Abdominoplasty (Tummy Tuck)
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Abdominoplasty is a surgical procedure that removes excess skin and fat from the abdomen and tightens the muscles of the abdominal wall.
This procedure is commonly done in conjunction with liposuction of the waist and back for better results. The abdominoplasty or tummy tuck is a low risk procedure due to the muscles, entrails, nerves or vessel are not involved only fat and wall abdominal skin.
The only inconvenient is the scar in the pubis level however it can be hide with the underwear. The scar size depends of how damaged and flaccid the skin is.
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TYPES OF ABDOMINOPLASTY
CLASSIC: This is recommended when the entire abdomen is surrounded of loose and excess of skin, fat and flaccid muscles. The belly bottom has to be replaced.
MINI TUMMYTUCK: This is recommended when the fat and flaccid skin are localized in the navel area. The incision is short and the belly bottom doesn’t have to be replaced.
EXTENDED ABDOMINOPLASTY: In this procedure the incision extends to the back to remove the excess of fat and skin from the hips and from the lower back.
CIRCULAR ABDOMINOPLASTY: This procedure removes the excess of skin and fat from front, lateral and posterior side of the waist. Also, allow lifting up the buttocks, tight the lower back and tense the abdominal muscles. It’s recommended in patients that had severe obesity and underwent surgical intervention of lap band or gastric bypass and have lost from 30 to 60 kg of weight.
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MIDI ABDOMINOPLASTY: it’s a variant of the mini tummy tuck, with a small incision and replacement of the belly button.
VERTICAL ABDOMINOPLASTY: Is for patients that have multiple scars in the central area of the abdomen.
SUBMAMMARY ABDOMINOPLASTY: This procedure is for patients with localized flaccidity in the epigastric area of the abdomen (from the belly button and up).
LIPO ABDOMINOPLASTY: Is a procedure in which a liposuction is perform in the anterior, lateral and posterior areas of the abdomen with resection of the excess skin, a new belly button and the muscles are sutured.
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SECONDARY ABDOMINOPASTY: This procedure is for patients that already underwent an abdominoplasty, but through the time they have develop loose skin in the abdominal wall.
ABDOMINOPLASTY ASSISTED WITH ENDOSCOPY: Generally it’s made to repair small defects of the abdominal wall.
HABITS AND MEDICATIONS BEFORE THE SURGERY
Usually we indicate an antibiotic previous to the surgery with the purpose of decrease the incidence of infections; it is also recommended to stop taking the medications that may interfere with the coagulation such as, aspirins, ibuprofen, naxen, advil; this are medications called AAINES, as well as vitamins that aren’t indicated by any doctor, also avoid drinking black tea two weeks before the procedure. It has been shown that smoking, nicotine and other toxins present in the smoke of tobacco, it produces vasoconstriction (decreasing of the circulation), that’s why we request the suspension of it for 2 to 4 weeks.
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We always request lab exams (blood and urine) to know the health condition of our patient, also we ask for an EKG (valoration of the heart), we do this as a routine on our patients over 40 years old, also in patients under that age that have a disease.
Is important that the patient doesn’t eat 8 hours prior to the surgery to have an empty stomach and reduce the possibility of vomit or bronchoaspiration.
We prefer that all our patients have a lymphatic drainage before the surgery. It improves the lymph or the liquid between the cells and eliminates the toxins easier. When a patient is overweight it is better that they reduce the body fat, this way the surgical risks are less and the results are going to be better.
ANESTHESIA
We use sedation (tranquilizers in the veins) regional anesthesia on the area to be treated with epidural anesthesia.
TIME OF SURGERY
Two to four hours.
STAYING AT THE HOSPITAL
Generally Twenty four hours. In some cases, patients request to stay over twenty four hours which is completely acceptable. Please ask staff for extra charges.
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PROCEDURES THAT CAN BE COMBINED
The liposuction can be made as a complementary technique before or after the abdominoplasty in the pubic area, abdomen, waist, hips. The reparation of hernias is a very common procedure at the time we perform abdominoplasty surgery.
MEDICATION USED IN THE PROCEDURE
Before the surgery we provide oral tranquilizers, as well to prevent nauseas, vomit and allergies. After surgery antibiotics, anti inflammatory and analgesics are going to be prescribed.
LAST GENERATION LASER
The rejuvenation of the skin with NOVADOIDE laser allows us to treat wrinkles from face and neck as well as spots caused by sun damage. There are two types of aging, chronologic caused by the course of time and photo aging in which the wrinkles are formed due to the damaged caused by the ultraviolet radiation. The laser sends a light stimulating the production of new elastin and collagen fibers and fills the wrinkles. This laser works from inside to outside without causing any harm to the surface of the skin. There is no need to use general anesthesia, only anesthetic cream and ice.
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LASER TREATMENTS
- Photo rejuvenating
- Active acne
- Pigmented lesions (dark spots)
- Hipertrofics scars
- Stretch mark
- Flaccidity
- Hair removal
- Tattoos
- Keloids
- Spider veins
- Reticular Veins
- Varicose Veins
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