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Abdominoplasty

Tummy tuck

It would be true to say that tummy tuck surgery (Abdominoplasty) is the most effective among tummy tuck and navel aesthetic surgeries. Every pregnancy deforms the abdomen. Belly aesthetics also deteriorates. Deformation increases appropriately in second and third births, twin pregnancies, and pregnancies with heavy weight gain. The skin of the abdomen becomes loose and cracked. The connective tissue forming the abdominal wall also loosens and the abdominal wall protrudes forward and swelling occurs.

Abdominal Aesthetics and Abdominoplasty

Abdominoplasty is the only application that can solve all these problems at once, which is almost impossible to fix on your own after pregnancy. You can correct your sagging abdomen by doing sports or by applying skin treatments, but to a certain extent.

HOW IT AFFECTS A Tummy Tuck

This surgery can destroy the cracked skin in your abdomen, remove your excess fat and restore your abdominal wall to its former tension.
There is almost nothing that can be broken during pregnancy that cannot be fixed with this surgery.
What happened so far was good news. The bad news is that this surgery has some disadvantages. Most of the cracks that remain on your belly button cannot be removed with this surgery. However, these cracks become much less obvious as they stretch. Although this surgery will remain inside your bikini, it leaves a scar twice as long as a cesarean section. In addition, tummy tuck surgery is the most painful, the latest, and the most difficult to heal among all aesthetic surgeries.

PROBLEMS OCCURRING IN THE ABS AND WAIST REGION AFTER PREGNANCY:

1. Abdominal muscles are trying to make room for the baby by sliding from the middle border to the side, but they cannot return to their original positions after birth. Therefore, there is flexibility in the abdominal wall and swelling occurs as if there is gas.
2. Cracks appear on the skin, especially in the lower abdomen.
3. On top of all this comes the weight gained during pregnancy. Many mothers are not able to return to their old weight after giving birth. This excess weight remaining in the body is mostly accumulated in the abdomen, waist, and upper legs. As a result of this lubrication, deformations such as sagging, wrinkles, and lubrication are seen not only in and around the belly button but also in the waist and groin.

Stretch Marks: Many changes occur in the mother’s body before birth. As the baby grows, the mother’s abdominal muscles relax and begin to open over time. The abdominal skin also expands and tries to make room for the developing baby. In the last months of pregnancy, the tension increases so much that the collagen strands in the skin, which provide its strength, begin to tear. These tears, especially seen in the lower part of the abdomen, appear as cracks on the skin surface. The likelihood of these stretch marks increases in mothers carrying twins, having a second and third pregnancy, or gaining weight uncontrollably during pregnancy.
It is also useful to keep in mind that stretch marks can also occur in people who gain and lose a lot of weight. In fact, this kind of skin sagging and disorder can be seen even in men. As a result, if the skin is stretched beyond its capacity, the skin may lose its elastic structure and cracks occur.

OPERATION:

In this surgery, cracked and sagging skin is taken from the level of the cesarean section to the navel over a real line to the sides. The skin above the navel is stretched and lowered. The belly button is also being formed. If necessary, excess fat around the abdomen is also removed by liposuction.

The relaxed abdominal muscles are tightened and restored to their former hardness. For this, a suture technique similar to that used in hernia surgery is used, and the loose anterior abdominal wall muscles are folded back on themselves to both narrow and strengthen them.

CAN LIPOSUCTION BE DONE WITH THIS SURGERY?

The answer to this question is in the technique your doctor will use. In classical techniques, fat removal cannot be performed together with this surgery. However, since the surgery is made easier with the latest techniques, fat can be removed as desired. Consult your doctor about this issue.

