Abdomen

Tummy tuck is a popular plastic surgery procedure performed under general anesthesia to remove the skin and excess fat from the lower abdomen.
L ‘tummy tuck is one of the most common plastic surgery procedures. Factors such as multiple pregnancies and genetics can lead to the development of flabby skin, fat deposits, and stretch marks on the abdomen.
These areas can be difficult to eliminate despite proper diet and adequate exercise, so as to make the disproportionate abdomen with the rest of the body.
How does it work
Loose skin, fat deposits, and stretch marks are removed from the abdominal region. Even dermatitis often present in the inguinal folds level often find the right solution. The abdominal rectus muscles that have been stretched and weakened over time are tightened, restoring the appearance of a firm and toned flat stomach. Sometimes it is associated with liposuction to improve the contours of the body.
The intervention should not be used as a treatment for obesity, or as a replacement for proper diet and exercise. It should address abdominoplasty healthy and fit, or at the end of a process that led to the loss of fat mass. Future pregnancies and drastic changes in weight after a tummy tuck may decrease the effectiveness and the long-term results of the procedure.
Surgery
Preparation
During the preliminary visit if necessary you will be asked to perform a ‘Abdominal Ultrasound to detect the presence of diastasis of the abdominal muscles or any hernias.
It will be prescribed an elastic sheath (girdle) to wear after the ‘intervention (useful buy two so you always have one in use when the’ other will get dirty).
A month before the ‘intervention should be suspended progestin birth control pills to reduce the risk of thromboembolism. The same should be suspended for smoking decreases the risk of postoperative complications.
Two weeks before is avoided l ‘intake of acetylsalicylic acid based drugs (aspirin).
The night before must be done carefully cleaning shower, shaved with a razor completely the groin and pubic area, removed the nail polish for hands and feet.
Observe the fast of at least 8 hours before the ‘intervention.
The duration of abdominoplasty varies depending on the amount of tissue to be removed and by the need, which could arise, to add a further surgical procedure (such as liposuction). Most of the procedures lasts between 2 and 4 hours.
Before the ‘entry in the operating room, it will be made to wear the antithrombotic stockings.
And ‘advisable to show to Dr. Grassetti ward during the visit and the preparatory drawing her pants you wear usually, so as much as possible to hide the scars below the same.
Anesthesia
Abdominoplasty is performed under general anesthesia or, in the case of least effort, in epidural anesthesia. In addominoplastiche mini, depending dell ‘anesthesiologist judgment can be performed under local anesthesia with sedation.
engravings
Two incisions are usually necessary for a full tummy tuck procedure. An incision just above the pubic area which will extend from one hip bone to the other, that when everything is over remain hidden from the slip. The length and the incision shape still depend on the extent of the treatment, the body contours. Dr. Grassetti tries to position the incision so that a swimsuit or undergarments can hide it. A second small incision is usually practiced around the navel.
In some special cases, the presence of abdominal scars from previous surgery makes it appropriate to modify the standard technique: in the case for example where there is a vertical scar along the central part of ‘abdomen, the’ intervention can also be performed by affecting along that line.
Abdominal wall display
The skin and the layers of fat on the abdominal wall are separated using a cauterization device. The abdominal muscles will be exposed by lifting the fabric to the rib cage.
Tightening of the abdominal muscles
Dr. Grassetti suturing the fascia of the abdominal muscles, pulling them closer, creating a flatter tummy, firmer and a slimmer waist. Where necessary they will also be repaired abdominal hernias.
Replacement skin and repositioning the navel
The layer of skin and fat that had been raised is removed. Your navel will remain intact and attached to the abdominal wall during the procedure, but will be covered by a layer of skin when you reposition. The surgeon will make an incision through the skin layers and redistributed fat to create a new hole for the navel. All ‘navel can be given at this point a more pleasing shape or smaller, you can discuss it with Dr. Grassetti before the’ intervention. In cases of adiposity and ptosis of the mound, you can also practice a pubi facelift
closing
Two drains are usually located in the lower abdomen to avoid accumulation of fluid during convalescence and will remain in place for one to two weeks.
hospitalization
After ‘intervention has to wear for a day and night, month, and another month of a day elastocompressiva band (girdle). This close-fitting garment will help to reduce swelling by preventing fluid build up, as well as providing a valuable aid to healing.
And ‘it recommended to keep the thighs flexed hips while resting in bed with a pillow under your knees to keep the trunk semi-flexed legs, thus avoiding tractions along the suture line.
You could try a minimum of pain (often it is more a sense of tension), bruising and swelling, as with any surgery, but it is mostly just a few days.
It is important that we start to walk immediately after the procedure to facilitate blood flow but keeping the torso slightly flexed on the abdomen.
The sutures are absorbable type.
After 2-3 days of hospitalization is usually back home.
E ‘absolutely forbidden to smoke for at least a week.
For two weeks you can not drive cars.
The first cleaning shower may be carried out after 10 days. Likewise you will be able to return to work at a reasonable pace.
Sexual activity can be resumed no earlier than one month. Likewise the ‘sports activities, avoiding for another two months the’ Training the abdominal muscles.
For two months you will have to avoid the ‘direct exposure to the sun or excessive heat.
Possible side effects
Swelling, bruising (bruises) for 2 weeks and can be extended to the pubic area and upper thigh, accumulation of serous fluid and temporary loss of sensitivity to the “lower abdomen”, are the specific risks of this particular intervention (12% of patients).
Also worth mentioning the possibility of necrosis of the fat tissue (it can arise through leakage of oily liquid from the wound, or with distance learning time of hard nodules asintomaticisottocutanei deep); necrosis of part or all of the navel (you can still reconstruct a period of time, after healing dressings); necrosis of some portions of the skin just above the pubic scar because it undergoes Meggiorato voltage (can be treated with local dressings and request a subsequent scar revision in the operating room).
albeit rare, phlebitis and pulmonary embolism: the ‘aumente incidence if the procedure is associated with a liposuction and if the patient is not mobilized early.
possible complications
Are generic, albeit rare, associated with the surgical procedure and include the ‘wound infection, bleeding, hematoma formation, which can result in the return to the operating room, delayed or hypertrophic scarring, wound reopening (dehiscence) which may involve a minor operation under local anesthesia to scar revision. To minimize them be taken to avoid risk factors such as metabolic, smoking diseases, persistent obesity, diabetes and especially to report on any underlying illness at the time of the preoperative visit. Dr. Grassetti outpatient follow you before and after ‘intervention to minimize these risks.
Results
The majority of patients are able to return to work after 15 days. However, it can take up to eight weeks before you feel able to return to full normal activity including heavy lifting and / or strenuous exercise. You will have a permanent scar, but will slowly fade over time to become imperceptible.
The result, even immediately visible, is fully appreciated after 6 months. It ‘important to realize that if you are pregnant or substantial change in weight, the results from the procedure, even if permanent, will be compromised. However, with diet and exercise, the results of a tummy tuck can be maintained for life.