Plastic surgery of the abdomen can eliminate an unattractive overhanging tummy and excessive fat deposits in this area of the body.The operation can also halt the loosening of the abdominal wall to help effectively model the mid section of the body. We asked MUDr. Michal Šamudovský, the head physician of the plastic surgery department, for details on this complicated procedure.
The surgical procedure is performed under general anaesthesia with relaxed muscles. Most commonly the surgeon makes a long incision from the pelvic bone to just above the pubic bone. He then separates the skin from the abdominal wall, pulling the skin toward the ribs. He raises the extensive freely hanging skin and directly uncovers the abdominal muscles. These muscles are tightened by drawing them together and stitching them into their position. This ensures the tightening of the abdominal wall and the reduction of the waistline. Excess skin is then pulled downwards and removed. An opening for the navel is created and the navel is then stitched on.
The surgical opening is closed on several levels, mainly with dissolvable stitches. Absorbent drains are inserted beneath the skin and the load on the abdominal wall is eased by compression bandages. We recommend this to be worn for one month
Complete abdominoplasty typically takes two or more hours depending on the extent of the procedure. The surgeon may also use liposuction in conjunction with abdominoplasty to achieve the best results.
A consultation session with the plastic surgeon that will perform the surgery is essential. During this thorough interview the surgeon describes the course of the operation and informs the patient of all necessary matters. A successful operation is also contingent on a high-quality pre-operation examination performed by an internist, who must confirm the health condition of the client prior to the use of general anaesthesia.
Are there any special restrictions and recommendations that must be respected prior to the operation?
The same rules for all other operations also apply in this case. Perhaps the only measure specific to abdominoplasty is for the patient to have a through bowel movement prior to the operation. Laxatives are prescribed if required. It also necessary to try out special clothing, as this will be an important part of the post-operation period. Pre-operation hygiene includes thorough disinfection of the navel and the shaving of the patient’s private parts.
The client typically remains at the clinic for one or two nights. During the first dressing the surgical wounds are cleaned, drains that were used are removed, and the patient’s wounds are recovered with sterile bandages. The patient is then dressed in elastic underclothes. As this type of procedure is relatively painful, especially during movement, special underclothes are used to ease the pain and facilitate healing. The client is instructed on the proper use of the underclothing, which is only removed during the first post-operation month for essential personal hygiene. It is recommended that the underclothing be worn for several months after the procedure. It is essential that the client avoid physical activity and carrying heavy loads. The client should remain in a resting regime.
As a rule the final effect is achieved several months after the operation. Assuming no pot-operation complications, the client can return to a normal regime several weeks after the procedure. Full physical activity can be resumed several months after the surgery.