What is Abdominoplasty and how is it different from liposuction?
Abdominoplasty is removal of excessskin and fat in patients with too much laxity of abdominal wall. It also involves plication of rectus sheath to give strength to the wall and get a more refined abdominal wall.
Unlike liposuction which is meant for removing fat only, abdominoplasty is more extensive and involves removal of fat, tightening of the musculature and removal of excess skin.
In some cases, liposuction surgery can be combined with excision of just the excess abdominal skin below the belly button (this is called Mini Tummy Tuck). When a full tummy tuck is planned, contour liposuction is best performed at the same time.
What tests are needed for tummy tuck procedures?
General tests with regards to pre anesthetic workup like complete blood counts, Kidney function tests, liver function tests, chest xray, ECG are done routinely. Special tests may be done according to the patient profile.
What is the downtime for the procedure?
Patients can be discharged in the evening after the surgery. however bedrest is advised for 3-4 days. Patients are mobilised by the plastic surgeon on 2nd or 3rd day.
After surgery, you will put in a pressure garment for about 6 weeks. There will be fluffy dressing over the suture line. You will feel sore for a few days but will be essentially mobile. The drains will be removed once the drainage volume is low. You will be discharged from the hospital in a couple of days. You will be able to walk and go about your routine activities with due care.
leeding and infection rates are low in this surgical procedure. Since it is more invasive, there might be some residual unabsorbed fluid (Seroma) which will have to be drained. Rarely skin necrosis, fat necrosis and delayed healing of the incisions may occur. Very rarely due to associated medical conditions like diabetes, loss of skin may require corrective procedures in the form of skin grafting. This is much more likely in people who smoke heavily; hence cessation of smoking for a weeks is a must.
The scar is present in the bikini line and initially turns dark or red (depending on skin type). The scar fades with time and the areas become softer.
for more details contact your plastic surgeon here.