What is lipoabdominoplasty?
Lipoabdominoplasty is an abdominoplasty with liposuction - a combination of two operations. By itself, tummy tuck surgery is an extensive and traumatic operation, in which there is a lot of skin separated from the
abdominal wall – a long-healing "dead" space. A small volume of emptiness is formed only where the muscles
diverging
(diastasis) from pregnancy and childbirth are sutured. With lipoabdominoplasty, the skin is not completely
separated, but lifted. Vessels, nerves are not damaged, the raised area continues to receive nutrition from the
body. Sebaceous and sweat glands recover faster, tissues take root, rehabilitation accelerates. More modern
sparing
lipoabdominoplasty reduces the risk of postoperative complications.
What is Vaser-lipoabdominoplasty
Vaser-lipoabdominoplasty is performed efficiently, subtly, with the creation of muscle relief. The modern Vaser
device is used, the action of which is based on the latest achievements in the field of ultrasound,
radiofrequency,
electrosurgical technologies.
Vaser acts selectively on fat cells with ultrasonic vibrations of a special frequency. They are separated and
excreted from the body alive. Then these cells are used in other operations, during which fat is pumped into the
necessary parts of the body (lipofilling). Vessels, nerves, and other cells are not damaged.
Conventional lipoabdominoplasty allows you to remove medium and deep fat. The layers near the surface of the
skin
remain intact, which gives a less effective result. Vaser-liposuction manages to correct this shortcoming by
sculpting the muscle frame.
With the help of a modern coagulator, small incisions are made, which facilitates the perception of the
operation by
the body, reduces possible risks.
Vaser-lipoabdominoplasty results are improved by the Body Tite device - tighten the skin, eliminate cellulite.
Such
procedures eliminate sagging skin. Recovery is much faster. The body acquires a beautiful athletic shape, which
will
last for a long time with the right lifestyle, moderate loads.
When is lipoabdominoplasty necessary?
It is a mistake to believe that lipoabdominoplasty is aimed at weight loss. With the help of abdominal plastic
surgery or lipoabdominoplasty, a small amount of fat deposits in this area is removed, but the main purpose of
the
operation is to give a beautiful shape to a part of the body by removing sagging, stretched excess or flaps of
skin
and adipose tissue. Sometimes these surpluses have the shape of an apron, cause not only psychological complexes
of
dissatisfaction with themselves, but also worsen the work of the abdominal organs.
Significant deformation of the abdominal skin occurs during pregnancy. After the birth of a large child or
several
children, women have severe stretch marks - striae, sagging skin, loss of elasticity, sensitivity. Sagging
occurs
after severe weight loss. In the abdominal area, a subcutaneous fat layer is often formed, which can be dealt
with
only with the help of surgery - diets and physical education do not help. Only with abdominoplasty ptosis is
corrected – the sagging anterior abdominal wall is corrected. Severe stretching or divergence of the rectus
abdominis muscles leads to abdominal deformation. Diastasis is formed, which is eliminated by abdominal plastic
surgery. In the same way, postoperative scars, scars from injuries are removed; subcutaneous fat deposited in
large
quantities, various hernias (umbilical, inguinal, etc.). In these cases, abdominoplasty or lipoabdominoplasty is
necessary to create a beautiful tummy with a delicate monotonous taut skin.
Contraindications to surgery
It seems to many that operations that reduce the volume of the abdomen, fat deposits can be done by anyone who
suffers from overweight, obesity. This is far from the case. There are many contraindications to
lipoabdominoplasty,
which are divided into absolute and relative. Abdominal plastic surgery is strictly prohibited with such
absolute
signs:
-
The presence of autoimmune diseases in which the body`s immune system malfunctions and its cells begin to be
perceived as foreign. Examples of autoimmune diseases: rheumatoid arthritis, systemic lupus erythematosus,
etc.
- Oncology.
- Cardiac, pulmonary insufficiency (chronic and acute).
- Diabetes mellitus
- Blood diseases in patients or their relatives.
- Obesity caused by diseases associated with metabolic disorders in the body, endocrine pathologies.
- During the acute phase of inflammatory diseases.
-
With a body mass index greater than 30, which indicates the presence of a tendency to obesity, the cause of
which
needs to be established.
A relative contraindication to surgery is chronic diseases. In remission, they do not manifest themselves, but
continue to affect the body, while waiting for suitable conditions to increase activity. Such conditions can be
created by abdominal plastic surgery.
Liposuction is acceptable if there are no contraindications and excess weight exceeds the desired by no more
than
9-10 kg.
After surgery, the skin on the abdomen becomes stretched, there are no surpluses, so difficulties may arise
during
pregnancy. Doctors do not recommend doing lipoabdominoplasty if a woman plans to get pregnant. In this case,
severe
stretch marks may form. Stretched skin will interfere with the growth of the fetus forward, there will be
pressure
on the internal organs. It is better to tighten the stomach after childbirth, if a woman is not satisfied with
her
appearance.
How is the operation going
Preparation for lipoabdominoplasty
A complex operation requires careful preparation and examination of the body in order to take into account all
possible features, to identify possible contraindications. Initially, the patient is examined by a plastic
surgeon.
