This is the surgical removal of excess skin and fat from the lower part of the abdomen. The abdominal muscles are tightened to further contour the waist and shape the abdomen. The incision lies in the crease of the lower abdomen concealed below underwear. The length of the scar is determined by the amount of skin and fat to be excised. The umbilicus(belly button) is repositioned once the excess abdominal skin is removed.
This procedure is most commonly performed on patients who have either lost weight orfollowing pregnancy, once their family is complete.
An abdominoplasty should not be performed on someone who intends to have more children.
Two to three hours.
The procedure is most commonly performed under general anaesthesia, augmented with local anaesthetic.
You would be required to stay in an aftercare facility, usually for two nights. This is to optimize patient safety (including overnight calf compressions) and comfort.
Temporary discomfort, post-operative swelling, numbness of abdominal skin and bruising are common consequences of the surgery.
Infection, bleeding under the abdominal skin flap or at the incision site, delayed wound healing or abnormal scarring (keloids), loss of skin around the umbilicus or along the wound margins, leg clots (DVT / deep vein thrombosis) and pulmonary embolism (a bloodclot that travels to the lung). These may necessitate a second - reversionary operation.
Abdominoplasties should not be performed in patients who smoke or who are obese. The risk of major complications is significantly higher.
The patient may return to work within two to four weeks. Postoperative evaluation willdetermine whether the patient may return to more strenuous activity, usually after four to six weeks. Scars should fade and flatten anywhere from three months to one year after surgery.
Modified procedures: These are not a substitute for a standard abdominoplasty.
Mini-abdominoplasty: The procedure specifically targets minor degrees of skin laxity in the lower abdomen only, below the level of the umbilicus. The incision is usually slightly longer than a caesarean scar. The skin is lifted up to the level of the umbilicus and the excess trimmed. The umbilicus is not moved. The abdominal wall is tightened below the level of the umbilicus to correct bulging in this area.
Apronectomy / Panniculectomy: This is a procedure that removes an overhanging fold of skin and fat in the lower abdomen. There is no undermining / lifting of skin from the abdominal wall.