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Abdominoplasty

Sculpture of the abdomen - Abdominoplasty

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Great weight loss in men and women, or pregnancies, leaves a relaxation of the muscle abdominal walls, chaps maybe, and skin excess in the sub-omphalion area. There are serious aesthetic and functional problems as a result. Intertrigos, if the abdomen is hanging, pains in the spinal cord caused by the weight, difficulty to bend, wrong position of the urinary bladder and uterus in women and lastly, anxiety on what to wear or how someone would look at the beach. The above problems usually make the patient visit a plastic surgeon.

During the visit, the surgeon confirms topical fat, especially to young patients, whose problem is solved with liposuction. In this case, there is no relaxation of the abdominal walls, just increased subcutaneous fat.
Sculpture of the abdomen - AbdominoplastyView Gallery

The abdominoplasty includes a horizontal incision over the pubic area, preparation of the skin flap over the muscle fascia up to the side arc, maintaining the omphalus in the abdomen walls and separating it from the skin. The muscle fascia are folded and stitched together. The excess skin is removed and the omphalus is stitched in its proper position.

As a technique, abdominoplasty is simple and the result is excellent, if there is a correct preparation. The post-operational course is heavier and the patient should stay a day in the hospital. Thus, the patient should come to the surgery prepared for a routine operation and of course for a good result. He should have in mind that he must stay in hospital for a day, with his feet on his abdomen, and two drainages from the surgical trauma. He also has serum and a catheter. Next day morning, the serum and the catheter will be removed and he will get off the bed wearing an abdominal belt. The patient will get out of the hospital at noon, wearing his abdominal belt. The drainages will remain and he will get antibiotics. The pain is usually mild and the necessary painkillers are given from the first day intravenously. Later, there might be a need for painkillers for the next few days, but the patient can take them from the mouth (Depon, Lonarid, Ponstan). The fourth day goes the patient to his doctor for change and removal of the drainages. When the patient gets home, he removes the gauzes and has a shower. Then, he re-applies the gauzes, after he spreads Betadine to the trauma, and wears the belt.
The use of the belt is obligatory for a month and is removed only for sleeping. The stitches are removed on the 7th day. At the same day, the patient can return to his work, but he is not allowed to lift weight for a month, or train hard at the gym in the same period of time. The hasty drainages removal before the 4th day could create a seroma, namely fluid concentration under skin. After this day the appearance of seroma is rare and easily fixed with the introduction of a new drainage and its maintenance for another 5 days. A small necrosis in the middle of the trauma could happen in smokers or in patients, whose abdomen has undergone surgical incisions over the omphalus in the past.

This delays the healing process and may bedevil the patient with changes for a few days. An overgrown scar may appear on the lower incision due to the tension, but it is fixed later, with topical anesthesia. The incision is hidden under the underwear. The patient may experience haemody or diffused light pain on skin for a long time.

The patient comes to the surgery foodless and not having drunk water for the past 6 hours. The pre-operational check-up (General Blood Test, Blood Glucose and Blood Urea Test, Na+, K+, Electrocardiogram, Ro Chest), which is needed for the operation, can be done before or on the day of the operation. An abdominal ultrasound is recommended, as the surgeon could address any problem that might appear in the ultrasound.

The use of aspirin is forbidden for 4 days before the operation.