It is an operation used almost exclusively in people who have lost weight after bariatric surgery. As the name of the operation suggests, it is an abdominoplasty that extends around the perimeter. It is essentially an extensive body lift that provides effective solutions to people with loose skin around the perimeter.

The incision is just like a belt and in this way any excess is removed which incidentally creates serious infection problems under the folds. Patients undergo buttock and thigh lifts along with abdominoplasty and admittedly everyone is satisfied with their new image. To apply this technique it is required that the patient has remained at a constant desired weight for at least one year. It is the most expensive operation of its kind as it requires a lot of surgery time. The cost is also determined by the fact that these patients should be hospitalized for 2 to 3 days for follow-up.

In selected patients, liposuction or VASER liposuction significantly facilitates abdominal surgery. The acronym VASER stands for Vibration Amplification of Sound Energy at Resonance. It is essentially ultrasound-assisted liposuction that makes the tedious task of manual classical liposuction easier for the surgeon. It is important to understand that technology cannot replace a surgeon’s competence in liposuction. In fact, in the hands of someone who does not adequately understand the art of liposculpture can be a disadvantage.

The most common failures are asymmetry and deepening of the skin in places. In any case, I must emphasize that there are patients who particularly benefit from the combination of liposuction with abdominoplasty.

The concomitant contraction of the rectus abdominis muscle in many cases is the only way to do it, as many patients have muscle dimension. The beautiful shape of the abdomen is not only related to the relaxation of the skin and the presence of fat. The muscular system is especially important. The muscles of the abdomen are its natural corset. When for some reason the corset “overflows” the Plastic Surgeon is called to correct it. Either a pregnancy or chronic obesity are factors that exert forces on the abdominal wall. Constant pressure from the inside transforms the trunk from pipe to barrel.

There are tendon sutures in the abdomen. These are one vertical line in the middle and three horizontal. These look like a “six-pack” on fit thin people. Thus, it is especially important when this middle tendon suture has been extended to be folded as needed so that the body acquires the hourglass shape. The narrow waist is in demand for a sturdy beautiful body. In combination with liposuction on the sides of the abdomen, this technique gives perfect results.

When some of the above techniques are combined with this technique, patients, in addition to enjoying an amazing aesthetic result, are safe and do not suffer any particular discomfort such as pain, delayed healing and other complications.

Relevant contraindications are if:

• You want to lose a significant weight
• You are thinking of a pregnancy in the short term
• You have a body mass index greater than 30
• You are a smoker
• You have had previous abdominal surgery that caused significant scar tissue

While the absolute contraindication is if:

First, talk to your plastic surgeon about having a tummy tuck. During your first visit, the plastic surgeon will ask:

• the medical history for current or previous diseases. You will list any medications you are taking or have recently taken, as well as any surgeries you have had.
  Let me know if you are allergic to specific medicines. You will also be asked detailed questions about your weight gain and loss.

A tummy tuck is always done in a hospital. During a tummy tuck, you will be under general anesthesia. Upon awakening you will be led to your room where you will rest for a few hours. On the night of the operation, with the help of the doctor, you will mobilize. This will help you to stop the anticoagulant earlier as mobilization is the best anticoagulant protection.

During abdominoplasty, the plastic surgeon makes incisions to remove most of the skin and fat between your abdomen and the pubic area in a horizontal oval or elliptical shape. The connective tissue (fascia) above the abdominal muscles is then tightened with permanent sutures.

The plastic surgeon will reposition the skin around your abdomen. Your navel will come out of a small incision in the correct position and will be sutured in its normal position. The incision from pelvis to pelvic bone and through the scalp to the supraorbital region is sutured and will leave a scar that falls along the natural fold in the bikini line.

Your surgeon may also prescribe a blood thinner shortly after your abdomen.

You will wear a supportive abdominal garment (abdominal corset) for about six weeks after your surgery. This helps prevent fluid retention and provides abdominal support while you are healing. Your doctor will explain how to take care of your scar.

For the first 2 weeks after a tummy tuck, you need to be careful when moving. You should also avoid positions that stretch your incision line to prevent the wound from opening.

You will need to schedule regular follow-up visits. Ask your doctor how often you should see.