A good result in abdominal surgery depends on choosing the right technique for the right patient, that’s why a thorough clinical examination and classification is important, to decide how to approach each case. We use the Matarasso Classification.
Lipoabdominoplasty
This is a way of approaching the abdomen through full contour liposuction to correct the anterior and posterior abdominal areas like the waist, hip, and anterior area above and below the navel. and at the same time resection of a Spindle of skin to tighten it trying as much as possible not to touch the navel avoiding the scar around it, therefore leaving a small, aesthetically acceptable scar in the area of the cesarean scar, hidden within the bikini line. If necessary, the muscular wall is plicated (rectus muscles) , therefore there is a real reinforcement and repair of the abdominal wall.
With Lipoabdominoplasty the final result of the body contouring is better since the treatment is comprehensive through liposuction and tightening of the wall.
Benefits:
- Location of the scar within the bikini line.
- Short operative scar.
- Navel without a scar around it, in most cases.
- Flattening of the abdominal wall.
- Strengthening of the weakened abdominal wall with restoration of function.
- Excision of excess skin.
- Removal of excess fat tissue.
- Correction of non-adipose deformities (scars, stretch marks, flaccidity). Decreased waist contour.
- Rejuvenation of pubic hair distribution.
- Creation of xifo umbilical depression.
- Quick post-operative recovery, very similar to that of classic liposuction.
Procedure:
- The first thing is the standing and sitting marking to see the areas to liposuction and the tissue to be removed.
- The surgery begins in the prone position, infiltration of anesthetic solution, and liposuction of all marked areas.
- If fat is to be grafted on the buttocks, it is done at this time.
- The patient is turned to decubitus dorsal position and we proceed with the marking of the areas to be aspirated and marking of the diastasis of the rectus muscles.
- Liposuction of the entire supraumbilical and infraumbilical front area, all deep and superficial fat.
- Marking of the skin area to be removed. Skin lozenge removal.
- Then we proceed to tunnell and plicate the abdominal muscles.
- Placement of drains and wound stitches.
Postoperative care:
- The drain will remain for approximately 3 days
- From the 4th day on, the post-operative lymphatic drainage sessions begin for approx. 10 sessions.
Contraindications:
- Untreated obesity.
- Severe heart disease
- Pregnancy
- Clotting problems
Other recommendations:
It is important to understand that this surgery is more complex than just liposuction and if there are drains they must be cared for, the recovery in time is similar to classic liposuction with little pain that is managed very well with analgesics.
Abdominoplasty or Abdominal Dermolipectomy:
Surgery to beautify the abdomen, with a strengthening of the muscles, correction of the flaccidity of the excess skin, and removal of stretch marks, to leave it flat and with a better appearance. In selected cases, it can be combined with liposculpture of the back and waist, to achieve a narrower waist contour.
Benefits:
- Location of the scar within the bikini line.
- Flattening of the abdominal wall.
- Strengthening of the weakened abdominal wall with restoration of function.
- Repairing of hernia of the fascio muscular wall.
- Excision of excess adipose tissue.
- Correction of non-adipose deformities (scars, stretch marks).
- Prevention of visceral eventrations.
- Decreased waist contour.
- Rejuvenation of pubic hair distribution.
Indications:
- Great skin flaccidity
- Great muscular wall flaccidity with or without hernias.
- Fatty tissue may or may not be increased.
Procedure:
- We Begin with a carefully standing and sitting marking to see the areas for liposuction If it is necessary to do so and the tissue that must be removed from the abdomen.
- The surgery begins in the prone position, infiltration of anesthetic solution, and liposuction of all marked areas.
- The patient is turned over.
- Marking the design on the skin to be removed and the diastasis of the abdominal muscles.
- Lifting the skin flap.
- Correction of the wall defect by performing a “muscular girdle or corset”.
- Removal of excess skin.
- Navel treatment.
- Placement of suction tubular drains.
- Stitches.
- Bandage and elastic garment.
- Duration of the procedure:
- Hospitalization: 1 day.
Postoperative care:
- Use of the indicated antibiotics and analgesics medication.
- Maintain a semi-sitting position for approximately 48 hours. (to avoid stretching the operative wound).
- Get up and move after 24 hrs.
- On the fifth day, the drains and some stitches are removed and the elastic compression garment continues for 24 hours. for at least 2 months.
- Recovery time: 10-14 days.
- Manual lymphatic drainage from 5th. day.
Contraindications:
- Untreated obesity.
- Severe heart disease
- Clotting problems
Other recommendations:
- In smoking patients, it is not convenient to associate this surgery with liposculpture in the same surgery , since there is a risk that the abdominal tissue has vascular distress, due to insufficient tissue irrigation. Liposculpture can be done without any risk after 6 months of abdominoplasty or vice versa. If you plan to get pregnant again, it is best to postpone this surgery, until after your last pregnancy.
Mini tummy tuck:
Another form of abdominal dermolipectomy is the mini-tummy tuck or limited abdominoplasty, characterized by a short suprapubic scar and without any navel transposition, it is indicated in patients with excess subcutaneous fat and lax skin but only below the navel. This excess adipose tissue is generally associated with distention of the fascia or infraumbilical stretch marks, therefore liposuction alone is not possible, since it is necessary to perform muscle plication and resection of the affected skin.