Tummy Tuck, Abdominoplasty In The Philippines : Affordable Cost, Before and After Results

Published: 19th August 2009
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Tummy Tuck/ Abdominoplasty



Also known as abdominoplasty, a tummy tuck removes excess skin and fat from the abdomen while restoring weakened or separated abdominal muscles to create a smoother and firmer abdominal profile. The procedure is performed under regional or general anesthesia. It begins with a transverse incision across the abdomen, from hip bone to hip bone. A second incision involves a circular incision to separate the navel from the surrounding abdominal skin. The skin is separated from the abdominal wall to expose the muscle fascia. If loose, the muscles are tightened with non-absorbable sutures. Excess skin is then stretched and removed. The remaining skin is then redraped over the incision and sutured into place. A hole is made to approximate the position of the navel and sutures into position.




Flat and well-toned abdomen is an appealing body profile or contour that a lot of people aspire to have. We often strive to have this feature through diet and exercise. However, sometimes these methods fail to achieve this goal. Abdominoplasty or commonly known as tummy tuck, is a surgical procedure that removes the excess skin and fat of the abdomen, restores or repair weakened abdominal muscles creating an abdominal profile that is smoother and firmer. However, patients must be informed that this procedure is not a substitute for diet, weight loss or an appropriate exercise program.



There are a lot of individuals, particularly women of childbearing age that has abdomen, which is protruding, and with loose and sagging skin. These individuals may even have a normal body weight and proportional body profile. These changes in quality of the skin and muscle of the abdomen are commonly caused by multiple factors that weaken the structures of abdominal. This may be due to pregnancy, aging, massive weight lost, hereditary disorder, and previous abdominal surgery or trauma. These may affect or change the strength of the abdominal muscles and lead to laxity of the abdominal wall.



Even though results of this procedure may last for a long time, the positive outcome can be greatly diminished by significant fluctuations in weight that is often accompanied by inelastic and excess skin. This is why, an individual who is planning to have substantial weight loss or women who may be considering future pregnancies may be advised to postpone a tummy tuck surgery.



Tummy tuck is recommended for patients with excess or redundant abdominal skin and/or laxity of abdominal muscle. This is usually seen among women that had multiple pregnancies or patients with massive weight lost after a Bariatric Surgery. To be a good candidate for this procedure, patients must be physically healthy and at a stable weight, patients must have realistic expectations, don't smoke and don't have any uncontrolled medical illness. The procedure cannot correct stretch marks, although these may be removed or somewhat improved if they are located on the areas of excess skin that will be excised, generally those treated areas below the belly button.



Good candidates understand the procedure and have realistic expectations. The repair and tightening of the abdominal muscles, along with the removal of the excess skin, may greatly improve body contour and appearance. Improved appearance may improve self-confidence and may change the way others interact with you. However, the surgery cannot bring back your youth or create the ideal figure. There is also no guarantee that other people will treat you differently after surgery.







Individuals planning to undergo abdominoplasty are prepared prior to scheduled surgery. Patients are advised to avoid the following for 2 to 3 weeks before surgery; smoking, alcoholic beverages, steroids, NSAIDs or pain medications like mefenamic acids and naproxen, herbal tea, herbal medications, Vitamin E, blood thinning medications like aspirin, heparin and coumadin, regulated drugs like valum, prohibited drugs like methamphetamines, diet pills and oral contraceptive pills. These medications and social activity may delay healing, prolong bleeding during surgery and may interact with the medications used during surgery. It is advised that patients discuss this further with their surgeon to minimize possible risks and complications.



The surgery is performed either under sedation, regional or general anesthesia depending on the extent of the procedure. This can be performed in an out-patient surgical facility that is accredited by local health department or patient may be admitted in a hospital for a few days. A full tummy tuck procedure requires a horizontally oriented incision, located at lower abdomen just above the pubic hair line; the incision may extent from hip to hip depending on the amount of excess abdominal skin that needs to be removed. Through this incision, a large area of the lower abdomen skin and fat is removed. The weakened abdominal wall muscles are repaired with non-absorbable plication sutures. This will tighten the abdominal wall and improve abdominal tone and contour.



After abdominoplasty, the abdomen will be flat and firm that is more proportionate with the patient's body contour. The initial results after the surgery may be obscured by swelling and some bruising. This is temporary and may resolve after 1 to 2 weeks, but patients are advised, that the final outcome will be evident after 3 to 6 months.



Pressure garment or abdominal binder is applied for 2 to 3 weeks at the abdomen after surgery. This will help the skin redrape to the muscles and control the swelling. Sutures are usually removed 10 days after surgery.



Prospective patients planning to have this procedure are required to allot 12 to 14 days. This time will be used for the initial consultation, laboratory, medical clearance, surgery, follow up, suture removal and early recuperation. After this patient is safe to travel since wounds are dry and healed.



Your plastic surgeon and/or staff will explain in detail the risks associated with surgery. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks or potential complications.



The practice of medicine and surgery is not an exact science. Although good results are expected, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure. Another surgery may be necessary.





The decision to have a tummy tuck is extremely personal and you'll have to decide if the benefits will achieve your goals and if the risks and potential complications are acceptable.





Possible risks and complications include:

Unfavorable scarring

Bleeding (hematoma)

Infection

Fluid accumulation

Poor wound healing

Skin loss

Blood clots

Numbness or other changes in skin sensation

Anesthesia risks

Skin discoloration and/or prolonged swelling

Fatty tissue found deep in the skin might die (fat necrosis)

Major wound separation

Asymmetry

Recurrent looseness of skin

Pain, which may persist

Deep vein thrombosis, cardiac and pulmonary complications

Persistent swelling in the legs

Nerve damage

Possibility of revision of surgery

Suboptimal aesthetic result



For more information on affordable cosmetic procedure, selecting qualified cosmetic plastic surgeon and to know all your options for the procedure you want to have you may visit www.philippinecosmetic.com/ or www.cosmeticplasticsurgeryphil.com



Author:

Dr Rino Lorenzo is a Filipino Plastic Cosmetic and Reconstructive Surgeon based in Manila, Philippines. He is a Board Certified and fully trained Cosmetic Plastic Surgeon, with 6 years of formal training in the field of Aesthetic, Reconstructive and Burn Plastic Surgery. Dr Rino Lorenzo is a Fellow of the Philippines Association of Plastic Reconstructive and Aesthetic Surgeon.



Disclaimer: " Webmasters are free to reprint this article provided that it is not edited, the author's information is included, and the links are included as live links."





Resource box text: "Dr R Lorenzo is the author of http://www.philippinecosmetic.com , a free guide to affordable cosmetic plastic procedures, choosing the right surgeon and safety tips in cosmetic plastic surgery, affordable and safe cosmetic surgery tourism"


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