Miniabdominoplasty: a description of the procedure, indications and contraindications for
Deciding on a tummy tuck, a woman not only hopes to improve her appearance, but also adjusts to the painful recovery period that accompanies a serious operation.
Abdominoplasty will help to remove almost all abdominal defects, but in such an operation it is not always necessary. In some cases, a serious surgical intervention can be completely replaced with a miniabdominal plastic surgery - a limited correction of the abdomen, which is performed only in the area below the umbilical fossa.
Features of the procedure
Unlike classical surgery, mini-abdominoplasty has its advantages:
- the procedure is carried out faster, which means that general anesthesia affects the body less;
- the recovery period is faster and easier;
- the operation is available to more women as it is cheaper;
- practically not noticeable postoperative sutures.
Among the shortcomings of the procedure are the following:
- only the lower abdomen is subject to correction;
- not suitable for everyone, as it has limited capabilities.
Types of cut line operations
Plastic surgeons use different techniques of mini-abdominoplasty. How to make an incision and whether to do it at all, the doctor decides depending on the goals to be achieved.
There are the following types of operations:
- Priumbilikalny - cuts do near the umbilical fossa on opposite sides. This technique is best suited in the event that the purpose of the operation is to eliminate stretch marks or tighten the loose skin.
- An incision in the bikini line is made when it is necessary to remove the scar tissue that has arisen after a cesarean section or abdominal surgery, sew the abdominal muscles that have dispersed, remove excess skin (resembles complete abdominoplasty, but is limited to the lower third abdomen).
- The epidermization of the skin does not involve any incisions. Achieving the desired result occurs by removing the upper layer of the dermis. The procedure is effective only with minor defects.
Options for operation depending on the defect
Defects that must be eliminated by correcting the abdomen may be different, and the amount of surgery depends on it.
In addition to the unattractive appearance of this part of the body, the patient may have accompanying problems, so the doctor performs a simple or complex mini-abdominoplasty, in particular:
- conventional pull-up procedure without moving the navel;
- liposuction is performed if an independent procedure is impossible due to the low muscle tone and skin elasticity;
- cutting off excess skin is carried out in the presence of excessive external cover in the lower abdomen (apron);
- muscle closure is performed if the woman suffers from a diastasis.
Indications
Miniabdominoplasty can be performed at the request of the patient or for medical reasons. Women usually turn to a plastic surgeon in order to improve the appearance of the lower third of the abdomen, if she has laxity of the skin, stretch marks, or a fat apron.
With this procedure, you can remove the ugly scars that remain after a cesarean section. The operation may be indicated to correct diastasis (divergence of the peritoneal rectus muscles) in the area below the navel.
Contraindications
Miniabdominoplasty is a surgical operation, so before performing it you should exclude all contraindications that can cause complications.
Tummy tuck is not performed if the patient suffers:
- diabetes;
- obesity;
- infectious diseases;
- chronic pathologies in the acute phase;
- oncological ailments;
- fungal and inflammatory pathologies of the dermis and subcutaneous tissue;
- purulent infection (sinusitis, flux, sore throat, etc.).
Miniabomoplasty is not done to persons under the age of eighteen, pregnant and lactating women, during menstruation.
Abdominal miniopdominoplasty: a technique of conducting, the recovery period and possible complications
Before the operation, a woman needs to be examined by a doctor and pass a series of tests that will help to eliminate contraindications.
If everything is in order, the surgeon examines the patient's abdomen, selects the technique of the operation and makes recommendations on how to prepare for the procedure.
So that miniabdominoplasty of the abdomen does not cause deterioration in health, two weeks before the procedure, a woman should stop smoking, drinking alcohol and treating with anticoagulants.
The doctor may also prescribe a special diet, normalizing metabolism and preventing the formation of subcutaneous fat.
How is the operation?
Depending on the type of abdomen mini abdominoplasty, the patient is given general anesthesia by air or by intravenous route. Local anesthesia may only be available when the skin is epidermized. Usually the operation takes from one and a half to two hours. The exact time of the operation can tell the doctor in each case.
Before making incisions, the doctor draws their contours on the abdomen. The length of the cut is not more than fifteen centimeters. The skin is cut with a scalpel or a laser (electrocoagulator). Modern clinics often use laser equipment, since the incision of coagulation of tissues and blood vessels, which significantly reduces blood loss.
Depending on the amount of mini-abdominoplasty of the abdomen, the plastic surgeon performs all the steps in stages:
- causes a hernia, sutures the muscles;
- removes subcutaneous fatty tissue;
- cuts off excess dermal tissue;
- tightens the skin and stitches the wound.
After sewing the incisions, a sterile bandage is applied to the abdomen, and compression underwear is put on the patient. Abdominal miniabdominoplasty can be performed simultaneously with other plastic surgery, for example, with liposuction of the upper abdomen or other parts of the body.
Effects
After the procedure, edema occurs in the operated area, which subsides in one to two months. In the area of the seam bruises are observed, disappearing completely within a month.
At first, the patient experiences severe pain, so the doctor prescribes pain medication for her. There may also be a feeling of tightness. This phenomenon goes away as the stitches heal.
Recovery period
Minially abdominoplasty of the abdomen involves staying in the hospital for several days after surgery. At this time, the patient is dressing and observing the state of the sutures. The first day the patient lies on the bed, and on the second day he can walk.
After being discharged from the clinic, the person continues rehabilitation treatment at home. He can go to work only in two weeks, and in some cases later.
At home, you must observe the following rules:
- wear compression garments for at least one month;
- Do not wet the stitches for the first five days;
- two weeks can not be rubbed into the seams of ointment and cream;
- avoid overheating (do not go to baths, saunas, put a heating pad on the belly, etc.);
- do not lift weights, refuse to exercise, exercise for three months;
- Do not sunbathe during the year (in the abdomen).
Complications
After abdominal mini-abdominoplasty, some adverse effects can occur, in particular:
- divergence of the wound edges;
- wound infection;
- bleeding;
- scarring of tissues;
- skin numbness (reversible);
- tissue necrosis;
- unattractive result.
In each case, the appropriate treatment.
Cost of
Abdominal mini-abdominoplasty is a full-fledged operation, so its cost varies from 60,000 to 180,000 rubles.
The price depends on many factors - the type and volume of the operation, the length of stay in the hospital, the availability of additional services (compression underwear, drugs), the cost of the plastic surgeon (depending on qualifications) and a number of other components.
Photos before and after miniabdominoplasty
Before making a decision to conduct a mini-abdominal plastic surgery of the abdomen, you should take into account all the pros and cons of the operation, read reviews of patients who have gone through a similar procedure, look on the Internet for photos before and after correction of the abdomen. Equally important is the clinic in which the operation is performed. If you can choose a doctor, then this issue should be treated with special attention.