Dr. Ertan Erel
Surgery to the skin and/or fatty tissue of the tummy is most often performed for women who have either lost a lot of weight or who have experienced ‘collapse’ of their tummy skin after one or more pregnancies. Often a Caesarean section has been involved. Sometimes problems arise after a hysterectomy. Men who have lost a lot of weight can also be helped.
Women may have had their tummy muscles severely stretched in pregnancy causing bulging or even herniation of the intestines (ventral hernia) and Mr Erel would carefully assess for that at consultation.
A greater or lesser operation may be indicated to ‘put things right’. A minor tummy tuck or mini-abdominoplasty just involves removing skin and fatty tissue low on the tummy leaving a low scar of limited length. This can be done as a day case under local anaesthetic and sedation or a general anaesthetic (asleep). It can be combined with lioposuction to the upper tummy and other areas.
More extensive surgery (full abdominoplasty) is needed to deal with bigger problems and may include tightening of the tummy muscles and repair of a ventral hernia. The scar from full abdominoplasty is also usually low but extends round onto the flanks. In cases where loose tissues extend right round the back, this can be removed too (trunk reduction) and the scar then extends all the way round as well.
Full abdominoplasty is done under general anaesthesia and involves a stay in hospital of 3 – 4 nights afterwards. You should expect to be off work for 4 – 6 weeks (2 – 3 weeks for a mini-abdominoplasty) and not to be exercising energetically before 8 weeks. Full abdominoplasty often requires freeing of the tummy button which is then brought through the tightened tummy skin at the right level: there is therefore a scar round it as well as the lower scar and these will take 9 – 12 months to gradually fade. Sometimes the scars remain more obvious than hoped for by not fading so well or because they thicken up to some extent. Mr Erel would advise about this if it happened but scars often improve anyway with time.
Full abdominoplasty can take up to 3 ½ – 4 hours. Safety of general anaesthetic is therefore considered carefully in each case. Being overweight and/or smoking represent serious risk factors.
Sometimes the operation can leave a slight fullness (‘dog-ear’) on one or both flanks which may require treatment under local anaesthetic as a day case if it is still a problem after about 6 months.
Finally, full abdominoplasty is quite a big operation and takes quite a while to fully recover from. However, it can produce excellent results and greatly enhance quality of life.
After the operation is done, our patients are generally discharged for 2 days and discharged after surgery.
Within a week or two they can stand upright and upright. Exact results may not be fully understood at the beginning due to reasons such as swelling for a while and recovery after surgery, but not standing exactly on the foot. Patients can drive after two weeks of surgery and return to normal sports activities after two months. The exact result will be apparent within 6 months. Scars also last for 12 to 18 months and usually remain a thin line in the bikini line.
Generally, this operation is performed as a complex abdominal stretching operation and is performed by taking the region between the cervical operation line and the umbilicus at the beginning of the inguinal hair. In some patients, a smaller area is removed from under the belly and this surgery is called mini abdominoplasty surgery. In very weight-loss patients, an extended abdominoplasty may require a second incision down from the top to the side to get more tissue in the side, and the surgical score remains inverse T (Fleur-de-leys). Another method is an all-around operation from the front and back of the waist region (also referred to as belt lipectomy or circumferential abdominoplasty).
Abdominal stretching can be combined with liposuction. In particular, it is possible to get a better body contour by taking the fat tissue from the side with liposuction. If the thickness of the tissue above the umbilicus is high, it is possible to thin it with liposuction. In some patients, the muscles in the abdominal region can be made more intense by liposuction, which is to achieve a muscular, muscular appearance.
This surgery is suitable for anyone over 18 years old who has come to the stomach of the abdomen and it is considered that the body mass index is below 30. Abdominal stretching operations can be performed after stomach reduction operations. After bypass surgery or gastrectomy, the patient is expected to reach the desired weight within 18 months. In addition to this period, the expectation for the balance of the kilogram, which has been reached for 6 months, has been proposed by the National Institute of Health and Care Excellence (NICE) in England.
When the surplus in the abdomen is taken, the aesthetic and physical problems of the patient are removed. Most of the fractures that occur in the lower abdomen of the abdomen after birth are also removed by touching after this surgery.
When there is too much tissue in the abdomen, there may be redness and dirt under the floor, and the patients often complain about not being able to move freely, not finding suitable clothes, and dissatisfied with aesthetics. Complaints such as this will completely cease after the operation. From physical and aesthetic point of view, the patient is very satisfied and self-confidence comes back.
• Signs of scarring and enlargement
• Bleeding (hematoma)
• Fluid collection (seroma)
• Yarn is not healing well
• Unconsciousness and other changes in skin sensation
• Recurrent skin loosening
• May be pain
• Feathers can be loss of sensation
• There may be blood clots in the legs. Specialist doctors take precautions.
After surgery, our patients are recommended not to stand up for a few days and do not lift very slowly and sudden movements should be avoided. Sports etc. activities should be avoided during the convalescence period. Two weeks later the vehicle can be used. The doctor recommended pork and clothes should be used for a month. Pre-and post-operative strictly non-smoking is crucial for healthy blood circulation and good nutrition and healing of the wound. Our smokers are advised to quit smoking one month before the operation.
Our patients are advised to check their weight after these surgeries. If a pregnancy occurs, it is possible to treat the additional kilograms or deformations that occur due to a second operation