Abdominal lift, as it is also called abdominoplasty, involves liposuction, then stretching the skin from the pubis to the ribs and removing excess skin. It is done in a single session, in the office of the aesthetic surgeon, who carefully analyzes, in advance, the patient’s health. “It evaluates heart problems, lung problems, allergies, blood clotting disorders, diabetes, drug treatments, inguinal hernias, umbilical cord, etc. Also, an ultrasound of the abdominal wall is made and photos are taken before and after “, explains Dr. Gabriel Mazilu, cosmetic surgeon. The surgery is invasive and results in a flat abdomen, but at the cost of a scar on the umbilicus and lower abdomen, which is not significantly visible. Whoever decides to resort to such an intervention should take into account possible complications. Doctor Gabriel Mazilu gives us all the details.
Complications:
– Bleeding, hematoma, bruising (bruising)
– Liquid collection, chronic pseudocyst
– Infection, sepsis
– Loss of sensitivity
– Skin necrosis with delayed healing (from weeks to months)
– Operative wound dehiscence
– Development of abnormal scars (hypertrophic, keloid, painful)
– Asymmetry
– Persistent edema (lasting more than 6-9 months)
– The navel is not centered or is no longer present
– The so-called “puppy ears” may appear (a skin excess at the ends of the incision)
– Fatty embolism, pulmonary thromboembolism
– Risks of general anesthesia, allergic reactions to drugs, cardiac arrhythmias, postoperative anemia
Preoperative instructions:
– Stop aspirin or aspirin-containing products 2 weeks before surgery
– Vitamins should be stopped 2 weeks before and 2 weeks after surgery
– Estrogen medication (contraception or hormone therapy) should be stopped 3 weeks before surgery
– It is recommended not to perform menstrual surgery (“but from my experience and that of other colleagues, it is not a contraindication for surgery,” says the doctor)
– Disinfection of the skin 3 days before and in the morning of the intervention by showering with a bacteriostatic or bactericidal substance
– The specialist recommends that the patient take one month before the intervention and 2 months after the procedure oral iron preparations
Postoperative indications:
– Maintain drainage tubes for 5-7 days or until the amount drops below 50 ml / 24 hours
– Pain medication
– Broad-spectrum antibiotic for 7-10 days
– The dressings will be changed every 3-4 days
. Wearing special clothing items for 8 weeks
– Medical gymnastics will be able to start after 4 weeks
– Sustained physical exertion can take place after 8 weeks
– The patient should call the attending physician if any major problems occur (bleeding, pus, etc.).
– Proper hyperprotein, hypercaloric diet and hydration with at least 2 liters of plain water.
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