Our Summary

This research paper reviews the progress in the field of abdominoplasty, which is a cosmetic surgery procedure commonly known as a “tummy tuck”. This procedure improves the contour of the abdominal wall by removing excess skin and fatty tissue and tightening loose muscles.

The paper highlights that the development of techniques such as liposuction, selective flaps undermining (a method of separating the skin from the underlying tissue), progressive tension sutures (a stitching method that reduces tension and improves healing), and Scarpa fascia retention (a method that preserves a layer of tissue to improve healing and contour) have significantly reduced the trauma and complications associated with abdominoplasty. As a result, better aesthetic results are achieved.

However, despite these advancements, the paper concludes that abdominoplasty still has the highest rate of complications among cosmetic surgeries. Therefore, more research is needed to further reduce these complications and improve the aesthetic results of the procedure.

FAQs

  1. What is the purpose of an abdominoplasty procedure?
  2. What recent developments have been made in the techniques used in abdominoplasty?
  3. Why is the incidence of complications from abdominoplasty higher than other cosmetic surgeries?

Doctor’s Tip

A helpful tip a doctor might tell a patient about abdominoplasty is to follow all pre-operative and post-operative instructions provided by the surgeon. This may include quitting smoking, maintaining a healthy diet, staying hydrated, avoiding certain medications, and wearing compression garments as directed. Following these instructions can help reduce the risk of complications and promote optimal healing and results.

Suitable For

Patients who are typically recommended for abdominoplasty are those who have excess skin and fat in the abdominal area, often as a result of weight loss, pregnancy, or aging. Candidates for abdominoplasty should be in good overall health and at a stable weight. It is important for patients to have realistic expectations about the procedure and understand that abdominoplasty is not a weight loss solution, but rather a body contouring procedure. Additionally, patients should be non-smokers or willing to quit smoking before and after surgery to reduce the risk of complications.

Timeline

Before abdominoplasty:

  1. Patient consults with plastic surgeon to discuss goals and expectations.
  2. Patient undergoes physical examination and medical history review to determine candidacy for surgery.
  3. Pre-operative tests and evaluations are conducted to ensure patient’s safety.
  4. Patient receives instructions on pre-operative preparations, such as quitting smoking and avoiding certain medications.
  5. Patient signs consent forms and discusses potential risks and complications with surgeon.

After abdominoplasty:

  1. Patient is monitored closely in the recovery room for a few hours after surgery.
  2. Patient may experience pain, swelling, and bruising in the abdominal area.
  3. Patient is given post-operative instructions on wound care, medication management, and activity restrictions.
  4. Follow-up appointments are scheduled to monitor healing progress and address any concerns.
  5. Over time, patient will see improvement in abdominal contour and appearance, with final results becoming more apparent as swelling subsides.

What to Ask Your Doctor

Some questions a patient should ask their doctor about abdominoplasty include:

  1. What are the risks and potential complications associated with abdominoplasty?
  2. Am I a good candidate for abdominoplasty? Are there any medical conditions or factors that may affect my eligibility for the procedure?
  3. What type of abdominoplasty technique do you recommend for me, and why?
  4. What type of anesthesia will be used during the procedure?
  5. How long is the recovery period, and what can I expect in terms of pain and discomfort?
  6. Will I need to stay overnight in the hospital after the surgery?
  7. What are the expected results of the procedure, and are there any limitations or risks to be aware of?
  8. How long will the results of abdominoplasty last, and are there any maintenance or follow-up procedures needed?
  9. Can you provide before and after photos of previous patients who have undergone abdominoplasty?
  10. What is the cost of abdominoplasty, and does insurance cover any portion of the procedure?

Reference

Authors: Jin S, Li F. Journal: Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018 Dec 15;32(12):1611-1614. doi: 10.7507/1002-1892.201805088. PMID: 30569692