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.