Abdominoplasty (or Tummy Tuck)

Body and Skin
Abdominoplasty (or Tummy Tuck)
Over the last six years, we have been used, in almost every surgery, the combination of liposuction and abdominoplasty.
The combination of simultaneous liposuction and abdominoplasty is having as a result the permanent fat loss, reduction in waist circumference, tightening of abdominal muscles and removal of excess skin in one surgery minimizing the postoperative complications and pain and with faster recovery and return to everyday routine.

Are There Incisions After an Abdominoplasty?
There is an horizontal incision in the lower part of the stomach, a little bit higher than the line of pubic hair growth that is hidden in the underwear or swimming suit.
The final result of the scar is formed in one year. During the first 3-4 months, the incision is red and hard and with time, it’s decolorized and improved but it doesn’t disappear.

What Type of Anesthesia is Used for Abdominoplasty?
It is usually performed under general or epidural anesthesia.

How Long Will The Patient Need to Stay in the Hospital After an Abdominoplasty?
For the first 24 hours.

Is Abdominoplasty a Painful Procedure?
The view that abdominoplasty is a very painful surgery is a myth. There is a little discomfort (a tightening sensation) the first two 24-hours to the patient’s movements. Rarely, it is administered pain medication at the first 24 hours following surgery.

Are Used Bandages Postoperatively?
There is only a waterproof patch along incision. Immediately after the surgery, the patient wears a supportive abdominal binder or compression garment.

Are There Any Drainage Tubes After an Abdominoplasty Surgery?
Usually yes, there are two thin tubes that come out of two small holes on the line of pubic hair growth and result in a bottle.
The drainage tubes are used to drain the liquids that are accumulated underneath the skin. They come out when the supply of liquids is below 40ml.

Are There Sutures?
Yes, but all sutures are absorbable.

How Long Does It Take To See Final Results After an Abdominoplasty Surgery?
Although the result is impressive from the first 24 hours after surgery, the final result will be noticeable in six months. The intense swelling will subside gradually within the first 3 weeks following surgery.

Is Pregnancy Possible After an Abdominoplasty Surgery?
Yes, it is. But it is better to perform abdominoplasty after pregnancy, because pregnancy can lead to skin slackening and stretch marks.

 When May The Patient Resume Physical Activities?
In 1.5 to 2 months after surgery, but walking is allowed from the first week following surgery.

What Are The Most Possible Complications After an Abdominoplasty Surgery?
• Hematoma (1% in our cases). The second operation may be necessary for elimination of hematoma, but it has no influence on the final result of abdominoplasty.
• Post-operative infection (0% in our cases).
• Seroma (2% in our cases). It means collection of clear fluid beneath the skin that is usually appeared in the first 10-15 days after surgery. Small amounts of fluid resolve by themselves or eliminated by a doctor via thin syringe.
• Venous thrombosis - pulmonary embolism (0% in our cases). It is the most serious complication that can be avoided by the use of special devices that make massage to the patient’s calves during surgery. Massage provides constant blood supply of lower limbs of the operated person. After surgery, the doctor will prescribe anticoagulants (drugs that prevent thrombus formation).

Will The Result Get Worse If The Patient Gains Weight?
No. The result is permanent. If someone puts on some weight, he/she will gain weight evenly in the area of belly, but the areas that haven’t undergone lipoplasty will be affected more.

What Are The Advantages of Abdominoplasty In Combination With Liposuction?
• Two surgical procedures in one operating time.
• Excessive skin removal and simultaneous thinning of waist and belly.
• Faster recovery period and quick return to everyday activities (everyday routine).
• Less invasive method (the surgeon’s actions do not lead to sensitivity loss in the lower part of stomach, traumas of nerves, muscles, connective tissues and lymph glands).