LATEST DEVELOPMENTS IN SURGICAL TECHNIQUE:

For years, this surgery was performed with the aim of correcting the middle of the abdomen. Only saggy and cracked skins were removed, and the waist and groin area was ignored, trying to keep the scar to a minimum.
It turns out that only obvious cracks and sagging in the middle of the abdomen are treated, but if the less noticeable groin and waist are not treated, the result will not be satisfactory. The biggest innovation made in recent years has been the emergence of techniques that add value to the whole abdomen, waist, and groin together and that correct the common problem in all of them. With these techniques, it is now possible to recover the waist and groin areas and to obtain a smoother image even before pregnancy. Many patients can have a smooth abdomen and waist after this surgery than they were before they became pregnant.
Examine the side photos again with this eye. Do not overstate the result shown in hand-made photographs. If done adequately, new techniques can be so effective.

THE REAL-TIME FOR SURGERY:

The ideal time for mothers is the end of the first year. During this period, the mother loses the weight she can lose and the degree of sagging and cracks is fully revealed. This surgery does not pose a problem for later pregnancies. However, if a new pregnancy is planned in the very near future, it is useful to postpone this surgery again. It is more correct to consider that new deformations will occur in a new pregnancy and to leave the treatment after the second pregnancy.
If the cause of the stretch marks is not pregnancy but weight gain and loss, it is useful to do the treatment at the end of the weight loss process. Thus, it is possible to see and treat the entire deformation.

COMPLICATIONS AND ISSUES THAT MAY OCCUR:

As with any surgery, bleeding and infection are among the possible complications of this surgery.
There is no possibility of significant bleeding in this type of surgery. Bleeding may be in the form of blood accumulation under your stitches, or “hematoma”. Your doctor may want to take you to the operating room to clean this accumulation and stop the bleeding if it continues.
In a one-to-one form, redness, fever, and swelling that occurs around the fifth day after the operation may be a sign of infection. Re-assay will be clear of infection and treatment with natural antibiotics.

Skin loss, although rare again, is in the midst of possible complications. Since this is a stretching surgery, the skin layers are loaded and the circulation of the skin may be impaired. It is mostly seen in patients who smoke after surgery. The skin takes a hard form in black color and may need to be dressed for a long time. One way to shorten this period is to clean the dead skin with a small intervention. Just like the skin problem that can be seen in the belly button. As a result of dressing for a while, these medical problems usually heal well beyond the claims. Don’t start smoking just because nothing will happen. Remember that the first two weeks after surgery are critical.
Wound healing problems are mostly caused by thick sutures used in surgery. They get better after a few days of dressing. But be aware that these types of reactions can occur even months after the surgery.

Asymmetry is again in the middle of the issues that can be encountered after this surgery. Significant asymmetries may require retouching surgery. In the classical techniques used, pots may occur on the skin at both ends of the scar. These often do not change with time and are permanent. The best solution is to remove them with a small intervention. But this scar is a few cm. extends.

FREQUENTLY ASKED QUESTIONS:

What precautions can be taken during pregnancy?

Although it is not always possible to prevent these stretch marks and sagging, it is a fact that it is much less common in expectant mothers who exercise regularly before pregnancy and can control their weight during pregnancy. However, no matter how much attention is paid, the resistance point of the skin always has a limit, and when this limit is exceeded, tears and cracks begin on the skin.

Can’t the problem be solved with just liposuction?

If there are no cracks in the skin and sagging is minimal, only degreasing may be sufficient. This surgery is appropriate after the first pregnancy with low weight gain. However, after the second and third pregnancies, twin pregnancies or pregnancies that have gained a lot of weight, that is, 30-40 kg, removing only the fat causes the skin to sag.

Should the scars continue all the way to the back? Can there be operations with shorter scars?

