Tummy Tuck (ABDOMINOPLASTY)

Abdominoplasty is surgery to eliminate excess skin or fat tissue in the abdomen in order to recover firmness and muscle tone.

Candidate

Men and women with excess fat or skin in their abdomens who would like to improve their figure. The accumulation of fat in the abdomen tends to occur due to significant variations in weight, the passage of time or, in the case of women, after multiple pregnancies.

Preoperative Period

During the first visit, the surgeon will perform a physical examination and conduct a personal interview to determine the patient’s expectations. He or she will assess three critical aspects: skin, fat tissue and the abdominal muscle wall.
He or she will likewise establish the abdomen’s current characteristics, such as elasticity, flaccidity, thickness, the presence of stretch marks, skin type, belly button shape, the existence of fat deposits in certain areas and the clinical condition of the abdominal wall (its integrity, the existence of hernias or the ‘separation’ of the main abdominal muscles [diastasis recti]).
Based on this initial analysis and a complete medical history, he or she will indicate which type of abdominoplasty is required by each patient and whether any additional technique should also be used.

Surgical Technique

The surgery is performed in an operating room, usually under general anesthesia.

Abdominoplasty surgery tends to last between 2 and 4 hours, depending on the type of surgery performed. Two surgical incisions are made; one to free the belly button from the abdominal skin and the other above the pubis. Next, the dermal-fat flap is separated. If necessary, the abdominal wall is corrected, and any excess fat tissue is removed. The belly button is sutured to the abdominal wall and drainage tubes are inserted. Subsequently, the excess abdominal tissue is removed by means of another incision made in the previously separated skin flap and a semi-compression bandage is applied.

Absorbable stitches are used to facilitate the patient’s healing process and well-being.

Mini Tummy Tuck (Mini Abdominoplasty): This is performed when the excess skin tissue is located only in the lower abdomen. The incision is much smaller and is made only above the pubis.

Postoperative Period

The patient will remain at the clinic for the first 24 hours with the drainage tubes, a bladder catheter and the appropriate bandages, on treatment with painkillers.


The second day, after a check-up and the first treatment of the surgical wound, the drainage tubes and catheter will be removed.
As of the third day, the patient may be discharged with the medications and instructions indicated by the surgeon. He or she will need to wear a compression garment at all times and must refrain from making any sudden movements.

Following the sixth day, a follow-up examination will take place and, over the first month, the patient may dress the wound at his or her own home, following the surgeon’s indications and coming in for regular check-ups. The patient’s return to his or her professional life will depend on individual evolution.

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