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Body Recontouring >
Abdominoplasty
(Tummy tuck)
Flat
well toned abdomen
This is a sign of fitness and good health. It
is a dream that many try to achieve. Some succeed
through exercise and weight control, but many
don’t. Even individuals of otherwise normal body
proportion can develop an abdomen that protrudes
or is loose and sagging.
The
most common causes of this include heredity, multiple
pregnancies, prior surgery, significant fluctuat
ions in weight or congenital spine abnormalities
that affect posture. If you desire a tighter,
flatter abdomen, then a tummy tuck may be appropriate
to help achieve your goals.
Liposuction may be able to get rid of excess fat
in the lower part of the abdomen, but often the
excess skin fold fails to contract. Hence, the
best option in such cases is to excise both the
excess fat and skin. When the excess fat and skin
fold is excised, there is an opportunity to restore
weakened or separated muscles of the abdomen.
This creates a profile that is smoother and firmer,
often enhancing your body image and confidence.
It can improve your posture and also enables you
wear better fitting clothes. |
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Who should have
it done? Adults
with the above abdominal problems, of any age
who are in good health, moderately fit and overall
have good muscle tone. They should not have
any life threatening illness or medical conditions.
Patients who smoke can have an increased risk
of complications. Previous abdominal surgery
may limit the potential results of tummy tuck.
Women who have undergone caesarian section have
the opportunity to have the existing scar revised.
Patients whose weight has been stabilised after
weight loss program or feel they are at their
ideal weight are also good candidates for a
tummy. |
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Could you benefit
from a tummy tuck? A tummy
tuck will enhance your figure and your self-confidence,
its not likely to change your life or the way
people treat you. A tummy tuck is not a substitute
for weight loss or exercise program. Patients
who are planning substantial weight loss or
women who are considering future pregnancies
may be advised to postpone a tummy tuck. |
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What is a tummy tuck?
Tummy tuck or abdominoplasty is a procedure in which the protruding, loose, sagging or pendulous skin of the abdomen is corrected. The area to be treated may include the lower abdomen or centre of the abdomen or may extend to the rib cage and sides.
Abdominal contouring can be done by liposuction alone if only localised fat is present. When excess fat is combined with loose, sagging skin, tummy tuck removes unwanted fat and skin by excision. This procedure is usually done under general anaesthesia. A low transverse incision, similar to a caesarian incision is used to lift the excess fat and skin off the abdominal muscles. In a limited abdominoplasty, the umbilicus is not disturbed and only loose skin and fat under the umbilicus is removed. Where excess skin and fat above the umbilicus has to be removed a full abdominoplasty is done and then the umbilicus is re-sited. Once the skin and fat of the abdomen is lifted up, then the muscles of the abdomen are tightened to improve the contour. Liposuction may be used along with a tummy tuck to improve the contour, called lipoabdominoplasty. Excess skin and fat is removed and skin closed. A small thin tube may be used temporarily to drain any accumulated fluid. |
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What to expect
after surgery? There
might be bruising and swelling after surgery
that should subside in 3 - 6 weeks. You may
have drains that will be removed once the drainage
stops. This usually takes 2 - 5 days. Once the
drainage stops, you should be able to go home
from the hospital. Your abdominal skin will
be tight after surgery and you may have to walk
stooped for a few days till the existing skin
stretches. Wounds normally heal in 7 days to
2 weeks. Once all swelling and bruising has
subsided you should expect a flatter, more shapely
abdomen. If liposuction has been done along
with tummy tuck, expect improvement in figure
in those areas as well. A tummy tuck will improve
your figure, posture, size of clothes that you
wear and overall confidence. This in turn will
lead to improvement in self-esteem.
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Risks and complications
Possible
risks include bleeding and collection of blood
under the skin (hematoma), fluid accumulation,
infection or poor healing at the incision site.
These risks are common to many operations and
can be dealt with easily. Blood clots in the
deep veins of the leg is a problem associated
with lying still for too long. Any surgery carries
risks associated with anaesthesia. These risks
will be fully discussed with you prior to your
consent for surgery.y The low transverse abdominal
scar usually heals very nicely but occasionally
may undergo hypertrophy and in a person with
keloidal tendency may become a keloid. Your
Aesthetic surgeon at Aesthetics will tell you
ways to avoid and treat these if they happen..
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