The first operation for the correction of skin-fat folds on the abdomen refer to the end of the 90-ies of the XIX century. Operations began to remove large deposits of subcutaneous fat and, consequently, excess skin. Subsequently, they were combined with the plastic hernias of the anterior abdominal wall or abdominal operations.
Abdominoplasty from the Greek word аbdomen - belly with the addition of plastics.
Many sites offer different ways of losing weight and getting a flat stomach almost without any effort. Perhaps these techniques to a certain level can be effective.
But how can you greatly reduce perarastayuchy the skin, if it is covered in stretch marks, especially around the navel? How to fix pronounced diastasis (divergence) of recti?
Postnatal changes - the most frequent reason. If we consider averages, the number of hits you can select the main group of young women aged 25 - 35 years after the first or second birth. Typically, we are talking about the correction, those postpartum skin changes (stretching) and abdominal muscles (diastasis direct muscle).
Second, a fairly large group of women 35 - 45 years. They turn, as a rule, about the excess skin of the abdomen (skin and fat apron), changes in the proportions of the figure (fat in the waist area), very often they suffer from ptosis of soft tissue in the inguinal folds of the thighs and pubic area with the appearance of fat in the pubic area, sometimes significant.
Abdominoplasty is an operation which allows to get rid of excess skin and fatty tissue in the abdomen. That is, it improves the contours on a specific area of the body. And in the area where the operation is performed, the amount of fatty tissue is reduced, sometimes significantly.
The described cases the removal of excess adipose tissue in patients suffering from obesity (remove skin and fat apron, weighing up to 60 pounds), but such operations are extremely rare. The main challenge for the surgeon is to form a flat stomach and to improve the waistline. Body weight after this surgery may diminish, but it requires some effort on the part of the patient.
Turning to operations, often already tried some methods for weight loss and reduction of the skin or after a attempt to lose weight and eliminate postnatal changes of the anterior abdominal wall with the help of physical exercises, that is usually 2 to 3 years after birth or later.
Yes in this situation and don't need to hurry. After the birth and end of lactation weight for some time may be reduced. One of the conditions for obtaining a good result after the operation is stabilization of body weight for at least 4 - 6 months.
In order to discuss what will be the surgeon to perform, there is a consultation prior to surgery. All are agreed in advance. The Internet has somewhat simplified the task of finding a specialist, and usually the patient coming in for a consultation, you already have an idea about the doctor. Found positive reviews, even if they backed a recommendation received from friends, are important for the formation of a trusting relationship with the doctor. Then get a full and useful dialogue is to ensure that the doctor understands what really bothers the patient.
Before surgery we necessarily enter into a contract for the provision of medical services, which mark the transaction type. Signed and informed consent sheet. Such lists exist for each type of transaction.
During the consultation and examination, the doctor identifies the main problems and offers solutions. In the house in advance takes photographs of the patient and performed the preoperative markings. In the operating room after the patient falls asleep, liposuction in the abdominal area, then cut on the previous marking lines, and exfoliate the skin and fat flap.
If identified hernia repair, the surgeon makes plastic hernias. Then suturing of the muscles, or myofascially. This is necessary in order to resolve the discrepancy of recti and eventually get a flat stomach. Well, after the removal of the resulting excess skin and fat flap, "transplantation navel", stitches and bandages.
Primary, what are the symptoms of the patient, it is the feeling of heaviness and pain in the lumbar region (results of liposuction), weakness (as a consequence of the suturing of the muscles), can be a pain in the abdominal area. The entire period in hospital is anesthesia and other necessary treatment.
The standard time after surgery in the clinic three days. This is probably the most difficult time, that's why insist on finding the patient under observation, regardless of her health. This term is also due to the fact that the drains after surgery to remove 2 - 3 days.
As for recommendations, it usually wearing compression underwear for 4 to 6 weeks. The first 3 weeks it is recommended to wear it constantly, then it is allowed to shoot at night during sleep. Compression underwear is necessary for a better engraftment debonded tissues.
Limitation of physical activity necessary for 3 - 4 weeks. It is not recommended lifting weights more than 3 to 5 pounds, long walks, physical education classes.
When scars are fully healed, usually 3 - 4 weeks after surgery, you can visit the pool. Advice on nutrition in the postoperative period gives the dietitian.
In each case, all the issues associated with postoperative period, are discussed individually, because many of them have small children. And it's hard to convince mom not to raise the child in his arms, although the doctor recommended not to do it, but even small weigh more than the recommended 4 - 5 kg. And not just once or twice they asked me questions about that, like, yesterday could not resist, he lifted the child in his arms, and now something my stomach hurts, does it.
Failure to follow recommendations could lead to the formation of hematomas and seromas (of liquid resulting from the melting of the tissue of the subcutaneous fat layer), which sometimes require long-term treatment.
How to choose a compression garment? It is very simple. Measured parameters of the patient, and the surgeon catalog selects the required size.
Any surgery has risks. Can be divided into non-specific (General problems), and specific problems which are specific for this type of operations). A correct assessment of the health status of patients, their needs, a full survey, if necessary preoperative preparation significantly help to reduce the length of the list.
The concept of "preoperative preparation includes the wearing of a brace or corset to increase intra-abdominal pressure after the operation (which occurs when the suturing of the abdominal muscles, and subsequently, when wearing compression underwear), did not lead to the deterioration of health and the development of complications.
Technical issues of the operation, of course, relate to the issues of qualification of the doctor is a plastic surgeon.
Insufficient preparation for surgery and disregard of the requirements of doctor lead to a deterioration of the cosmetic result of the operation round belly remains.
As for the scar after the operation, he first located in the area where hidden by underwear or a swimsuit, secondly, it is quite thin - usually less than a millimeter in width.
In the presence of diseases such as uncompensated cardiac and pulmonary insufficiency; decompensated diabetes mellitus; expressed obesity, as well as when planning for the next year of pregnancy it is better to refrain from the operation.
Not all diseases - the reasons for refusal, in some cases, surgery can be performed after the preparation (for example, in patients with severe obesity, it may be performed after the patient will be able to lose weight on their own or after carrying out bariatric operations - operations to reduce weight, in particular, gastric banding).
But the easiest and most effective way to learn about whether you can perform a tummy tuck, a visit to a plastic surgeon. Note that the word "can" rather than a "need". Scars after caesarean with the formation of skin-fat folds, great skin and fat apron, rough stretching and deformation of the contours of the abdomen (sagging)! If this woman happy, then why did she go to a plastic surgeon?
Alternatively, use a technique of laser rejuvenation - in isolation or in combination with non-surgical procedure of cryolipolysis. There are other options laser skin resurfacing, such as mesotherapy.
But you have to understand that therapy may not always lead to the optimal result, and when there are pronounced changes in the skin, muscles, rough scar and skin-fat apron plastic surgery remains the only option to improve the appearance of the abdomen.
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