Abdominoplasty

Who Is It For?

After major weight loss or pregnancy, it is normal for the abdominal wall to lose its tightness and for the skin to sag. Additional problems such as stretch marks, old scars or separated abdominal muscles can occur. All of these can be improved by a tummy tuck operation. Abdominoplasty surgery offers a solution by flatting the saggy skin and tightening the muscles of the relaxed tummy wall, and if needed, excess fat tissue can be removed. 

Get Prepared

Make sure you will get time off work (depending on the operation and the nature of your job). You will need support and help from the family and friends in the recovery period (avoiding physically demanding jobs, important social events etc.); if needed (and possible), arranging  for children care.  

No acute illnesses should occur in the period of at least 3 weeks prior to the planned tummy tuck operation (a viral illness, a cold etc.). If so, it is necessary to inform us.

One week before the operation, do not take any medications containing acetylsalicyclic acid (such as Acylpyrin, Aspirin, Alnagon, Mironal etc.). It might increase bleeding during and after the abdominoplasty surgery.

Ideally, one month (minimum two weeks) before the tummy tuck procedure women should stop taking hormonal contraception or replacement in order to prevent thromboembolism.

Consult your GP or your surgeon in Prague regarding other medications you take regularly. Bring your usual medicine and pills, if possible in the original packaging.

It is recommended to stop or considerably reduce smoking two weeks before the operation. If you are a smoker don’t forget to bring nicotine patches with you.

Tummy tuck surgery requires the use of elastic garment after the procedure. You can either bring your own or you can buy them at the clinic. We recommend buying them after the consultation with your surgeon who will try the elastic garments on and decide which size and type is suitable for you.

Ideally, women should not have their period when operated. If they do, they need to inform their doctor.

How Is It Done?

A tummy tuck operation is a highly individualised procedure achieved through a variety of incisions and techniques. The appropriate technique for you will be determined during your personal consultation with your cosmetic surgeon in Prague.

The incision is made in the so-called bikini line – from hip to hip in such a way it can be hidden within most underwear or swimsuit. During the tummy tuck operation, the skin and abdominal wall with the fat layer are separated, the navel is separated from the surrounding skin, abdominal muscles are tightened and the skin and subcutaneous tissue are stretched out while their excess is removed. During suturing non-absorbable or absorbable materials can be used. In the case of non-absorbable materials, the sutures must be extracted, while absorbable sutures dissolve in the body on their own and their advantage is also the fact that the scar is finer. 

There are two main types of abdominoplasty surgery:

Complete abdominoplasty (incl. muscles tightening and belly button transposition) – the belly button is cut from the surrounding skin, stretched muscles are pulled together and stitched, excess fat is removed. The skin is pulled down and the excess cut off. The belly button is repositioned to fit the new shape of your abdomen.

Mini tummy tuck – only the skin and fat in your lower abdomen is removed. The scar is along your bikini line. 

Surgery

The abdominoplasty surgery is done under general anaesthetic and takes approximately two to three hours.

After Surgery

This abdominal surgery normally requires a two night stay at the clinic and a five-day period of limited movement and abdominal wall rest. During this time, the client should bend forward slightly when sitting or walking. On the third or fourth day after leaving the clinic, there is a medical check-up by the surgeon. Special compression bandages are worn.

Post-operative Instructions

Possible Complications

Maximum discomfort will occur the first few days.

Post-operative bleeding, or bleeding caused by insufficient post-operative care at home

Prolonged healing (especially if you smoke)

Haematomas, Infection of the wound

An imperfect effect resulting from non-observance of the post-operative instructions.

You will have bruising and swelling of the abdomen. The majority of bruising and swelling will subside in 6-8 weeks.

You may feel tired for several weeks or months.

You will walk slightly bent forward and gradually return to normal posture over next 3 weeks.

Scars will be reddened for 6 months. After that, they will fade and soften.

Back To Normal

Following uneventful recovery, it is normally possible to return to work and resume customary activities (excluding exercise) within four to six weeks of the operation, or, in the case of non-strenuous, sedentary jobs, within three weeks.

Result

The scar remains but fades considerably. The resulting effect is long-lasting or even permanent. 

Extra

The consultation with the surgeon is of vital importance; the extent of the operation will be recommended, as well as other potential related treatments that can achieve the best possible result. Liposuction can be part of the operation or can be done several months afterwards; it removes remaining excess fat in the lower abdomen and hip area. In some cases, the surgeon may recommend the client to lose weight before the operation – either through a diet and exercise, or a gastric balloon (available at this clinic), which enables rapid weight loss by making the stomach feel full more quickly.


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