Responsável Técnico

Dr. Denis Valente | Cirurgião plástico

CREMERS 24617 | RQE 18465

Lipoabdominoplasty

The abdomen is the focus of constant dissatisfaction, both in women and in men. Wide variations in weight, pregnancy, genetic factors, hormonal influences, eating habits and physical inactivity are contributing factors for the deposit of fat in the abdomen, indicating an unaesthetic conformation. What differentiates an indication of liposuction or abdominoplasty (conventional abdominal plastic) is the situation of the skin. Where there is an excessive amount of adipose tissue and skin becomes necessary to remove the excess tissue. With this procedure scoring and the fold that is formed in the lower abdomen are removed. Another important aspect is the correct placement of the abdominal muscles, which often needs to have position improvement. In most patients who have excess skin in the abdomen, in the same surgery, is performed liposuction on the back and waist, to produce a pleasing result when viewed in three dimensions.

Candidates

Women and men who feel that their abdomen is with excess skin and fat or localized and may, or may not have weakened the abdominal wall and want to improve the body silhouette.

Outpatient

Ambulatory 12-24 hours after the surgery.

Total duration of surgery

From 120 to 180 minutes.

Anesthesia

Epidural with sedation.

Recovery

Back to work, if not a strenuous physical activity is possible within a few days. The scar takes several months to become unoticeable, in some cases can take a year or more. The dressings should be changed in the first two weeks after the operation. Shower is allowed 24 hours after surgery and the stitches are removed after the seventh day. Small drains are removed when used after a few days. They are used to prevent the accumulation of fluid in the abdominal wall. Recommended the use of compression garments during the initial 2 weeks.

Objectives

To improve the abdominal volume. Distribute the excess skin. Tighten the abdominal muscles. Improve body balance.

Incisions and tries

We aim to make the smallest possible scars, but the size of the scars is directly proportional to the amount of skin and fat that needs to be removed. An horizontal incision is made ​​just above the pubis, similar to that used in caesarean section and which extends laterally to the beginning of the iliac bone. The length of the scar depends on the amount of skin and fat that needs to be removed. The scar is usually hidden by underwear and bikinis. When the excess skin is small and fat deposits are concentrated below the navel, the horizontal incision can be quite small, and surgery is then called mini-abdominoplasty. When there is excess skin above the navel is made ​​a second incision around the navel, freeing you from the abdominal skin and the excess skin is then pulled down and removed, the navel is to remain in its original location.

Undesirable effects

Temporary pain which is usually treated with simple analgesics. Swelling, temporary decrease of the sensitivity of abdominal skin and bruising.

Additional notes

Who plan to become pregnant in the future or lose weight should discuss the matter before the surgery. The scars from previous abdominal surgery may influence and limit the results of abdominoplasty. There may be an improvement in stretch marks located below the navel, where the skin is removed. The striae of the skin above the navel are less visible when the skin is stretched, but not disappear.