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Abdominoplasty is a tummy tuck surgery which is performed in order to eliminate post-partum changes and to improve the body shape.

Abdominoplasty is an operation indicated in cases when the front surface of the stomach has an excess of body fat and skin. The problem in patients with excess fat but with good skin tone can be solved by liposuction. But in case the skin is stretched and inelastic, or has stretching left after pregnancy period or post-operative scars, liposuction can only worsen the picture.

After childbirth besides the omission of the anterior abdominal wall, the discrepancy of rectus abdominis is also frequently observed. The abdomen becomes convex, even when the layer of subcutaneous fat is not pronounced.

Excessive deposition of fat in the abdominal wall that forms an “apron” of skin and fat causes aesthetic nuisance and functional disorders of the gastrointestinal tract, cardiovascular system, respiratory system, the occurrence of back pain and the occurrence of urinary incontinence.

 Чрезмерное отложение жировой ткани на передней брюшной стенке с образованием кожно-жирового фартука кроме причинения эстетических неудобств является причиной возникновения функциональных нарушений со стороны желудочно-кишечного тракта

As a rule under the pendulous skin fold appears a persistent diaper rash. Besides appear the conditions for the development of stagnation in the legs and varicose veins. All these changes lead to the restriction of the patient's ability to work as well as to consideration of the abdominal wall plasty as an operation aimed at correcting not only aesthetic deformities, but also functional disorders.

During abdominoplasty some of the following procedures can be performed additionally: the strengthening of the front fascia of the abdominal wall muscles, the removal of abdominal wall hernias and, consequently, the reduction of bulging belly and waist circumference through imposing additional internal sutures.

Liposuction to reduce the thickness of fat in the side part of the abdomen

During the preparation for the operation a brief survey is carried out.

The skin incision is made in the lower abdomen, which subsequently allows you to hide a faint scar in the area normally closed by underwear or swimming trunks. After detachment of the skin along with the underlying fatty tissue, the flap of skin up to the navel is removed and the incision edges are sutured. The navel remains at the same place, but there is a small trace inside it. The intradermal absorbable sutures are inserted on the incision and then the bandage and depressing band, which must be worn for 2-3 weeks, is applied. After the surgery, the patient should spend 24 hours in hospital, and then another 5-6 days at home. In 7-10 days the ability to work is restored.

Contraindications to this operation are:

  • heart and lung disease
  • diabetes mellitus
  • other diseases in the stage of decompensation
  • untreated pronounced obesity

Abdominoplasty is not recommended:

  • in case the patient has unstable weight (the fluctuations of weight in the future may significantly affect the result). The minimum weight ideal for the operation is the one a person is able to maintain stable.
  • in case the pregnancy is planned in the near future
  • transverse scar in the upper abdomen

Complications of abdominoplasty with properly selected indications, and competent surgery performance are rare. Seroma is the accumulation of serous fluid produced by the body's tissues in the wound cavity. The likelihood of seroma is higher, when the subcutaneous fat layer is sick. Hematoma is the accumulation of blood in the wound and it occurs much less frequently. Suppuration of surgical wounds and necrosis of skin edges are the most formidable, but they are extremely rare complications.

As a result of the properly designed and performed abdominoplasty the patient receives a flat smooth belly with no visible scarring (even if they were below the navel before surgery) and a well-defined waist. The mobility and, as a consequence, the self-esteem, increase.

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