The length of your scar is completely proportional to the skin sagging and excess. Lean forward 30 degrees and squeeze the excess in your groin until it hurts a little. If this excess is not removed in the surgery, your surgery will give bad results. When this excess is taken, it becomes clear how much to go back. you can understand too. This is a surgery to remove excess. If you only stay within the cesarean section, the excess will be a handful. If you go back, you will get at least 10 times more than this, after all, it will be ten times more suitable. I think you should do this surgery either completely or not at all. Short abdominoplasties not only do not give bad results, they also cause “pots” at the incision borders and you have to have second and third surgeries. I think the most wicked and ironic part of the job is when the cuts take these pots, the truth stretches back and they come to the point you objected to at first. You will continue to be dissatisfied with the result of the surgery since they do not contribute to your aesthetic view in the least. the truth of this job is to plan the most measure from the beginning. it makes you slim, defined, and flat stomach as a sportsman, your lower back and groin are tense. In other alternative short-track techniques, there is tension in the midline of the abdomen, and the sides continue to remain drooping.

How much do these scars bother me?

The scar of the operation remains in the bikini. It will appear as a thin white line when you are naked. These scars can easily be accepted in a sagging abdomen full of stretch marks. However, this surgery is not recommended just to shape the abdomen.

Can I get pregnant after this surgery?

Yes. This surgery neither prevents you from getting pregnant nor creates a problem during pregnancy. However, after giving birth, your abdomen will loosen up to a certain extent.

What is a mini tummy tuck (mini abdominoplasty)?

It is only the stretching of the area under the belly button. It does not affect the waist and groin, it does not correct the belly button. But the incision is smaller, smoothing is faster.

In summary: mini surgery = minor outcome. It is recommended for rare patients whose entire problem is limited to the lower abdomen.

I had tummy tuck surgery before and I am not happy, can I have surgery again with new techniques?

Yes, you can and you can get very favorable results. But if you want to have your fat removed in this second surgery, know that very limited fat can be removed from the abdomen and waist region of the surgery. Since this area was removed from the base in the surgery performed with the previous classical technique, the blood circulation is considered below normal and corrosive processes such as fat removal are not performed if possible.

TIPS:

  • The stretch marks above your belly button won’t go away, they’ll just get better back. If you stretch your skin, you can approximate what they might look like.
  • With this surgery, your belly can be shaped like a miracle, but it is inevitable that a longer cesarean scar will remain.
  • The more saggy and fat your abdomen is, the longer the surgical scar will be.
  • Even months after the operation, you are likely to experience stitching problems in small abscesses. However, know that these usually get better in a week with easy dressings.
  • Do not forget that this is the most problematic for the patient among plastic surgery surgeries. Due to the repair of your abdominal muscles in the midline, you will have to lie in the “fetal” state for days after the surgery and stand bent forward. With the most optimistic claim, you can return to work after a week. Accept these upfronts.
  • Cleaning the intestines before the surgery, that is, taking only liquid food for two days and using bowel cleansing drugs, helps your doctor to fully repair your abdominal muscles during the operation. Do not reject this in advance. Continue your watery diet for a few days after the surgery, and stay away from gas-producing foods.
  • The aim of this surgery should not only be to treat the sagging abdomen, but also to rejuvenate the waist and groin. Get information from your doctor on this bet
  • Liposuction can also be performed together with this surgery.
  • Smoking after surgery can create significant problems for your skin. Don’t drink. All surgery plans are made with the assumption that you will not smoke. If you change the rules, you can destabilize them.

WHAT TO EXPECT BEFORE AND AFTER THE SURGERY:

This is a major surgery in size and difficulty. It would be wrong to say that it is a painful operation. Patients often feel pain in the first 3-4 days and complain that their abdomen is tense.
Bed rest outside the toilet for at least 2 days, usually 4 days after the operation. Moreover, it is not possible for you to lie down in bed, you have to spend these first days in the fetal state, leaning forward. However, when you are in this situation, the tension on your seams is relieved and you feel comfortable. After the fourth day, everything starts to return to normal. In the middle of 7-9 days, you can stand straight and lie down.
You have to stay in the hospital for one day after the operation. You can return to work only after one week.
However, an easy oral pain reliever will suffice for pain. This surgery is an attempt where significant bruising and swelling are not expected;
If you are working, it is imperative that you allocate a week for this surgery.

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