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Abdominoplasty

Who is abdominal surgery suitable for?

Abdominal plastic surgery is suitable for women and men who are generally in good health, with a congenital or hormonal susceptibility to fat deposits in the abdomen. The abdominoplasty is an operation that involves the so-called Venter pendulus, i.e. the hanging belly removed. A venter pendulus develops in people who are overweight, but also after a significant weight reduction and in women after pregnancy. Sometimes venter pendulus is also related to a divergence of the muscles of the anterior abdominal wall or to an umbilical or other abdominal hernia. It is a major procedure that removes the excess fat and the skin, on which stretch marks are often visible; the procedure tightens the abdominal muscles and thus improves the appearance of a drooping and protruding abdomen. Plastic surgery can also correct the navel and its position.

Before the procedure

Abdominoplasty is a demanding procedure and must be performed under general anesthesia. Therefore, a complete internal preoperative examination is necessary, which includes a chemical diagnosis and a sediment analysis of the urine. Basic biochemical examination of the blood - glucose, liver values, sodium, potassium, urea, creatinine, CRP, blood count, blood sedimentation, Quick, APTT (bleeding and coagulation tests); If you have heart or blood vessel diseases or if you have high blood pressure, an EKG is also necessary.

During a personal meeting you will learn the course of the operation and the result that can be expected in your case. You will be given instructions on what medications to avoid prior to surgery, so please don't forget to tell your surgeon about any medication you are taking. Before the abdominoplasty, it is not beneficial to follow a drastic diet so that the body is able to react to the operation and to regenerate itself as best as possible. It is important to be in good health at least 3 weeks before the planned procedure and to rule out a possible cold, virus, flu, etc. On the day of the operation, these diseases are considered a contraindication for performing the operation. Therefore it is necessary to speak to the doctor and inform him of all the facts.

Course of the procedure

The plastic abdominal surgery can be a full (complete), a partial (also known as mini-abdominoplasty), or an abdominoplasty with liposuction (so-called lipoabdominoplasty). The complete abdominoplasty usually takes two to five hours, depending on the extent of the operation. Partial abdominoplasty takes one to two hours. With lipoabdominoplasty, the fat at the point where the incision is made is first suctioned off and then the actual abdominoplasty is performed. In abdominoplasty, an incision is made from one side of the pelvic bone to the other, in the lower part of the abdomen. The skin is separated from the abdominal wall, then the excess skin and fat are removed, and the abdominal wall is sutured. This makes the stomach leaner and firmer. If the patient so wishes, there is the possibility of tightening the abdominal wall muscles through the operation.

After the procedure / convalescence

After the operation you have to expect an inpatient stay of 2-3 days. After the operation is finished, drains are placed at the surgical site so that excess blood can be sucked off more easily. Please be prepared for abdominal pain after an abdominal plastic surgery when you breathe deeply, when you cough, when you change your sleeping position, when you get out of bed or when you use the toilet. If you are in pain, you can take recommended pain reliever medication. It is therefore beneficial to have someone with you who can help you for the first few days or weeks. After the operation, you may be forced to lean forward slightly. This condition will go away within 2-3 weeks. Full recovery takes 2-4 weeks, depending on how demanding the surgery was. After the operation, the aesthetic and psychological state of the person concerned, as well as the overall physical condition, is significantly improved. An important part of the postoperative phase is a compression girdle that you wear 24 hours a day for about 1 month and then it is recommended to wear compression underwear for a period of 1 - 2 months. For better healing of the scars, it is beneficial to perform pressure massages. Various ointments can be used for the massages; good results are achieved with the use of silicone plasters. Post-operative scars are where you wear your underwear, so they can be easily covered up. Later, after complete healing, the scars can be smoothed with a cosmetic laser treatment, but they also fade considerably over time. Swelling and bruising can be relieved with ointments such as heparoid and hirudin. Taking Wobenzym is also recommended for better healing. If the job is not physically strenuous, you can return to work after 2 weeks, if the work is physically strenuous, only after 4 weeks.

Possible complications

As with any major surgical procedure, complications can arise with abdominoplasty. An infection can occur at the surgical site, the wound can bleed, or the wound can open. A less serious problem is bruising, which gradually disappears. There may be loss of sensation due to minor injuries to the nerves where the incision was made.

With large abdominoplasties involving a large skin removal, the abdomen can be asymmetrical after the operation and the scar does not have to be straight. With keloid scars, the convalescence is prolonged and the result does not have to be satisfactory. Most complications are solvable, but one must follow the doctor's recommendations and be patient.