Our Summary

This research paper is about a cosmetic surgical procedure known as TULUA. This method is a type of lipoabdominoplasty, a procedure that combines liposuction and tummy tuck. TULUA is particularly efficient as it allows for extensive liposuction and doesn’t involve undermining, a technique that can lead to complications.

For a full 360-degree body reshaping, an additional procedure called oblique flankplasty is performed. This operation helps to correct saggy flanks, lift the sides of the buttocks and thighs, and tighten the abdomen.

The paper discusses when and for whom these procedures are suitable, their limitations, how they are performed, and the care needed after the operations.

FAQs

  1. What is TULUA in the context of abdominoplasty?
  2. What are the indications and limitations of a non-undermined lipoabdominoplasty?
  3. How does the oblique flankplasty technique contribute to 360° torso reshaping?

Doctor’s Tip

A helpful tip a doctor might tell a patient about abdominoplasty is to follow all postoperative care instructions carefully, including wearing compression garments as directed, avoiding strenuous activities, and attending all follow-up appointments. This will help ensure proper healing and optimal results.

Suitable For

Typically, patients who are recommended for abdominoplasty are those who have excess abdominal skin and fat that has not improved with diet and exercise. This procedure is often recommended for individuals who have lost a significant amount of weight, women who have had multiple pregnancies, or individuals with genetic predisposition to excess abdominal fat and skin. It is important for patients to be in good overall health and have realistic expectations for the outcome of the surgery.

Timeline

Before abdominoplasty:

  1. Patient consultation: The patient meets with a plastic surgeon to discuss their goals, expectations, medical history, and any potential risks or complications.
  2. Pre-operative tests: The patient may undergo various tests such as blood work, ECG, and physical examination to ensure they are healthy enough for surgery.
  3. Preparing for surgery: The patient may be instructed to stop smoking, avoid certain medications, and follow specific dietary guidelines in the weeks leading up to the surgery.

After abdominoplasty:

  1. Immediate post-operative care: The patient is closely monitored in the recovery room for a few hours following the surgery.
  2. Pain management: The patient may experience discomfort and will be prescribed pain medication to manage any pain.
  3. Follow-up appointments: The patient will have several follow-up appointments with the surgeon to monitor healing, remove sutures, and address any concerns.
  4. Recovery period: The patient will need to take time off work and avoid strenuous activities for several weeks to allow the body to heal properly.
  5. Long-term results: It may take several months for the swelling to fully subside and for the final results of the abdominoplasty to be visible. The patient will be advised on how to maintain their results through a healthy lifestyle and regular exercise.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with abdominoplasty?
  2. Am I a good candidate for abdominoplasty? Are there any medical conditions or lifestyle factors that may affect the outcome of the surgery?
  3. What type of abdominoplasty procedure do you recommend for me, and why?
  4. What is the expected recovery time after abdominoplasty, and what can I do to promote healing and reduce discomfort during the recovery process?
  5. Will I have visible scarring after abdominoplasty, and if so, how can I minimize the appearance of scars?
  6. How long will the results of abdominoplasty last, and are there any factors that may affect the longevity of the results?
  7. Are there any specific postoperative instructions or restrictions that I should follow after abdominoplasty?
  8. What is the cost of abdominoplasty, and will it be covered by my health insurance?
  9. Can you provide before and after photos of previous abdominoplasty patients to give me an idea of the potential results?
  10. Are there any alternative treatments or procedures that may achieve similar results to abdominoplasty?

Reference

Authors: Hurwitz DJ, Kruchevsky D. Journal: Clin Plast Surg. 2024 Jan;51(1):71-80. doi: 10.1016/j.cps.2023.06.012. Epub 2023 Aug 7. PMID: 37945078