Abdominoplasty is an invasive surgical procedure which involves the removal of excess skin and fat from the middle and lower abdomen in order to tighten the muscles of the abdominal wall
The procedure can dramatically change the appearance of the "sagging abdomen" and create a more aesthetical silhouette in the waist area. The result will be long-term in case of regular exercise and well-balanced diet. Abdominoplasty is performed under general anaesthesia.
If the fat distribution is confined to the area around the navel, a less demanding procedure will be sufficient, called partial abdominoplasty. In some cases a combination of partial/complete abdominoplasty and liposuction may be more beneficial, which can remove fat from the hips, thereby improving the body contours. Sometimes liposuction alone can bring the best results.
Our plastic surgeon will always recommend you a procedure that is the best for you and whose result will be as close to the desired body shape as possible.
The best candidates for abdominoplasty are women or men who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won’t respond to diet or exercise. The surgery can also partially resolve stretched muscles and skin of women after pregnancy.
- If you intend to lose a lot of weight, you should postpone the surgery
- Women planning future pregnancies should postpone the surgery; during the surgery vertical muscles are tightened and they can separate again during pregnancy
- If you have scarring from previous abdominal surgery, your scars could be unusually prominent after abdominoplasty
In your initial consultation, the plastic surgeon will evaluate your health, determine the extent of fat deposits in your abdominal region, and carefully assess your skin tone. You will also talk openly with the surgeon about your expectations.
If you smoke, quit at least one to two weeks before your surgery and not to resume for at least two weeks after your surgery. Avoid overexposure to the sun and do not go on a stringent diet, as both can inhibit your ability to heal. If you develop a herpes or infection of any kind, your surgery will probably be postponed. Before the surgery a complete pre-surgery examination will be necessary, which you can undergo at our anaesthetist.
Complete abdominoplasty usually takes two to four hours, depending on the extent of work required. Partial abdominoplasty may take an hour or two.
Most commonly, the surgeon will make a long incision from hipbone to hipbone, just above the pubic area – above the pubic hair. A second incision is made to free the navel from surrounding tissue. With partial abdominoplasty, the incision is much shorter and the navel may not be moved. Next, the surgeon will separate the skin from the abdominal wall all the way up to your rips and will lift a large skin flap to reveal the vertical muscles in your abdomen. These muscles are tightened by pulling them close together and stitching them into their new position. This provides a firmer abdominal wall and narrows the waistline. The skin flap is then stretched down and the extra skin is removed. A new hole is cut for your navel, which is then stitched in place. Finally, the incisions will be stitched and sterile dressings will be applied. After the surgery a temporary tube may be inserted to drain excess fluid from the surgical site.
In partial abdominoplasty, the skin is separated only between the incision line and the navel. This skin flap is stretched down, the excess skin is removed, and the flap is stitched back into place.
After the surgery has been finished and the client has waked up from the general anaesthesia, he/she will stay at the inpatient department of the Clinic for the next 24 to 48 hours for observation. A nurse is always available to the client. The administration of infusion and analgesic therapy will be terminated and all physiological functions will be monitored. On the second day after the surgery the wound dressings will be changed and temporary tubes, if used, will be removed. The client will be discharged into home treatment, accompanied by another person, according to the doctor’s instructions. Post-surgery check-ups are performed after agreement with the surgeon. In urgent cases, the check-up may be carried out immediately. The stitches will be removed 14 days after the surgery. During these 14 days, we recommend that the client not go to work. For the first few days after the surgery your abdomen will probably be swollen and you are likely to feel some pain, which can be controlled by medication. Though you may not be able to stand straight a few days after the surgery, you should start walking as soon as possible. The surgery will produce a permanent scar which, depending on the extent of the original problem and the extent of the surgery, can extend from hip to hip.
Convalescence can take weeks or months. If you start out in top physical condition with strong abdominal muscles, recovery will be much faster. Some patients return to work after two weeks, while others take 3 or 4 weeks to recuperate.
Easy abdominal exercise after 2-4 weeks will help you heal better - (lifting legs, doing eights with raised legs). Vigorous exercise, however, should be avoided until you feel comfortably.
Your scars will be visible for a certain period after the surgery. They may actually appear to worsen during the first three to six months as they heal. It takes nine months to a year before your scars flatten out and lighten in colour.
Like any other surgery, abdominoplasty is associated with some risk. Post-operative complications, such as infection and blood clots, are rare, but can occur. Poor healing, which results in conspicuous scars, may necessitate a second operation. Smokers should quit smoking, since smoking may increase the risk of complications and delay healing.
|Abdominoplasty without anaesthesia:||from 1.000,-€ to 1.300,-€ (depends on difficulty)|
|Mini abdominoplasty without anaesthesia:||from 650,-€|
|anaesthesia and pre-anaesthesia examination:||from 250,-€|