Abdominoplasty is a surgical procedure which aims to remove redundant excess skin and fat from the lower abdomen. The procedure is performed under a general anaesthetic The most common cause for the problems requiring abdominoplasty is either post pregnancy or following major weight loss.
Redundant skin and fat in the lower abdomen adversely affects the overall body shape and patients quite often complain of difficulty in purchasing clothes as the abdomen is disproportionate in shape compared to the rest of the body. If the apron of skin that hangs down over the pubic area is significant in size then this can also cause problems with moisture retention between the skin apron and the pubic area resulting in bouts of skin infection.
Other than the skin and fat of the abdomen the overall shape of the abdomen can be adversly affected by the tone of the abdominal wall muscles. This is seen quite commonly during and after pregnancy when there is a muscle split in the midline of the abdomen and this heal to leaves a gap after pregnancy and the bowel can push forward and give a more rounded appearance to abdomen.
A NEW YOU
THE IDEAL ABDOMEN
Abdominoplasty is a reasonable procedure to address these problems if an individual is fit and healthy. The procedure is performed under a general anaesthetic and the patient will be expected to stay as an inpatient in hospital for two nights following the procedure. The procedure involves making an incision just above the pubic hairline and extends from hip to hip. The skin and fat is then lifted off the abdominal wall, the abdominal wall is the next inspected for any weaknesses and if there is any obvious muscle splitting then repair of the abdominal wall with plication is performed. The excess skin and fat is then excised and the wound is then closed by means of dissolvable suture. Two drains are inserted and the umbilicus is repositioned into a new site.
In more severe cases a further incision is also performed in the midline from just below sternum extending down to the pubic area and this allows for further excess skin and fat to be excised and this is particularly useful in patients who have undergone significant weight loss. This additional procedure is called a Fleur De Lis Abdominoplasty.