This is the most frequent type of corrective surgery performed on patients whose weight has been fluctuating significantly, and on mothers whose bodies have been “sacrificed” to pregnancy and childbirth. It’s the only really viable surgical solution to correct loosened abdominal muscles, a weakened abdominal wall, or abdominal skin left with stretch marks or perhaps even ruptures after weight gain or pregnancy.
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The procedure requires very thorough consultation, patient education, planning, preparation and medical examination prior to the operation. Both the patient and the surgeon should be attentive to these details. Regarding risks and strain imposed on the patient’s body, this is the largest operation in the field of plastic surgery.
The operation is carried out under general anaesthesia, with the patient wearing compression stockings to prevent thrombosis. An injection is administered to prevent blood-clotting. The excess fold of skin and fat is removed from the abdomen through a hidden incision made in the abdominal fold, in the bikini line. Next, the abdominal muscles are reinforced and anatomically reinstated in their full length. Finally, the abdominal skin is modelled onto this new shape and fixed in place with stitches.
There are many types of abdominoplasty. In case only a small abdominal fold is removed, the navel need not be relocated. If there is a larger amount of excess fat and skin to be removed, extended abdominoplasty is necessary, during which the navel chord is displaced.
The operated region is then left to be drained over two days. The patient is under strict observation during that time.
A complete physiological recovery and a tight, flat abdomen will only be achieved by wearing a special abdominal belt for 6 weeks after the operation.