Abdominoplasty after weight loss

Indication:
After major weight loss, with the drastic reduction of abdominal fat volume, there is a flaccid bulging abdomen, formed by an excess of skin. Due to the large skin stretching during the obesity period, the skin loses some of its elasticity, and when there is loss of weight, it does not retract enough, giving a skin surplus  below belly button.

Dr. El Hachem states that a tummy tuck, or abdominoplasty of the abdomen remodels the abdomen by removing excess tissue (skin and fat) that accumulates mainly below the navel and also by adjusting the loose muscular belt. This is a surgery to lose weight but also to remodel the abdomen.

Abdominoplasty after major weight loss

Anesthetic type:
The anesthesia can be epidural or general.

Length of stay:
Generally between 24 and 48 hours, depending on the recovery and Dr. EL Hachem guidance.

Postoperative:
The patient will have an abdominal drain for a few days, to be taken out as directed by Dr. El Hachem.

Avoid efforts and remain in a bent position for up to 10 days to avoid tension to the scar. Physical exercise should be avoided for at least one month. You should use an compressive garmen for at least 1.5 months, or for the period stipulated by Dr. El Hachem. Ultrasound and lymphatic drainage sessions after 7 days of surgery, avoid the local fluid accumulation and facilitate internal scarring.
The scar usually become red for a few months, tending to clear in 6 months to a year, depending on skin type and genetics of the patient.

Complications:
The possible complications of abdominoplasty, can be cited as follows: hematoma, seroma, infection, necrosis (skin injury), dehiscence (opening of the suture), keloid, thrombosis, embolism, anesthesia problems.

Abdominoplasty after major weight loss

Because the most frequent complications happen to patients that smoke, they should refrain from smoking for a month before surgery to minimize the risks. In the case of use of oral contraceptives, the patients should discontinue the use one month before surgery, during which another contraceptive method should be adopted.

Definitive result:
The final result of abdominoplasty is reached 6 months after surgery, which is the time required for the accommodation of tissue and maturation of the scar.

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