Abdominoplasty also known as tummy tuck is the surgery to remove excess skin and fat from abdominal wall to make it smooth and create better abdominal profile. Abdominal wall becomes loose and lax by number of factors including
Pregnancy
Aging
Weight loss
Pervious surgery
Large hernia
1. Healthy adult with stable weight
2. Loose abdomen skin than bothers in appearance
3. Individuals with realistic expectations
4. No significant health risks
Tummy tuck is not a substitute for weight loss.
Tummy tuck is not a weight loss surgery but gives better contour to abdomen.
It does not address stretch marks on abdomen
Individuals who are losing weight should avoid undergoing tummy tuck until stable weight is gained
Those planning future pregnancies should avoid undergoing surgery
MINI ABDOMINOPLASTY:
Also called mini tummy tuck is procedure performed on patients with minimal to moderate excess skin and fat in abdomen and incision is confined to suprapubic area. This procedure is of relatively shorter duration compared to standard tummy tuck. Complications similar to abdominoplasty can occur but are less frequent.
In this procedure surgeon strengthen loose abdominal muscles to tighten abdominal wall that gives a smooth shape and good contour. This procedure is usually combined with tummy tuck as additional maneuver for better aesthetic results.
General anesthesia
Inpatient surgery with one to two days stay
Bleeding
Fluid accumulation (seroma)
Wound dehiscence
Skin necrosis
Fat necrosis
Wound infection
Unfavorable scars
1. What anesthesia is used How much is the hospital stay?
Tummy tuck is performed under general anesthesia.patients usually stay one postoperative night in hospital and discharged next day.
2. What is important in recovery from tummy tuck?
Your surgeon will guide you about important things in recovery time of this procedure. Dressing will be changed for some time to achieve wound healing. You will be asked to apply abdominal belts for four weeks time. Routine work is resumed gradually with more precautions of posture in early post operative days. Antibiotics will be given for some time. Not always but sometimes
drains may be placed in your abdomen to drain fluid for few days. Breathing exercises will be required to keep lungs inflated in postoperative period.
3. How are the complications handled?
Tummy tuck patients most commonly experience complications with wound healing and dehiscence along with partial necrosis at skin edges. This often is managed with close watch for wound care , regular change of dressings and minor outpatient based procedure like cleaning of skin edges , drainage of fluid and resuturing if required. Less frequently surgeon may consider revisit to theater for this procedure.
Outcome depends on the location and size of the fistula and status of surrounding tissues. Although most of the fistula closes after the surgery, some may recur and requires further surgery.
It usually takes less time than the original hypospadias repair and completes in less than an hour.
The surgery is performed under general anaesthesia and as a day care procedure. Patient can go home the same day after recovery from anaesthesia.
The most common complication is recurrence of the defect. Others complications include infection, difficulty in urination and stricture formation