It determines whether an operation is really necessary or the problem is small and is eliminated in other ways.
The
doctor examines the psychological state of the applicant, the degree of his readiness for a long procedure,
including a difficult operation and the postoperative period. The surgeon focuses on muscle tone, skin
elasticity,
and the thickness of the subcutaneous fat layer on the abdomen. During the initial examination, the doctor forms
an
idea of the possibility of surgery. If there are no obvious contraindications, the patient is prescribed tests:
- it is necessary to make an electrocardiogram of the heart;
-
to examine the blood: biochemical, clinical analysis, to determine the group and the Rh factor, to conduct a
study
on HIV, the presence of inflammatory processes (RW);
- to find out the quality of the kidneys using urine analysis.
The results of these studies allow us to definitively determine whether the operation can be performed by
checking
the tummy tuck pics.
Preparation of the body begins in a month. A special diet is prescribed, thanks to which you can slightly reduce
weight, clean the intestines well. The acceptance of alcoholic beverages and smoking is necessarily excluded.
The
use of drugs that slow blood clotting stops. There are cases when it is impossible to completely stop using
them. In
this case, consult with a doctor, continue to use the lightest analogues. At this time, it is necessary to
improve
the condition of the vessels, strengthen them. Seven days before the operation, products that promote gas
formation
are excluded, as well as fatty, very sweet, spicy food. A few days before surgery, they reduce physical
activity,
stop using decorative cosmetics. At this time, the patient is recommended to take light sedatives: tinctures or
tablets of motherwort, valerian. This eliminates internal anxiety, promotes healthy sleep, better relaxation of
the
body, improved provision of cells with nutrients. In the last day before the operation, the amount of food is
reduced. You can eat a small amount of protein food. Immediately before the operation, the stomach should be
empty.
Difficult operational process
Initially, liposuction is performed. The procedure is carried out using cannulas without incisions, skin
stretches.
In the absence of excess fat, the skin with a weakened base becomes much thinner, stretches more easily. The
doctor
determines the level of the incision, the amount of skin that needs to be removed. A tunnel is prepared along
the
upper and lower borders of the relaxed and separated from each other in the middle of the abdominal muscles. For
a
beautiful figure, it is necessary to tighten the front part, create aesthetic waistlines. There is no hanging,
flabby skin on the sides after lipoabdominoplasty. The length, incision level is planned, pre-agreed with the
patient, set depending on the preferred underwear. The seam is always under the clothes.
A complex operation lasts from 2 to 5 hours under general anesthesia.
Recovery after tummy tuck and lipo
The recovery period proceeds differently for everyone. It depends on the characteristics of the body, the volume
of
surgical intervention. Cutting off a large amount of skin makes it necessary to separate it from a significant
area
of the internal cavity, which increases the complexity of the operation and its perception by the human body. It
is
also important that the muscles involved in different movements are located on the abdominal wall. After
surgery,
for the best fusion of tissues, they should be as relaxed and unloaded as possible. Therefore, in some cases,
the
patient is recommended not to get out of bed for the first two days. In addition, there may be dizziness,
nausea.
Postoperative redness and swelling are characteristic. Prescribe anesthesia, antibiotics. It is better to lie on
your back, bending your legs so that the muscles do not stretch. In the following days, you need to avoid sudden
movements. In the period up to two months, it is better to walk, also lie in a half-bent position, so that the
unstrung tissues grow together more quickly.
With non-extensive interventions, you can take several steps as early as 6 hours after surgery. At the same
time,
the first meal and drink is allowed. The body needs to be gradually, gradually loaded. This way wounds heal
faster,
as blood circulation improves, and the rehabilitation process is more intensive.
Immediately after the operation, the patient should wear a specially selected support belt with convenient
fasteners
or Velcro, the seams of which are located on healthy areas of the body.
When cutting off a large amount of skin in the body for up to 5 days, there may be a drainage tube to drain
fluid.
It should be cleaned regularly every day, following the doctor`s recommendations. Careful processing of seams is
required. In the first days, abdominal abdominoplasty before and after can cause horror in the patient. The
stitches
are removed in the second week. During this period, redness and swelling subside, and the results are already
visible.
Water procedures can be done far from immediately, also only after examination and permission from the surgeon.
At least two months after the operation, it is mandatory to wear special compression underwear. It is impossible
to
neglect this rule in any case, since it is possible to form asymmetry of the abdomen, improper fusion of muscle
tissues, the formation of scars, blood clots, fibrosis. In the absence of compression therapy, swelling occurs,
which stretches the skin, slows down the process of its recovery and can cause additional complications.
For six months after the operation, they do not take sun baths that warm up the body. Physical exercises with
weight
can also be gradually started after this time has elapsed. After consulting with a doctor, the load is
increased,
returning to the usual rhythm of life.
Light, but frequent physical exercises, especially those that do not strain the abdominal muscles, are done
regularly after two months. Otherwise, the formation of stagnant phenomena in the body is possible.
