Abdominoplasty Treats Relaxation of Belly Skin
Abdominoplasty (or abdominal plasty) removes excess skin and grease. It is the most complete belly surgery, it removes all the excess skin between the navel and the pubis.
Indications for abdominal plasty
Abdominal plasty should be used whenever there is a significant loosening of the skin with excess fat and stretch marks or scars.
The abdominoplasty allows to act on three defects at the same time:
- Excess fat in the stomach: It appears with age in men most often from the quarantine and in women after menopause.
- Excess skin: What is visible is the classic abdominal apron due to pregnancy or significant slimming.
- A spacing of the abdominal muscles (diastasis of the great rights) of congenital origin or following a caesarean.
If excess fat is important and moderate skin sagging without distension of the muscles, liposuction of the abdomen is sufficient to cause a limited retraction of the skin, but still sufficient.
In case of excessive excess of fat and skin with muscle relaxation, it becomes necessary to perform an abdominal plasty.
The progress of an abdoplasty
The operation of abdoplasty is done under general anesthesia and requires hospitalization of one to two nights, it lasts between one to three hours depending on the importance of the work to be accomplished.
The intervention consists of three distinct phases.
The surgeon begins by aspirating the fat located on the abdomen and the flanks. Liposuction helps to refine the area of the abdominal wall in the stomach before eliminating excess skin.
Two types of interventions exist according to the importance of the slackening of the skin.
- In case of minimal sagging skin, the surgeon does a mini-tummy tuck. It removes excess skin in the area under the navel without it being necessary to touch the muscles. This technique reduces the risk of bleeding and gives a moderate scar as well as shorter sequels.
- In case of very significant cutaneous relaxation, the surgeon does a complete abdoplasty. It removes the skin surplus at the lower part of the abdomen and redraps the upper half, which is then stretched to cover a nearly doubled surface. The navel then emerges at its normal height, through an orifice made in the lowered skin.
There remains a scar whose length depends on the amount of skin removed. It is located at the lowest possible pubic level and can extend from one hip to the other. Its length is predictable before surgery. It should normally be concealed by suitably sized underwear. In case of complete abdominal plasty, there is also a small circular scar around the umbilicus.
Firming of the muscles
The surgeon tightens the muscles of the abdominal wall. This tightening of the right muscles (diastasis) makes it possible to recreate a solid abdominal belt, to flatten the area of the stomach and to refine the size.
At the end of the procedure, the practitioner places a patterning dressing regularly changed during the next 15 days.
Follow-up of the intervention
A compressive dressing and drains are installed and kept one to two days before being replaced by a restraining sheath that the patient will wear day and night for one to two months.
The wires are removed after 15 to 20 days. The scar is often pink for the first two to three months, then gradually fades out for one to three years without completely disappearing.
The results of abdominal surgery
The result is immediately visible. The surplus fat and skin have completely disappeared as well as stretch marks and belly is flat. It becomes definitive after two months, when the edema above the scar has completely diminished. The belly is then flat and taut, the waist is thinned.
Physical and psychological change is often extraordinary. The person again wears clothes closer to the body, dares to get back into the bathing suit on the beach, regains confidence in his intimate relationships.