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Abdominoplasty can be performed in combination with liposuction or alone in people who have excess weight in the abdomen, and whose skin is too loose and saggy for liposuction alone.

Abdominoplasty surgery can be combined with several different aesthetic operations.

Abdominoplasty surgery is performed to remove excess fat and the excess sagging skin on the abdominal skin. There may be excess fat tissue and skin on the abdominal region at the same time. Excessive weight gain and rapid weight loss, gaining a lot of weight during pregnancy are the main causes of excess fat and skin around the area.

Abdominoplasty, technically called abdominoplasty, is a surgical procedure that can reduce sagging in the abdomen and strengthen the abdominal wall muscles, revealing a more fit and smooth abdomen. Apart from this, especially after multiple pregnancies, not only excess fat and skin occurs in this region, but also the structures that limit the abdominal cavity, which we call the anterior abdominal wall, which limits our internal organs, also stretch and become loose, creating a cambered appearance.


Who is a good candidate?

The ideal candidates for tummy tuck are people with problem areas on their bodies that diet and exercise do not benefit from. A tummy tuck is not a weight loss procedure. It serves to benefit people who want to improve the appearance of the abdomen; does not completely change the volume and shape of the abdomen.

Many women, especially those who have had pregnancy, may experience the vertical separation of the abdominal muscles and wall, popularly known as an umbilical hernia. This condition can only be corrected with surgery. With tummy tuck surgery, it provides the abdomen to its pre-pregnancy state and strengthens the abdominal wall. 

Is Tummy Tuck Surgery Risky?

All surgical operations carry certain risks. Abdominoplasty also gives very good results when performed by a doctor experienced in this field. As in all surgical operations, there are risks arising from anesthesia and some risks specific to surgery in tummy tuck surgery.Risks of tummy tuck surgery 

  • 1. Wound infection,
  • 2. Accumulation of blood or body fluid during the operation, this risk can be minimized by the drains used during the operation.
  • 3. Blood coagulation; This risk is minimized by ensuring that patients get up and walk early, with varicose stockings and with the help of some medications.
  • 4. Wounds do not heal well; This risk is minimized by not smoking during the periods determined by the doctor before and after the surgery. Patients with genetically poor wound healing or diabetes are at greater risk of poor healing of wounds. 

Before Abdominoplasty Operation



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Prof. Dr. Bekir Atik

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Tummy Tuck Operation

Abdominoplasty is a procedure that takes an average of 2.5 – 3 hours under general anesthesia.The scar line is a slightly longer incision at the level of the cesarean section mark which can be hidden easily under the underwear. The excess skin and fat layer is cut in an ellipse shape and removed and the navel is reconstructed.

If the cracks in the skin are below the navel level, the tummy tuck surgery can also get rid of the cracks.

If there is looseness or separation in the muscles of the abdominal wall, the repair of the muscles can be done during this surgery. 

 

What is Mini Abdominoplasty? 

The techniques to be used in tummy tuck surgeries vary depending on the skin structure of the person, the elasticity of the abdominal skin, the degree of sagging in the skin and the degree of relaxation in the abdominal wall muscles.

A mini tummy tuck is a good option for patients who have excess weight in the abdomen, whose skin is too loose to perform liposuction alone, but who is too tense to require a full tummy tuck. Mini tummy tuck is a frequently preferred method in patients who are not overweight, as it causes shorter scars and faster post-operative recovery.

In the mini tummy tuck procedure, excess fat is removed from the entire abdomen and waist area, excess skin under the navel is removed, but no stretching is performed on the part above the navel. 

Post-Op Period

  • 1. It will be sufficient for the patient to stay in the hospital for one day after the operation.
  • 2. After the surgery, there will be pain that can be controlled with painkillers.
  • 3. After the patient goes home, he can spend the recovery period comfortably with the painkillers recommended by his doctor.
  • 4. After the operation, a drain is placed to take out the blood that will accumulate between the skin and the muscle.
  • 5. The patient can easily return to work and daily life within two weeks.6. After the operation, as in every surgical operation, a scar will remain, but it will lose its clarity in 3-6 weeks and will become very little visible in 6-9 months. 

FAQs

What is tummy tuck (abdominoplasty)?

