Tummy tuck surgery
Tummy tuck is a surgical procedure focused on removal of excess skin and fat in the abdominal area in order to restore normal aesthetic proportions of the anterior abdominal wall. During the operation, also produced stitching of dispersed abdominal muscles and removes existing “protrusions” and hernias.
The desire to look attractive and have a natural shape and form of the body caused by the modern way of life. At the same time many women have a deformation of the abdomen, caused by various reasons. Defects in appearance often contribute to the emergence of emotional and social inferiority. In addition, excessive deposition of subcutaneous fat on the anterior abdominal wall, as well as varying degrees of obesity have a significant negative impact on the functional state of human internal organs. Moreover relaxation of musculo-aponeurotic layer, is accompanied by an increase in abdominal visceral prolapse and prolapse of the diaphragm, decreasing intra-abdominal pressure. This often leads to various diseases, such as stomach and intestine atony, dyspeptic disorders, spontaneous abdominal pain, unstable stool, incontinence. Some researchers believe that the described changes adversely affect the cardiovascular system, because in some patients disappear leg swelling after surgery.
Basic characteristics of the “ideal” belly:
- dense tightened side surface of the torso and groin area with a deeply contoured waist;
- centrally located skin tissues are relaxed and have a soft bulge in the hypogastric and soft concavity epigastric;
- epigastric area between the edges of the rectus muscles of the abdomen has a median groove.
Besides the joy of motherhood, a very noticeable belly traps a woman after childbirth. This is the main frustration, which does not disappear.
The main components of postpartum belly deformation are:
- Excess subcutaneous fat and (or) of the skin;
- Relaxation (overstretched) musculo-fascial system;
- Stretching of the skin and (or) post-surgical scars.
For any of us, it is important to feel in harmony with the surrounding world. If there is a real opportunity to do something in order to achieve harmony, why not to use it. Reconstruction of the anterior abdominal wall – tummy tuck – is one of the choices of body correction, which arises in the case of stretching the muscles and the abdominal skin. The purpose of a tummy tuck – improved the shape by removing unnecessary fat folds and toning of abdominal wall.
The main indications for a tummy tuck are:
- presence of bands of the skin stretching located predominantly in the hypogastric region, in combination with skin sagging;
- presence in the lower abdomen skin and fat “apron”;
- significant discrepancy of recti;
- laxity of the skin in combination with umbilical hernia;
- extensive postoperative scars.
Many patients with overweight want to create a waist and to improve the shape “immediately and as much as possible” without dooming themselves to exercise and dieting. It is understandable that for some patients the intervention seems “simple and reliable measure,” which is able to solve their problems. In these cases it is advisable to recommend to patients to reduce body weight, after consulting with a nutritionist.
In obesity with significant deposits of fatty tissue on the anterior abdominal wall, surgical techniques are often considered as a last resort after unsuccessful shaping workouts and dieting. In these cases, the question of the surgery needs to be addressed differently according to the specific conditions.
The most common general contraindications to tummy tuck surgery include:
- scarring on the anterior abdominal wall, located above the navel (eg after cholecystectomy), with the possibility of their significant impact on the blood supply of cut pieces of leather;
- excessive thickness of subcutaneous fat layer on the anterior abdominal wall, which increases the likelihood of postoperative complications.
The common factors that make tummy tuck inappropriate or premature are include:
the intention of the patient to lose weight in the future, that will worsen the result of the surgery;
possible pregnancy, which lead to the loss of the achieved results;
the presence of common diseases (diabetes, heart disorders, etc.).
What you need for successful surgical operations:Tummy tuck gives significant cosmetic and functional effects, but can lead to dangerous postoperative complications. The efficacy and safety of this intervention depends on the accuracy of performance of the principles discussed below.
Planning an effective surgical intervention.
The decision on tummy tuck accepted on a variety of factors based on analysis for a particular patient. The factors can be divided into two groups:
- depending on patient factors
- depending on surgeon factors.
The result of this evaluation is to choose the appropriate method for a tummy tuck or rejection of surgery.
Factors depending on the patient.
Realistic expectations. The patient should be informed of the seriousness of the upcoming surgery. Particular attention should be given to the discussion of the location and quality of scars, content and duration of the postoperative period, the possibility of complications, including their dependence on the patient’s behavior. With adequate patient response to this information, the surgeon makes the decision to have surgery.
Compliance with of postoperative regime. During the postoperative period the patient requires a high level of discipline in compliance with the doctor’s recommendations. Sloppiness and unkempt appearance, as well as an inadequate response to a discussion of relevant issues should alert the surgeon. Each patient who wants to do a tummy tuck should have postoperative possibility of a gradual recovery, and therefore, should be freed from the drudgery housework for at least the first 2 – 3 weeks after surgery.
From patients with small children, women leaders and single mothers can be expected premature physical activity influenced by life circumstances. This can cause the development of postoperative complications.
Optimal, stable body weight. The best results of surgical operations
achieved in patients with normal or mildly overweight. At the expressed obesity and considerable thickness of subcutaneous fat sharply increases the possibility of the development of local and even systemic complications.
Some patients can reduce excess weight by purposeful preparation for surgery. This facilitates carrying out of surgery interference and increases its efficiency. However, each patient should be warned that significant fluctuations in body weight after the intervention can significantly affect its results. Needless to say that abdominoplasty is impractical for those women who do not preclude subsequent pregnancy.
Good health. For patients with the presence of chronic diseases, unstable state of the cardiovascular system, prone to catarrhal diseases, volume of tummy tuck surgery may be reduced or the surgery may be postponed for a certain period for targeted training.
Criteria which are sufficient for rejecting from tummy tuck, the surgeon sets together with an anesthetist. It is clear that sufficient security surgery can only be achieved with a relatively rigid approach to assessing the health status of patients.