Abdominoplasty Tummy Tuck Abdominoplasty
or Tummy Tuck , is a major surgical procedure to remove excess
skin and fat from the middle and lower abdomen and tightens the abdominal wall.
The procedure can reduce the appearance of a protruding abdomen. The surgery is helpful to women who, through
multiple pregnancies, have stretched their abdominal muscles and skin beyond the
point where they can return to normal. Loss of skin elasticity in older patients,
which frequently occurs with slight obesity, can also be improved. The best candidates
for abdominoplasty - Men or women who are
bothered by a large fat deposit or loose abdominal skin that won't respond to
diet or exercise.
-
The ideal patient is within normal limits for his or her weight and height
- Wants
to remove specific areas of loose skin or fat that is diet- and exercise-resistant
- Weight
has been stable for 6 months or more
- Has
good skin tone and elasticity
- Has
no plans for future pregnancies
- Has
a moderate amount of excess of skin and fat.
- Understands
the risks of surgery
Contraindications Contraindications
to abdominoplasty include right, left, or bilateral upper quadrant scars ; severe
comorbid conditions (eg, heart disease, diabetes, morbid obesity, cigarette smoking);
future plans for pregnancy; a history of thromboembolic disease; and unrealistic
patient expectations. Additional relative contraindications include moderate obesity
in a patient who expects a perfectly flat abdomen. Also, patients who tend to
form keloids or hypertrophic scars should not undergo an abdominoplasty unless
they are willing to accept the scarring associated with these conditions. Complications Post-operative complications such as infection
and blood clots are rare, but can occur. Infection can be treated with drainage
and antibiotics, but will prolong hospital stay. The risk of blood clots can minimize by moving around as soon after the surgery as
possible. Other complications include: anesthesia reaction, seroma formation, bleeding,
infection, hypertrophic scarring, residual deformity,
wide umbilical scars, skin loss (major or minor), loss of umbilicus, elevation
of the pubic escutcheon, and painful neuromas. References American
Society of Plastic Surgeons. Abdominoplasty, "tummy tuck" http://www.plasticsurgery.org/public_education/procedures/Abdominoplasty.cfm E-Medicine.
Bruce G Freeman. Body Contouring, Abdominoplasty. http://www.emedicine.com/plastic/topic12.htm Michael
Bermant. Abdominoplasty ("Tummy Tuck", Abdominodermatolipectomy, Abdominal
Sculpture). http://www.plasticsurgery4u.com/ More
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