It is a cosmetic surgery performed by cosmetic surgeons to correct the deformities or remove the sagging in the abdominal skin caused by pregnancy, childbirth or significant weight gain or loss.

How long does tummy tuck surgery take?

A tummy tuck takes between 2 - 4 hours depending on the procedures that will be performed in the operation.

What is the duration of stay in hospital after tummy tuck?

The duration of stay in the hospital after tummy tuck is determined according to the technique used and the procedures performed during the surgery. The patient may be discharged on the same day or may need to stay for one night in the hospital.

Will be there scars after tummy tuck surgery?

Due to the technique used in stitching after Abdominoplasty, there will be small scars, these scars are barely seen and can be easily hidden because they are located in the area below the abdomen.

Is there an age limit for tummy tuck?

It is not recommended to undergo tummy tuck at an early age. All people can undergo tummy tuck after their body is fully grown, on condition that no health problems are preventing them from performing the procedure.  

What happens if I get pregnant after tummy tuck?

The only relationship between a tummy tuck and pregnancy is the abdominal looseness again after pregnancy. Otherwise, tummy tuck surgery does not prevent pregnancy and does not cause any problems during pregnancy.

How long should I wait to undergo a tummy tuck after giving birth?

The skin of the abdomen sag in certain proportions after giving birth, this sagging skin gathers in certain proportions after about 6 months but does not return to its previous state. If this state still disturbing the woman, she can undergo Abdominoplasty surgery

Can my skin sag again after a tummy tuck if I gain weight?

Gaining weight is a normal way that does not cause the skin to sag again, but if the weight gaining can lead to skin sagging and surgical intervention can be performed again to tighten the skin at the request of the patient.

Can scars be removed using laser?

Scars appear after performing any surgical operation. The shape and size of the scars vary according to the surgical operation and the size of the area where the intervention was performed. Some creams help to reduce these scars but they cannot be removed using a laser.

Can a tummy tuck be performed more than once?

A second tummy tuck can be performed after a certain period of the first operation, but we must know that the second operation will be more difficult than the first for both the doctor and the patient.

What kind of anesthesia is used for tummy tuck surgeries?

In case of severe sagging, or if the abdominal muscles will be tightened, the surgery is performed under general anesthesia. Otherwise, the surgery is performed under the spinal anesthesia or epidural anesthesia according to the patient's condition. 

Can abdominal hernia be repaired during tummy tuck?

Hernia and muscle tissue laxity resulting from aging, giving birth or heavy working can be repaired during tummy tuck surgery.

What surgeries can be performed combined with tummy tucks?

Most of the tummy tuck surgeries are performed combined with liposuction which provides better results, besides that other body lifting surgeries can be performed on other areas of the body at the same time.

Are there non-surgical methods for abdominal tightening?

Some chemical products are used to tighten the abdomen but because of the allergic reactions caused by these products it is considered more harmful than to be useful, some exercises help in tightening the abdomen but it is useless in cases of severe sagging. The only solution to tighten the abdomen in cases of severe sagging is the tummy tuck surgery.

What are the types of tummy tuck?

There are two types of Tummy tuck, the first one is the mini tummy tuck, the second one is the full tummy tuck. 

The mini tummy tuck is performed for people who have slight sagging and no interventions are made on the navel.

There will be few scars after the mini-tummy tuck due to the small size of the surgical incision. The full tummy tuck is performed to people who have severe sagging.

Intervention is also performed on the navel and the surgical incisions can be longer than the incisions made in the mini tummy tuck.

Should corset be worn after tummy tuck?

The corset recommended by the doctor should be worn for 6 weeks after the operation, and there is no harm from taking off the corset for one hour each day, the corset can also be taken off for bathing after two days of surgery. 

After how many days of tummy tuck can I go to swim or sauna?

The patient should stay away from the sea, swimming pools and sauna for 3 weeks after tummy tuck until the wounds heal and to avoid microbes.  

What should be considered before and after tummy tuck?

Routine tests and examinations should be performed to determine the patient’s suitability to surgery. Keeping blood thinner medications taking under the supervision of the doctor. following the doctor's instructions strictly before and after surgery. Avoid heavy movements and exercises for the first month after surgery and do short walking, paying attention to the wound dressings and keeping the wounds dry. 

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