Tummy tuck is one of the most extensive of all the other aesthetic surgeries. Its classic version – is tightening, which belongs to general surgery. That is why the indications for this surgery should be particularly stringent. For example, often it happens that people have a very big stomach, but relatively little subcutaneous fat, which is concentrated in the abdomen, that is, between the internal organs.
In this case, the total weight loss can only help. But it also happens that in dense and supple skin even excess fat located directly beneath it. In this case, if the surgeon believes that the skin can be reduced, it will advise to do liposuction. Besides, abdominoplasty in any case can not be regarded as a trivial method of weight loss.
To understand what was going on, it is worth to consider in detail the anatomy of the stomach, which in structure resembles conventional multilayer sandwich. We have a layer of fat under the skin – its thickness is different for each person. In most cases, it is equal to 2-5 centimeters. However, sometimes it may be in two or three times thicker, and may be very thin. Under a layer of fat is the fascia, and already under them – the muscles of the peritoneum. Beautiful belly contour can be done, if vertical rectus muscles is well designed – they are located one on each side.
When a woman is pregnant, then these two muscles gradually diverge, to make room for the fetus. Often, during the whole period of pregnancy, they can disperse up to 30 centimeters. Often they are stretched, and then attenuated to a degree that can not return completely to its original position. That’s why sometimes even in slim women the postpartum abdomen may remain in the “outstanding” position. That is why modern abdominoplasty – a number of techniques, including removal of fat (ie, regular liposuction), excision of excess skin and tightening the muscles by stitching along the midline, creating a so-called a muscular corset.
Often the first question that asked by women – “And how will the scars look like after surgery?”
It should be noted that there remains a very small scars after liposuction – a maximum of one centimeter. During tummy tuck scars will be much longer. Patients should be aware of this. As a result, the more it will be necessary pull the skin down, the longer will be the scars. In addition, if the skin is removed from the navel to the pubic hair, the scars will be stretched much further than the thighs. The point is that in very short section on its ends may still remain excess skin, which will form the fold of the “dog ear”.
Later tummy tuck dog ears also have to be removed. No matter how much skin is removed – skin flap must be elliptical in shape – that it will close the wound without any excess skin, which are collected at the end of the scar. Besides, in many people over time scars become completely unobtrusive – they are practically invisible under underwear.
Tummy tuck dog ears
At both ends of the horizontal surface of the cut arises excess skin. The more significant results of the inspection, the vast area of the tummy tuck and the more may be excess skin. Because of its resemblance to the dog ears he was called tummy tuck Dog-Ears.
Its cutting occurs within the anterior abdominal wall plasty to avoid an excessive increase in scarring. Thanks to a certain techniques suture it can be reduced. It is expected that within 3-6 months it will decrease, and then all will not be noticeable.
If the expected reduction effect is not achieved, it is possible to carry out a small correction with the local anesthetic. As a rule, during this operation reduced the length of the scar. “Dog ears” are clear signs of a tummy tuck.
At the ends of the scar or on both sides of it may be formed areas of wrinkled skin, or “dog ears”. Sometimes the surgeon can prevent wrinkling, gathering excess skin in the center or by extending the incision to the femoral bone and beyond. If the doctor initially recommended full contour tummy tuck, but you have decided to consider only the correction of the abdomen, the risk of “dog ears” will be higher. This defect is removed on an outpatient basis, but by lengthening of postoperative scar.
How dog ears look like ?
If liposuction leaves very small scars as one centimeter in length, then they are much longer with a tummy tuck. And patients need to know about it. The more the skin is necessary to delay down, the longer scars.
If you removed all the skin from the navel to hair of pubic, scars will stretch further the thighs. With too short cut, excess skin will remain at its ends, which forms fold “dog ear”, which subsequently have to be removed.
With any amount of excised skin, removable flap must be elliptical in shape. It also allows you to close the wound without excess skin, gathering the ends of the scar. In most people scars become barely visible and hardly visible under the underwear.
Tummy tuck dog ears removing
Problems with the formation of incorrect scar after tummy tuck are typically implemented in the form of the appearance of excess skin around the edges of postoperative scar – “dog ears”, or the formation of a rough, hypertrophic scar – that may be related with individual characteristics of patient.
In such cases carried out therapeutic treatment of scars, and then – surgical correction. This surgery can be performed after the final formation of the scar, a period of 6 – 8 months after surgery, under local anesthesia on an outpatient basis.
When conducting abdominoplasty, is formed a new muscular corset abdominal area. During the middle tummy tuck depending on the tension, is changed the shape of the anterior abdominal wall. With insufficient truncation of excess skin and fat will relapse of education skinfold – apron on the anterior abdominal wall, which required additional dermolipectomy.
Even with excision of deep fat depot under the fascia, are not always created equivalent to the thickness of the proximal and distal edges of the surgical wound. As a result, possible to form folds over the scar or scar drawn-fold excess contour pubic area. Coupled with the scar deformation of the type “dog ears” as a result of rotation of the tissues in the corners of the surgical wound in 6 cases is required surgical excision. Prevention of complications is the positioning of the wounds over or under and behind and in front of the anterior iliac spine.