but the proportions that the abdomen maintains with the rest of the body. Incredibly, the best surgical surgeries are the smallest removal of skin and fat.

CAN I BE OPERATED WHILE BEING ABOVE THE WEIGHT?

It may seem contradictory, but anyone who is very overweight can not undergo plastic surgery to make the abdomen look better. To be able to undergo the procedure, the person should be not much above the ideal weight. This is because surgery in obese individuals is associated with a series of complications, which makes the risk of surgery unacceptable in a cosmetic surgery. Therefore, at most, the person may be slightly overweight so that he can have the surgery.

IS CICATRIZ VERY VISIBLE? CAN DISAPPEAR?

The scar will lie horizontally just above the pubic hairs, extending laterally to a greater or lesser extent, depending on the volume of the abdomen to be corrected. The design of the scar aims to disguise it under the clothes of bath or underwear.

The healing process takes up to 18 months to complete. In an initial period, up to 30 days after surgery, the scar remains reddish and swollen, in some cases showing a slight reaction to the stitches or to the dressing.

At the end of 1 month, and until the 1-year period after surgery is completed, a natural thickening of the scar is observed, as well as changes in its color from red to brown, Clearing. It is at this stage that there is a greater concern of patients with their scar. Since we will not be able to accelerate the natural healing process, it is advised during this period that the patients do not worry, since the scar usually improves the appearance until 1 year and a half after the surgery.

We have that, from 1 year to 1 and a half years, there is an improvement in the aspect of the scar, which becomes clearer and less hard, reaching, therefore, its definitive aspect. Any evaluation of the final outcome of the surgery should be done after this period. Rare cases exceed this period to reach definitive maturation of the scar.

Various clinical and surgical resources allow us to improve such unsightly scars at the appropriate time. It should not be confused, however, with the natural evolution of the healing period. Any doubts about its cicatricial evolution should be clarified during its postoperative returns, when we will have the opportunity to evaluate the state of the scar. Occasionally fluid accumulation may occur in the operated area that may require puncture or even drainage, depending on the liquefaction of fat or serum-bloody collection.

WILL MY STRESSES OF ABDOME GO TO DISAPPEAR?

The striae that are located in the area of skin that will be removed will be eliminated. However, the remaining stretch marks will continue in the abdomen.

IS THERE ANY TREATMENT IF MY SCARS ARE HYPERTROPHY?

Some patients may have a tendency to unsightly healing (hypertrophic and keloid scarring). This tendency is greater according to some familiar and racial characteristics. Thus, people with fair skin tend to develop less this type of scar. There are several ways to treat these scars, since they started at the appropriate time. It can not be confused, however, the period in which the scar naturally becomes harder and thickened as being a scarring complication.

WHAT IS THE FINAL SIZE OF THE SCARF?

The scar size will vary depending on the amount of excess skin on the sides of the lower abdomen.

CAN MY SKIN COLOR INFLUENCE ITS HEALING?

People with brown skin may show a slightly more intense scarring, and may have more hardened or raised scars.

AFTER HOW LONG WILL I FINISH THE FINAL RESULT?

It occurs that during the first months after the surgery, there are a series of occurrences that worry the patients, such as: a certain decrease of the sensitivity in the operated area, periods of swelling and a appearance of stretched skin. All of these events are going to go back through the months. There are a number of exercises and therapies (eg, lymphatic drainage) that gradually aid in regression of this swelling. We can not consider the result of surgery as definitive before 12 months of surgery are completed.

WILL ME CELL BE COVERED IN SURGERY?

It occurs that your own navel will be redeployed, and refurbished if necessary. Therefore, around the navel there will be a scar that will undergo the same evolution of the scar of the lower part of the belly.

IS THE EXCESS OF FAT OVER THE REGION OF THE STOMACH TREATED IN THE SURGERY?

It depends on your body type. If your torso is short, excess fat over the stomach area will hardly be corrected. But if your torso is long, the result will be more pleasant. Another factor that influences the result is the fat thickness in this region. The greater the thickness, the less the result will be favorable.

IS THERE ANY CONTRAINDICATION THAT I CAN FIGHT AGAINST SURGERY? WOULD I LOSE THE RESULT OF SURGERY?

With regard to pregnancy after surgery, there is usually no problem regarding the development of the baby, but as for the result of plastic surgery, this may be impaired in some cases. Ideally, you should consult a gynecologist before deciding on a new pregnancy. The result can be preserved provided that in the new gestation its weight is controlled. We recommend, however, that the patient have all children scheduled before undergoing this surgery.

I WILL FEEL A LOT OF PAIN AFTER SURGERY?

Plastic surgery of the abdomen does not usually evolve with much pain. If it occurs, it is considered normal as long as it is controllable with common analgesics.

IS THERE ANY AMENDMENT OF SENSITIVITY AFTER SURGERY?

Usually after surgery, there is a decrease in sensitivity in the region close to the scar, which is recovering throughout the postoperative weeks.

IS THERE A DANGER IN THIS OPERATION?

Usually this surgery is not associated with the occurrence of serious complications, provided that certain risk criteria are met. But like every medical act, it presents a variable risk and plastic surgery as part of medicine is no exception. You can reduce this risk by properly preparing each patient, but it is not possible to eliminate it completely. Therefore, all the rigor in the use of preventive measures, such as a pre-operative check-up, use of elastic stockings in the postoperative period, among others.

WHAT KIND OF ANESTHESIA WILL BE SUBMITTED?

General, spinal or epidural anesthesia, depending on the case.

HOW LONG DOES THE SURGICAL TREATMENT LAST?

Generally between 2 to 3 hours, and may even be higher in some cases. Apparently this time is greater for those waiting outside the operating room. This is because the time of surgery does not correspond to the time of the stay of patient in the Surgical Center, because this permanence also involves the period of preparation for anesthesia and postoperative recovery.

