Idications for abdominalplasty:

  1. Excess skin and fat in the anterior abdominal wall area;
  2. Drastically reduced skin elasticity in cases when liposuction will result in wrinkled skin.
  3. stretch marks after pregnancy and/or major weight loss.
  4. Abdominal separation (diastasis), abdominal weakness.
  5. Anterior abdominal wall ptosis as adipodermal fold (“apron belly”).

Contra-indications

  1. ARVI, ARD;
  2. Acute exacerbation of a chronic respiratory or cardiovascular disease;
  3. Critical performance status (critical cardiac, respiratory, hepatic, kidney failure);
  4. coagulation failure.

Anyway, a decision on the surgery is taken on an individual basis by your surgeon. An additional examination and consult of specialized doctors are prescribed if needed.

Abdominalplasty procedure

The surgery is performed under general anesthesia. A patient is lying on the back, with bended knees if needed. A surgeon makes an incision, performs certain operations with the skin and evaluates muscles condition. If they are weak and separated, then he sews them up in order to strengthen the anterior abdominal wall and decrease the tummy volume. Then fat and excess skin is removed. In case of a mini abdominalplasty procedure the following step is to put cosmetic stiches, while for a full abdominalplasty procedure a surgeon additionally creates a new umbilical ring. The cut is stitched in three lines – two lines of internal dissolvable stitches and one intradermal stitch for a thinner and less visible scar. Finally, a surgeon puts drain tubes for blood and interstitial fluid accumulated under the adipo-dermal flap.

Types of abdominalplasty

  1. Horizontal (classic) abdominalplasty. This surgery is performed to shape up the lower part of the belly. One incision is made above the pubis 15-20 cm long along the bikini line, the second incision, if needed, around the belly button. Tissue is stretched up from the upside down.
  2. Vertical abdominalplasty is different from the classic technique as the tissue is stretched up from left and right. This type of abdominalplasty allows removing a large volume of fat in the central part of the abdominal and reducing significantly the belly shape due to creation of duplications from the abdominal muscles. It’s recommended to patients with abdominal separation. This surgery technique is simple, however, it has one disadvantage – a long vertical scar from the belly button to the pubis, which will become hardly visible in a year.
  3. Sometimes a patient needs a three-dimensional improvement – in this case a combined abdominalplasty is performed that includes two incisions – a horizontal and vertical. Thus, the anterior abdominal wall is stretched up in two perpendicular directions.

Post-op rehabilitation after abdominalplasty

A patient must follow all directions for care of the doctor after the abdominalplasty procedure. It’s important that the patient has some time for an incremental recovery in the post-op period, thus one must avoid strenuous activities (including active household work within 2-3 weeks, sports activities for one-two months). The patient remains in the clinic to be monitored by professional medical personnel for one day. The patient is dressed up in special compression garments, which must be worn and not removed for 4-8 weeks. After the abdominalplasty procedure, the patient should lie on the back with uplifted legs and head so that the anterior abdominal wall tissue doesn’t stretch up. Several procedures of bandage changes are required so that the doctor can examine the post-op condition of the cut and clean it. The drain tubes are removed as soon as the fluid in the post-op wound is no longer produced.

The following conditions after the abdominalplasty include swelling, hematomas, possible pains, so pain medication might be prescribed for 3-6 days. Swelling grows for three weeks and fully disappear in several months. Loss of sensitivity in the surgery area is possible. It’s recommended to stop smoking and drinking alcohol. It’s recommended to avoid direct sunshine on the scar for one year (or use high SPF sun protection). The post-op scar will almost fade away in 6 to 12 months

MEDICAL TESTS required for the surgery:

  1. Complete blood count + blood platelets + coagulability (valid for 10 days)
  2. Blood type, Rh factor
  3. Coagulogram (valid for 10 days)
  4. Urine test (valid for 10 days)
  5. RWblood test (valid for 1 month) 
  6. Fluorography (valid for 12 months)
  7. Blood tests for hepatitis B, C (valid for 1 month)
  8. Biochemical blood test (total protein, sodium, potassium, calcium, chlorine, cholesterol, BUN, creatinin, glucose, TB, DB, AST, ALT, chlorides) (valid for 10 days)
  9. ECG with a breakdown (statement of a cardiologist if needed) (valid for 1 month)
  10. Statements of narrow specialists (endocrinologist, cardiologist, therapist, etc. upon readings)(valid for 14 days)
  11. Statement of a therapist for patients older than 50 years (valid for 14 days)
  12. In case of chronical diseases – an abstract of outpatient medical record with a statement of a therapist (valid for 14 days)

An approximate price for the surgery is from 2000.00 BYN to 4000.00 BYN. A doctor will tell you the exact price at your consult after evaluating the workscope.

A price for a plastic surgeon consult is 15.00 BYN.

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