In the first visit the patient’s health status is assessed, as well as the elasticity of the skin, presence of fat deposits, stretch marks, previous scars, umbilical hernias, and degree of relaxation of the muscles of the abdominal wall. It is important to know whether the patient is a smoker, and if they have any disease affecting the respiratory tract and / or gastrointestinal system.
Many times this operation can be put in conjunction with waist and back liposuction, thus obtaining greater harmony in the body contour; at other times the patient only shows sagging skin in the lower abdomen and properly adjusted muscles, and only requires a less complex procedure called a mini tummy tuck.
I will indicate laboratory studies, preoperative cardiovascular assessment including the elimination of certain drugs, such as aspirin 15 days before, some vitamins, tobacco and alcohol.
The surgery is performed under regional anesthesia assisted by sedation.
Abdominoplasty is done through an incision just above the pubic bone which extends to the hips; an incision that is now ever thinner and will depend on the volume of the tissue to be removed. A second incision is performed around the navel to separate it from the surrounding tissues; skin and fat from the abdominal wall are separated to get to the bottom of the rib cage exposing the abdominal muscles which will be adjusted and united in the midline; if necessary the oblique muscles will be reinforced, producing a firmer abdominal wall and a stylish, harmonious and feminine waist. The skin is stretched towards the pubis and the excesses are removed, usually from the top edge of navel to the pubis. The mons pubis is strengthened, giving an enhanced labia look in your intimate area; the navel is placed in its new position and we conclude with closing the wounds, placing a negative suction drainage (vacuum) to remove excess fluid, inserting a pad to protect the skin and a moderate compression girdle.
The patient is discharged the next day with their respective recommendations and postoperative medication. The drain is removed in a period of approximately 5-7 days. The use of belt is for 1-2 months depending if combined with liposuction.
The patient can start working regularly from the third week of surgery.
The process of disappearance of skin swelling and adaptation requires an average of 6 months to 1 year.