Our Summary

This research paper discusses a technique used in body contouring procedures for patients who have lost a significant amount of weight. These patients often need more than just a lift, they also need their bodies to be tightened to adjust to their new weight. The commonly used technique, fleur-de-lis, often leaves visible scars and complications around the belly button area, which limits its use.

The authors present their experience with a different approach to this procedure, called inner scar umbilical reconstruction. This approach is simple, safe, and can be easily replicated, with fewer complications and more natural, lasting results. It improves the overall outcome of vertical tummy tucks, which are often used for patients after significant weight loss or bariatric surgery.

FAQs

  1. What is the purpose of the inner scar umbilical reconstruction in vertical abdominoplasties?
  2. What are the benefits of using the inner scar umbilicus technique in body contouring procedures after massive weight loss?
  3. How does the inner scar umbilicus technique affect the complication rates and results of vertical abdominoplasties?

Doctor’s Tip

One helpful tip a doctor might tell a patient about abdominoplasty is to carefully follow post-operative instructions to ensure proper healing and optimal results. This may include wearing compression garments as directed, avoiding strenuous activities, and attending follow-up appointments for monitoring progress. Additionally, maintaining a healthy diet and exercise routine can help maintain the results of the procedure in the long term.

Suitable For

Patients who are typically recommended abdominoplasty include those who have undergone massive weight loss, either through diet and exercise or bariatric surgery, and have excess skin and tissue in the abdominal area. These patients may have loose skin, stretch marks, and weakened abdominal muscles that cannot be improved through diet and exercise alone. Abdominoplasty can help improve the overall contour and appearance of the abdomen, resulting in a flatter, more toned appearance.

Timeline

Before abdominoplasty:

  • Patient consults with a plastic surgeon to discuss goals and expectations
  • Patient undergoes physical examination and medical history review
  • Patient may undergo pre-operative tests and evaluations
  • Patient receives instructions on pre-operative preparations, such as medication adjustments and diet restrictions
  • Patient may be advised to quit smoking and avoid certain medications that can increase risks during surgery

After abdominoplasty:

  • Patient is monitored closely in the recovery room immediately after surgery
  • Patient may experience pain, swelling, and bruising in the abdominal area
  • Patient is given post-operative instructions on wound care, medications, and activity restrictions
  • Patient may need to wear compression garments to support the healing process
  • Patient attends follow-up appointments with the surgeon to monitor healing progress and address any concerns
  • Patient gradually resumes normal activities and may start to see final results after several weeks to months
  • Patient continues to maintain a healthy lifestyle to preserve the results of the abdominoplasty

What to Ask Your Doctor

  1. What are the potential risks and complications associated with abdominoplasty, specifically the vertical approach?
  2. How long is the recovery process, and what can I expect in terms of pain and discomfort?
  3. Will I need to follow a special diet or exercise regimen before or after the surgery?
  4. What type of scarring can I expect, and how can I minimize their appearance?
  5. How long will the results of the abdominoplasty last, and are there any factors that could affect the longevity of the results?
  6. Are there any alternative treatments or procedures that could achieve similar results?
  7. Can you provide before-and-after photos of previous vertical abdominoplasty procedures you have performed?
  8. What type of anesthesia will be used during the surgery, and who will be administering it?
  9. How many vertical abdominoplasty procedures have you performed, and what is your success rate?
  10. What post-operative care instructions should I follow to ensure optimal healing and results?

Reference

Authors: Mendes FH, Donnabella A, Fagotti Moreira AR. Journal: Clin Plast Surg. 2019 Jan;46(1):49-60. doi: 10.1016/j.cps.2018.08.007. PMID: 30447828