Abdominal wall lift
Dear patient,
with the abdominal wall lift procedure, both exceeding skin and fat tissue can be eliminated.
If necessary, the abdominal muscles can be tightened, scars on the lower abdomen (for example after a caesarean or strong weight loss) can be eliminated and hernias can be repaired. Before the intervention is carried out, it can be seen if a rupture of the abdominal wall (hernia) has to be closed. Therefore, this part of the operation will be separately explained to you.
An abdominal wall lift is needed when the elastic fibers of the skin are destroyed and therefore the exceeding skin hangs over (for example after a pregnancy or a very strong weight reduction). In most cases of extreme obesity, the abdominal wall lift is not possible. Under certain circumstances it can be carried out if the abdominal wall has been previously reduced through a liposuction. If this case applies to you, it will be separately explained.
Operative procedure
The intervention is normally carried out under general anaesthesia.
Different incisions are possible:
• Horizontal incision on the upper limit of the pubes
(see illustration.1a)
• w-shaped-incision (see illustration 1b)
• Anchor-shaped-incision (see illustration 2).
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Ill. 1: a)horizontal incision
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Ill. 2: Anchor-shaped-incision |
The kind of incision which is more appropriate for you depends on the type and size of the exceeding skin. The doctor will discuss the adequate incision type with you.
The exceeding abdominal skin is then separated from the muscles together with the fat tissue lying underneath it and tightened downwards; the exceeding skin and fat is eliminated. This phase of the operation also allows for corrections of the abdominal muscle wall. If there is a lot of exceeding skin, sometimes the navel has to be cut out and relocated. If the closing of abdominal muscle breaks (hernias) is planned, you will be separately advised. Before the wounds are stitched up in most cases, one or several drainages are inserted to suck up blood and wound secretions. A compression bandage is placed to reduce swelling and pain, and to support the shaping of the abdominal wall.
Success
The results of this operation and the persistence of its results depend on the type of intervention, on the post operational treatment and the patient’s behavior, but also on the general health of the patient, skin characteristics, patient age and weight and hormonal influences. As tissue reactions can never be exactly foreseen, despite particular care, after the healing of the wounds, slight asymmetries could persist. Occasionally exceeding tissue remains on both scar ends, making a subsequent correction desirable.
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