You can`t eat too much. It is necessary to apply a fractional balanced diet. For a long-term or permanent
result, it
is important not to allow the previous lifestyle. With excessive overeating, constant use of high-calorie foods,
and
other bad habits, the weight and volume of the abdomen will increase again. All previous efforts will be in
vain,
the result of lipoabdominoplasty will be reduced to zero.
It is important to be prepared for possible complications
Complications after lipoabdominoplasty are rare, but they need to be known and prepared for them. The causes of
complications are the individual characteristics of the body, errors during the operation, hygiene violations,
improper behavior of the patient in the postoperative period, improper cleaning of the drainage tube,
poor-quality
suture treatment. As a result, there may be:
- suppuration of seams due to violations of sterility, hygiene rules;
-
seroma or accumulation of drainage fluid in the wound. This may be caused by a discrepancy, loose fit of the
edges
of the wound due to swelling in violation of the rules of wearing compression underwear, as well as a corset
or a
supporting belt. Seroma can occur in cases where, in parallel with abdominal plastic surgery, excess fat was
removed
by liposuction. Additional punctures, incisions are a significant stress for the body, in which the
discharge of
drainage fluid increases;
-
hematomas may occur in soft tissues caused by an error in stopping internal bleeding. When cutting off a
large
amount of skin, capillaries do not match when pulling new flaps, which can cause additional blood
secretions;
-
a medical error can be excessive dissection of tissues, too much stretching of the skin. A tight seam in
this case
prevents the rapid restoration of blood circulation. Soft tissues will die off, causing marginal necrosis;
-
scarring, the appearance of wide inflamed scars is possible if the wound is poorly sewn; an infection is
introduced
into the seam, which causes swelling. Seams increase with their improper processing, non-compliance with the
regime
of wearing compression underwear, excessive untimely physical exertion;
-
the operation is accompanied by a certain loss of blood, which causes anemia in the body that has
experienced severe
stress. To eliminate it, you need rest, high-quality reusable or fractional meals, protein food, vitamins;
-
in case of violation of the rules of rehabilitation, overeating, ignoring compression maintenance therapy,
increased
intra-abdominal pressure occurs, negatively affecting the result of the operation. Abdominal compartment-a
syndrome
that occurs with a strong tension of the tissues of the anterior abdominal wall, in turn, can provoke the
appearance
of pulmonary edema;
- the specifics of the operation require minimal mobility from the patient. This can cause congestive
pneumonia;
-
immobility, cardiac arrhythmias, non-use of compression underwear lead to the formation of blood clots -
blood
clots, blockage of arteries - tromoboembolism. In such cases, blood thinning medications – anticoagulants -
may be
prescribed.
The listed complications will not occur if the doctor performs the operation qualitatively, observing all the
necessary rules and sanitary norms, and the patient strictly follows the recommendations aimed at rehabilitation
and
restoration of the body`s strength after a complex surgical intervention.
Advantages and disadvantages of lipoabdominoplasty
The undoubted advantage is that lipoabdominoplasty is a more gentle operation: the skin is not completely
separated,
but lifted. Vessels, nerves are not damaged, the raised area continues to receive nutrition from the body.
Sebaceous
and sweat glands recover faster, tissues take root, rehabilitation accelerates. More modern lipoabdominoplasty
reduces the risk of postoperative complications.
Vaser-lipoabdominoplasty gives even better results. Under the selective influence of ultrasonic vibrations of a
special frequency on fat cells, they are separated and removed from the body alive. Vessels, nerves, and other
cells
are not damaged.
Conventional lipoabdominoplasty removes medium and deep fat. And the layers near the surface of the skin remain
intact, which gives a less effective result. Vaser-liposuction is able to remove not only deep, medium fat, but
also
near the surface of the skin. Signs of cellulite are eliminated, the muscular frame is sculpted, abdominal
plastic
is facilitated (photo).
With the help of a modern coagulator, small incisions are made, which facilitates the perception of the
operation by
the body, reduces possible risks.
The body acquires a beautiful athletic shape that will last for a long time with the right lifestyle, the
maximum
possible exclusion of stress and the preservation of inner peace in all situations, moderate loads.
It is difficult to name the disadvantages of modern and popular lipoabdominoplasty. Some consider it a
disadvantage
that surgical intervention is required when other possibilities of creating a beautiful body are completely
exhausted. Nevertheless, lipoabdominoplasty helps to do this most efficiently, with the least injury to the
body.
Conclusion
The formation of a person`s figure is influenced by many factors. Congenital diseases associated with metabolic
disorders; inherited body features; transferred life circumstances; bad habits, improper lifestyle, stress,
immobility. As a result, the figure changes for the worse. This causes fat accumulation in different places,
deformation of the protective shell of the body - the skin. Small defects are eliminated by a balanced diet,
physical exercises. In many cases (after the birth of several children, significant weight loss, etc.), sagging
skin
can be eliminated only by surgical intervention. To do this as delicately as possible, subtly, without severely
injuring and long-healing extensive sections of adipose tissue, skin helps the popular lipoabdominoplasty, the
main
purpose of which is to remove fat, create anatomically correct waist and abdomen shapes.