These lesions are due to various causes which most often comprise obesity, lack of exercise, multiple pregnancies, frequent weight fluctuations and previous intra-abdominal surgical procedures. Abdominoplasty involves the removal of the excess skin and fat from the abdomen. After the procedure, the size of the abdomen is smaller, the laxity is corrected, the muscle wall is strengthened and any stretch marks that were situated on the removed skin are gone. Therefore, there is a significant improvement of the body image.
The procedure is performed under general anesthesia, while the patient is in supine position with the thighs bent at 45ο. An incision is made just above the pubic region, exactly at the height of the C-section but much longer. Then the skin and subcutaneous fat are separated, pulled down and their excess is cut and removed. The umbilicus is brought back in a new position. The abdominal wall is reinforced by suturing the rectus abdominis in the midline, and potential umbilical hernias or white line hernias are removed with plastic surgery. After the procedure, a drain is placed on the area and the patient must wear a special abdominal binder.
With the patient in supine position and under local anesthesia (without analgesia or sedation), the doctor stretches and excises the excess skin. The scar from the incision is very thin and much smaller.
Where a small amount of localized fat also exists, this may be removed with no surgical liposuction during the partial abdominoplasty in the doctor’s office.
No drain is required and the patient is able to return home immediately after the procedure wearing a special binder for 30 days.
Its advantages are:It is performed at the doctor’s office and requires local anesthesia It leaves no scars or marks, as the entire procedure is preformed through 2 small incisions on the lower part of the belly The laser fiber optic enters the subcutaneous tissue, melting the fat and tightening the skin in the area The excess fat is then sucked out and removed with instant and permanent results It is a bloodless and painless method that involves no downtime, scars or marks, where the patient is able to resume his/her daily activities immediately.
Its only drawback is that is ideal for specific body types whereas it involves a very thorough patient selection process.
The use of a binder is also necessary.
Abdominoplasty is an absolutely individualized and customized procedure, the cost of which depends on the size of the problem and the technique to be followed (traditional abdominoplasty, partial abdominoplasty, combination with liposuction or not).