What is Abdominoplasty?
- Complete Abdominoplasty - Partial Abdominoplasty
Abdominoplasti orta ve alt karın bölgesinde mevcut fazla yağ ve sarkık haldeki cilt dokusunun alındığı ve karın kaslarının gerilerek sağlamlaştırıldığı bir cerrahi girişimdir, bir obezite tedavisi değildir. Obez kişiler bu ameliyattan önce kaybedebilecekleri miktarda kilo vermelidirler. Bu ameliyat ile göbek ve karın görünümü dramatik bir şekilde düzelir; ancak ameliyata bağlı iz kalıcıdır. Abdominoplasti için plastik cerrahlar tarafından kullanılan pek çok teknik vardır.
Abdominoplasty can be perform alongside some other surgeries such as adjustment of body contours (mammaplasty, liposuction etc.), hysterectomy and ovarian surgery. If you consider having abdominoplasty, this article will inform you, however you may not find all the answers you seek here.
Planning of Abdominoplasty
During your first examination, your surgeon will study your general health, the amount and the distrubition of the fat in your abdominal region, the flabbines, overgrowth and the quality of your abdomina skin. You must inform your surgeon correctly and in detail regarding your previous and current diseases (diabetes etc), habits (smoking, alcohol etc.) the medications you take (asprin, tranquilizer etc.). Another matter you should tell your surgeon about is why you want this surgery and what your expectations are. Do not hesitate to discuss this matter openly.
Depending on your expectations and examination findings, you may be a candidate to complete or partial abdominoplasty performed exclusively or with liposuction. Liposuction alone might be enough for you too. You should also discuss the anaesthesia type that is going to be used during the surgery, how many days you should stay in the hospital and possible problems you might encounter after the surgery.
Most of the surgeons in our country prefer genera l anaesthesia for this surgery. Others use local anaesthesia alongside with painkillers and tranquilizers.
The Process of the Surgery
Complete abdominoplasty, depending on the size of the region, can last 2 to 5 hours, whereas partial abdominoplasty can last 1 to 2 hours. Usually a cut line from one hip to the other but can be hidden by swimsuit is placed and a second cut in the shape of a circle may be required around the belly. In partial abdominoplasty the cut line is shorter and the position of the belly may not be altered. During the surgery the abdomina skin is freed from the muscles underneath from the thighs to the ribs. If there is a weakness or herniation in the abdominal muscles, this region reinforced and the extra skin is removed from the body. In mini-abdominoplasty these operations are more limited. After the surgery the surgical scars are closed with either metal clamps, single or intradermic stitch and covered with dressings. In order to suck the extra fluid in the region, one or two tubes called drain can be inserted under the skin.
After the Surgery
İlk birkaç gün karın bölgesinde şişlik ve ağrı kesiciler ile kontrol altına alınabilen ağrı olabilir. Drenler ortalama 1-3 gün, dikişler 1-3 hafta sonra alınır. Ortalama 1-3 gün hastanede kalmanız gereklidir. Kendinizi eskisi gibi hissetmeniz birkaç ay alabilir. İşinize 2-4 hafta sonra dönebilirsiniz. Yara izi ilk 3-6 ay kötüye gidermiş gibi görülebilir ama bu normaldir, izlerin düzleşmesi ve solması 9 ay ila 1 yıl alabilir. Tamamen yok olmamasına rağmen iz bu bikini altına dahi kolayca saklanabilir. Kısmi veya tam abdominoplasti işlemleri karın kaslarında zayıflık veya deri sarkıklığı olan hastalar için memnun edici sonuçlar yaratabilir. Hastaların çoğunda, düzenli egzersiz ve diyetle, sonuç yıllarca korunabilir.
If there is stretched skin present in good quality, limited fat cumulation and intact abdominal wall, vacuuming of fat can be considered as an alternative for people with normal weight. Diets and exercises may help reducing the total amount of fat in the body, however they are not effective against saggy skin. Risks and unexpected after surgery cases called possible complications also carry the same risks in alternative treatment.
Risks of Abdominoplasty
Each year, hundreds of abdominoplasties are performed. The result is usually satisfying especially when the operation done by an expert plastic surgeon in adjusting body contours. Every surgical operation carries a risk and the important point is that you should understand the risks included in abdominoplasty. Comparison of the risks and benefits is essential for accepting the surgical operation.
You should discuss the risks and possible complications and their results with your surgeon until you are sure that you understand the matter even when many women and men do not encounter with the complications below. Complications such as infection or bleeding is rare for this operation is performed by a plastic surgeon in right hospital conditions.
Infections are treated with antibiotics and if abscess is present it is emptied however the time spent in the hospital may be extended. There may be delay or bad healing in scars and may result in a scar tissue. In this case a second operation may be required. Skin loss and complications in wound healing occure more for smokers.
Depending on aging, pregnancy and weight gain/loss, there may be differences in body contours outside the operated area.