Abdominoplasty (Tummy Tuck)

Especially after the 2nd and 3rd pregnancies or after twin pregnancies in women, the abdominal skin becomes loose, and develops stretch marks and sagging. In addition, the abdomen bulges outward as a result of the loose ligaments between the muscles of the abdominal wall. All these conditions are treated through abdominoplasty.

ABDOMINAL LIPOSUCTION OR ABDOMINOPLASTY?

By evaluating the situation together with your plastic surgeon, you can understand best whether liposuction alone will be adequate or whether abdominoplasty will be performed in conjunction with it. However, there are some clearly distinguishable details. If the skin has deep cracks and if they caused shriveling on the skin, liposuction alone will not be adequate. If the abdomen has bulged outward after pregnancies, liposuction alone may not be adequate. With abdominoplasty, loosened ligaments are tightened and the abdomen is flattened.

WHO ARE NOT ELIGIBLE FOR THIS SURGICAL PROCEDURE?

Who have a BMI (body mass index) over 35; are not eligible for this procedure. Because such patients have a considerable intra-abdominal fat accumulation, a flat abdomen cannot be obtained with abdominoplasty, and the risk of bad postoperative scenarios is higher.

Patients with big scars in the abdomen due to previous operations may not be eligible for this procedure because the abdomen affects the skin's nutrition. It would be appropriate to discuss the situation in detail with your doctor.

- Smoking patients are not eligible for surgery. The patient should stop smoking at least 2 weeks before the surgery, and then should not smoke for a period of 2 weeks. Smokers are at a greater risk of postoperative suture dehiscence, infection, malodorous discharge, darkening of the skin, and wounds with discharge in the belly button. In addition, smokers are also at a greater embolic risk, and such a condition can even carry a life-threatening risk.

IS IT A SURGERY THAT LEAVES SCAR?

Yes. Imagine a caesarean section scar that extends a little further to the sides. However, the secret of plastic surgery is completely the ability to hide these scars. Since we make the plan in such a way as to ensure your scars to be located under your underclothes, they will not be visible even if you wear bikini.

WILL MY SCARS LAST LONG?

It depends on the degree of skin sagging and fat accumulation in your abdomen. Scars last longer if these are greater, or vice versa. This means that the more excess fat you get rid of before surgery, the better surgical result you will achieve and the shorter your scars will last.

WHICH OF MY PROBLEMS WILL BE SOLVED WITH THIS SURGERY

Abdominoplasty actually eliminates almost all of the bad effects of pregnancy. Stretch marks are removed together with the excess skin, additional slimming is obtained in the waist and abdominal region through liposuction, and the abdominal wall is flattened by 'plication' performed on the loose ligaments of the abdominal wall. The part that cannot be corrected is the stretch marks located at upper levels above the belly button. It is not possible to remove such stretch marks, but they become less noticeable as a result of the stretched abdominal skin.

MY APPROACH TO ABDOMINOPLASTY

I defend the opinion that abdominoplasty should be approached as a whole. The best results are achieved in this way. Full-body slimming including the waist slimming, abdomen flattening, and creation of waist curves can be achieved with liposuction performed on the frontal region of the abdomen, sides, waist, and the region extending from the sides of the abdomen toward the back, and even on the back, after the removal of the excess skin and 'plication' performed on the abdominal wall during abdominoplasty. By this means, the patient will clearly notice the result with his/her clothing, and will even see that he/she has a smaller clothing size.

WHEN SHOULD I HAVE SURGERY?

If your complaints have appeared after pregnancy, you should wait for a period of at least 6 months (preferably 1 year) after pregnancy. Thus, the final condition of the deformation can be seen, and the intervention is implemented accordingly. If pregnancy is considered immediately after surgery, it would be beneficial to wait; otherwise, deformation may increase. On the other hand, it is best to correct the deformity after seeing its final condition. Getting pregnant 1 year after surgery has no drawback. However, it should be kept in mind that the abdominal wall (and possibly the skin) will get loose again.

COMPLETIONS AND POSSIBLE PROBLEMS

In the early postoperative period, hematoma (accumulation of blood under the skin) can develop in some patients. These conditions can be avoided by using appropriate techniques and discontinuing the blood thinners before surgery.

Redness and swelling may develop in the first 5 days, and such conditions can be the precursors of an infection. They usually respond to medication.

Darkened skin, suture dehiscence, and discharges can be seen in smoking patients. This condition can be avoided by quitting smoking for good.

During the first 2 months, scab formations and discharges can develop due to reactions to the thick surgical thread used for suturing. They last 3 to 5 days but immediately respond to medical dressings. However, such attacks are likely to occur until the 2nd month.

Although asymmetries develop in the long term, they do not become so problematic as to require a 2nd intervention. However, puckers can develop at the ends of the suturing line, depending on the technique used and the amount of excess skin of the patient, but they can be corrected under local anesthesia

LET MY SCARS BE SHORT

The prospective length of your scars is totally related to the amount of your excess skin. Be sure that you will need a 2nd surgery if they are not extended towards the sides despite the need for such an extension. This is because if the procedure has not been performed completely, the puckers will remain at the end of the suturing line and there will be loose and sagging skin in the areas not involved in the procedure.

WHAT IS MINI-ABDOMINOPLASTY?

Mini abdominoplasty is performed only on patients with post-pregnancy bulge, in whom minimal amount of excess skin has developed. It is a technique used more rarely, which has a more limited usage area.

HOW WILL I SLEEP AND WALK?

In the first 10 postoperatively days, you will need to sleep in the fetal position by pulling your knees up closer to your chest, and walk bent over at an angle of 30 degrees from the waist line.

WHEN WILL I BE ABLE TO RETURN TO WORK?

We can say that abdominoplasty is one of the most troublesome aesthetic surgeries. In the best-case scenario, you can get back to your work 1 week after surgery.

WHAT WILL BE WAITING FOR ME IN THE FIRST POSTOPERATIVE WEEK?

After surgery, I keep my patients in the hospital for 1 or 2 nights, depending on the extent of the surgery. Except for walking to the toilet and walking short distances in the hallway, you will lie in bed in the first 3 to 4 postoperative days, and the bed will be bent from the waist level. After the 4th day, your tissues will start to become comfortable, your pain will decrease, and you will begin to stroll longer distances. You will walk bent over in the first 7 days, and you will be able to walk straight as your tissues become comfortable and your pain decreases. You will have to avoid a little bit of solid foods for the first week because the constipation you are going to experience can put you in trouble.
 

TECHNICIAL SPECIFICATIONS

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