HOW LONG WILL I BE INJURED?

Usually 1 day (normal evolution).

DO I NEED TO USE HEALING? AND DRAINS?

Special dressings are used, changed periodically by the team of surgeon. The use of drains is mandatory due to the large amount of liquids released by the operated area.

WHEN MY POINTS WILL BE WITHDRAWAL?

From the 7th day onwards, we can begin to withdraw points. This withdrawal should be done gradually until the end of 2 weeks.

CAN I EXPORT THE SUN AFTER SURGERY?

An average period of 3 months to be exposed to the sun should be expected to avoid some undesirable effects of this exposure, such as dark coloring and scar setting.

HOW LONG WILL I NOT BE ABLE TO WORK AFTER SURGERY?

What limits the ability to work after an abdominal plastic is the impossibility of making great efforts with the belly. In any activity that the patient is to do, including his work, one must avoid to force the belly and the legs, inclusively. It is also not good to stay totally still on a bed. Hiking inside the house is released, which helps to circulate blood through the legs. After 15 postoperative days, one can walk through the block, without, however, forcing too much. After 3 or 4 weeks, you can start slightly larger efforts, such as driving. Larger efforts are only released after 60 days.

CAN I USE A BODY OR BIKINI AFTER SURGERY?

Yes. The bathing suit or bikini can be worn over the postoperative bandage after 30 days of surgery, and without the bandage after 60 days.

WHEN CAN I GET A COMPLETE BATH?

Usually the complete bath, provided that assisted by another person skilled, can be taken from the second or third day.

HOW SHOULD I KNOW IF IT IS OCCURING ALL WELL WITH MY SURGERY?

Many are the phases that the body goes through until the surgery reaches its goal. Until the desired result is achieved, there will be several changes in the scar, the shape of the abdomen, the swelling, the sensitivity, etc. Therefore, it is normal that some concern will occur in order to achieve the final result before the expected time. Every concern on your part must be conveyed to us so that we may reassure you with the necessary clarifications.

Some patients have a short period of emotional depression at this stage, as a result of these temporary changes. This comes from the desire to achieve the end result as soon as possible. Remember that no result of abdominal surgery should be considered final before 12 to 18 months.

NORMAL EXITING LIQUID TYPE BY THE SCARF?

In case of patients with certain overweight, a few days after the elimination of a reasonable amount of yellowish liquid by one or more points of the scar. This phenomenon is nothing more than the residual fat near the area of the scar liquefying. This situation does not constitute a complication and there are resources to prevent this leak from occurring in inconvenient situations.

ABDOME PLASTIC CAN RETREAT THE SCARS OF ANY PREVIOUS SURGERY (APPENDICECTOMY, CESAREAR, ETC)?

In cases where the scar is located in the part of the abdomen that lies below the navel, it is usually possible to remove the scar area along with the skin removed in the surgery, replacing it with the scar of the plastic of the belly.

CAN I PLASTIC BOND PLASTIC WITH ANOTHER PLASTIC OR OTHER SURGERY?

It is very common the association of the plastic of the belly with the surgery of the breast, liposuction, gynecological surgeries and others. These associations must respect certain limits (time of surgery, extent of surgery, etc.), according to the clinical conditions of each patient.

IF I FISH AFTER SURGERY CAN I LOSE THE RESULT?

If weight gain causes a significant increase in the abdomen, there may be a loss of the result. Care should be taken in the postoperative period, because during the recovery period it is recommended that a relative rest occurs so that the body recovers. Along with this rest, there may be anxiety about the end result, which can increase appetite, and in some cases, cause a weight gain that we do not want.

TO HOW MANY KILOS CAN I GET PAIRED WITHOUT COMPROMISING SURGERY?

There is usually an improvement in the outcome if the patient loses a few pounds after surgery. But as it is a modeling surgery, if there is a significant loss of weight, there can be a surplus of skin and loss of the result.

CAN I FIGHT AFTER SURGERY?

Usually a gestation after the postoperative recovery, can lead to a weight gain and consequent loss of the result of the surgery. Some patients have very small weight gain during pregnancy, which can contribute to the maintenance of the result. With regard to the development of the baby, surgery usually does not directly influence its development.

WHAT CAN I DO FOR BETTER HEALING?

Some measures may improve healing in the postoperative period:

- A diet high in protein;
- Respect postoperative rest;
- Use of recommended dressings (micropore, gauze, etc);
- Use of sunscreen;
- Lymphatic drainage, performed by a qualified professional. Mild discomfort may occur during drainage, because the belly is still sore, with fluid accumulation or bruising, but drainage is not usually painful. She is gentle, not strong modeling massage.

IS IT TRUE THAT I CAN HAVE THROMBOSIS AFTER SURGERY?

Thrombosis consists of the formation of a blood clot within the vein, usually in the lower limbs. There are several causes, including postoperative immobility, accumulation of fluid in the legs and surgeries in the abdominal region.
Its occurrence in abdominal surgeries is very rare, but should not be neglected. The measures that we use to prevent such complications are the use of a machine that compresses the legs during surgery, the use of elastic stockings in the postoperative period and the encouragement for the patient to walk as fast as possible after surgery and make movements with Her feet as if she had stepped on the accelerator.

THE FINAL RESULT IS COMPENSATOR?

If you are aware of what you want and the surgeon can provide you with what you asked for, it certainly pays off. However, it is important to take into consideration the fact that plastic surgery of the abdomen does not aim to transform you into another person. It is not possible to turn your abdomen into the abdomen of someone else. You will continue with your abdomen, but with different characteristics. The plastic surgeon will only improve this territory harmed by the aesthetic defects there pre-existing.

 
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