With the surgical abdominoplasty, excess skin and fatty tissue can be removed. If If necessary, the abdominal muscles can be tightened at the same time, scars on the lower abdomen (e.g. after a Caesarean section or earlier operations) can be removed removed and abdominal wall hernias can be closed. If it is already that an abdominal wall hernia needs to be closed before the operation, we will we will discuss this part of the operation with you separately. discussed with you.
An abdominoplasty makes sense when the elastic elastic fibres of the skin are destroyed and the excessively large skin mantle overhangs (e.g. after pregnancy or severe weight loss). weight loss). In the case of pronounced obesity, an abdominoplasty is tummy tuck is usually not possible. Under certain conditions, it can be performed if the abdominal wall has been the abdominal wall has been thinned out by liposuction. If such an If such an additional procedure is possible for you, you will be informed separately. explained to you separately.
Operational procedure The procedure is usually performed under general anaesthesia. Different types of incisions are possible: Horizontal incision at the upper border of the pubic hair W-shaped cut Anchor cut
The type of incision that is best for you depends on the type and and size of the excess skin. The doctor will discuss the discuss the planned incision with you. The abdominal skin is then separated from the muscles together with the underlying fatty tissue and pulled down, and the excess skin is removed. removed. During this phase of the operation, corrections of the of the muscular abdominal wall can also be carried out. In the case of pronounced If the excess skin is pronounced, the umbilicus must be incised and moved. If the If the closure of any existing abdominal wall hernias is planned, you will be informed about this separately. Before the wound is sutured one or more suction drains are usually inserted for a few days, to drain off blood and wound secretions. A compression bandage is applied bandage is applied to reduce swelling and pain and at the same time to and at the same time to remodel the skin.
The results of an abdominoplasty and its durability depend on the depend on the procedure, the aftercare, your own behaviour, but also on your general your own behaviour, but also on your general condition, your skin skin condition, your age and weight as well as hormonal influences. hormonal influences. Since tissue reactions can never be predicted exactly, slight asymmetries may occur after the wound has healed. asymmetries after the wound has healed. Occasionally, excess tissue remains at the ends of scars excess tissue remains at the ends of the scars, which makes a subsequent correction desirable.
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