What is Abdominoplasty?

Abdominoplasty and Liposuction are not a means of weight reduction, but simply used for contouring. Abdominoplasty ( Tummy tuck) procedure targets not just the body fat , but also the underlying laxed abdominal muscles and the overlying abdominal skin. It may have to staged with liposuction ( for further fat reduction in areas of abdomen undealt before ( flanks, or love handles as they are called, as well as upper abdomen) as well as radiofrequency ( thermal) skin tightening.

Complete abdominoplasty

A complete abdominoplasty is safely performed as an outpatient procedure for the vast majority of patients. The recovery period is approximately two weeks. Those in good physical condition before surgery usually recover more quickly.

Partial abdominoplasty

The incision is smaller in a partial abdominoplasty because there is more loose skin, rather than fat, to remove. This type of surgery may be done on an outpatient basis, and the recovery period is shorter.
Abdominoplasty requires a horizontal incision across the pubic area and around the navel. Through the incisions, weakened abdominal muscles are repaired and sutured while excess fat, tissue and skin is removed. Sutures, skin adhesives or clips are then used to close all incisions.
Liposuction is commonly performed in conjunction with abdominoplasty to achieve the best results.

HIFU assisted lipolysis

HIFU (High-Intensity Focused Ultrasound) is a highly precise medical procedure is being used to remove the unwanted fat cells. It Uses high-intensity focused ultrasound to heat and destroy fat cells and tissues present in the body of the patient.

How is a HIFU assisted lipolysis treatment performed?

A transducer kept on the skin emits high intensity Ultrasonic waves in a conical manner. They are focused 1.5 cm below the skin causing rupture of the fat cells. The transducer is then advanced further to destroy the new layer of fat cells.

Where does the fat go once it is destroyed?

The liquefied fat is liberated into tissue spaces and are drained to the liver via naturally lymphatic channels and circulation. The liver metabolizes them for energy production.

How much FAT can be lost in a single session?

As per 2015 report, 80% pof patients showed immediate reduction in inches. You could now very easily loose from 1 to 3 inches  in the body area you opt to treat, which may be your abdomen, thighs, buttocks, arms etc.

High-Intensity Focused Ultrasound

Who is it for?

The range of Body Mass Index considered “normal” falls between the range of 18.5 and 24.9, but the actual amount of body fat will vary between individuals as a result of factors that include muscle mass, gender, and race. Your surgeon can help you determine if you are a good candidate for a tummy tuck based upon your Body Mass Index and a thorough assessment by physical examination.

In general, a Body Mass Index less than 30 is recommended. When considering a tummy tuck, your surgeon will assess your abdomen. A tummy tuck procedure can remove excess fat and skin, but it is not a substitute for weight loss and exercise.

It’s a great procedure for individuals with normal body weight who have developed protrusions or sagging as a result of pregnancy, prior surgeries, aging, or fluctuations in weight. It’s also important to realize that significant changes in your weight after a tummy tuck can diminish your positive outcome over time. If you are considering significant weight loss, you should postpone your tummy tuck.

What to expect from a tummy tuck

Tummy tuck procedures can remove extra-abdominal fat, but it can’t remove fat around your internal organs or within your abdomen, so if your BMI indicates you have a high proportion of fat, you will not achieve the best results. Patients who are overweight or obese should reduce their weight with diet and exercise before undergoing the tummy tuck procedure.

Safety is also a consideration when considering an ideal Body Mass Index for the tummy tuck procedure. Patients who are significantly overweight or obese have a higher rate of surgical complications after any procedure. Risk of complications increases in individuals with a BMI over 30, increasing dramatically in those patients with a BMI over 35.

For patients with very laxed tummy, advice is given to wear an abdominal binder and do deep breathing exercises with it on. This should ideally be practiced for about a month before surgery, to adapt the lungs well to the new abdominal tension.

Pe-op essentials

  • Get these lab tests: Hb, Renal function tests, LFT, Lipogram, Random blood sugar, HIV
  • BP record , if known hypertensive.
  • Smoking should be stopped atleast 2 months before
  • No alcohol and blood thinning drugs ( Antiplatellets, NASIDS like
  • Ibuprofen, Vit E) atleast 2 week before.
  • Take a shower on the morning of surgery, no eating/ drinking from midnight before surgery.

What to expect during surgery

Depending on your desired results, this surgery can take anywhere from one to five hours. The complexity of your particular situation also will determine whether you have it completed as an in-patient or outpatient procedure.

You will receive general anesthesia, which will put you to sleep during the operation. It’s important to have someone with you who can drive you home. If you live alone, you also will need someone to stay with you at least the first night after the surgery.

As mentioned above, there are two types of tummy tuck. We will discuss your desired results in detail, then determine the appropriate procedure during your consultation.

After Surgery

Remember there is nothing like a SCARLESS surgery! Scars can just be minimised with good surgical technique and good after care by the patient. Scars can be prevented to hypertrophy by using scar gels and if hypertrophied already, can be treated with Injection Triamcinolone injection, microneedling and/or CO2 lasers, all of which are available with us.

The contour results have to be maintained by the patient with Diet control and exercise. Future pregnancies ,medical disorders and certain drugs although can alter these results profoundly.

Risks of Abdominoplasty

As with any surgery, there are risks. Remember, this surgery affects a very crucial part of your body. Though they’re rare, complications can include infection, bleeding under the skin flap or blood clots that could travel to your lung and interfere with your breathing. You may carry an increased risk of complications if you have poor circulation, diabetes or heart, lung or liver disease or a history of blood clots.

You may experience insufficient healing, which can cause more significant scarring or loss of skin. If you do heal poorly, you may require a second surgery.

As we mentioned, the scars from a tummy tuck are fairly prominent and though they may fade slightly, they will never completely disappear. Your surgeon may recommend certain creams or ointments to use after you’ve completely healed to help with the scars.

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