Body Counturing

 
Abdominoplasty

When are abdominoplasties performed?

An abdominoplasty (tummy tuck) serves to treat redundant skin, which can result after significant weight loss or with diminished elasticity either through age or pregnancy. Unfortunately, it is frequently impossible to "flatten" the belly through sport or dietary modification aiming to regain elasticity and tautness of the skin.

How is the operation carried out?

The operation is performed under general anesthesia. At admission, with the patient in a standing position, the operator delineates the exact area and extent of skin and subcutaneous tissue to be removed. Depending on the operative procedure planned, first the skin cover and fat pads are excised, the umbilicus is "newly implanted" for proper re-positioning, and the remaining abdominal wall is sutured inferiorly. The scar is placed in the area of cesarian incisions, and thus covered by undergarments and bikinis.

What is the alternative to abdominoplasty?

Depending on the case, combined liposuction can be carried out.

What does follow-up treatment involve?

Usually a hospital stay of two to four days is required, since tubes will be in place under the abdominal wall for one to two days, to drain wound secretions and possible postoperative bleeding. After discharge, a follow-up check is planned two weeks postoperatively, when we also remove potential sutures. An abdominal compression belt must be worn consistently for at least six weeks. Careful attention to the scar with moisturizing creams and massage is also recommended. A final result can be expected after about six months, after swelling of the abdomen has subsided.

How long is work disability?

Depending on the patient's occupation, a period of disability of two to six weeks is estimated. Also, the patient should not pursue sports activities for six weeks.

Liposuction

When is liposuction performed?

Liposuction reduces or removes unsightly fat pads. These can be more or less bothersome and appear in various parts of the body, often at the upper thighs and hips, the buttocks, abdomen, and arms. There are moreover gender-specific differences.

The fat pads in these areas do not require therapy per se but when they disturb individual perception of body image, they can be treated relatively easily. Unfortunately, the problem mostly stems from fat distribution based on nature and predisposition so that diet and/or exercise are only of limited use.

How is surgery performed?

The operation is carried out either with sedation (twilight sleep) or under general anesthesia. It can be performed in an outpatient setting or with overnight stay. A 3 to 4-millimeter cannula is inserted through a small skin incision and the fat is "suctioned off", with immediate result control. The resulting scar is correspondingly small.

What is the alternative to liposuction?

Depending on the area and extent of the procedure, as well as personal concept of the end result, a tightening procedure may replace or complement liposuction.

What does follow-up treatment involve?

Depending on the anatomic site, treatment will involve compression for a period of six weeks. For example, compression hose will be required for treating the thighs and an abdominal belt will be used for the abdomen. As a rule, there is a follow-up exam two weeks postoperatively.

How long is work disability?

The inability to work depends on occupation. In general, there must not be any physical strain for four to six weeks.

Body contouring after weight loss and pregnancy

We carry out procedures to improve or restore the body image in both esthetic and functional aspects. Significant weight loss, or flaccid tissues following pregnancy, can cause marked alterations of body shape. In such cases, we also treat localized excess tissue.

Indications

  • Redundant skin after weight loss (abdomen, breast, thighs, arms)
  • Redundant tissue after pregnancy
  • Abdominal hernia after pregnancy
  • Localized adipose deposits (saddlebag deformity, “love handles”, inner thighs)
  • Panniculus or “fatty apron”

We employ various surgical techniques such as liposuction, body lift, but also tissue redistribution with autologous fat or silicone implants. We will be glad to discuss the best individual options for you. We will also help you clarifying coverage by your health insurance plan.