Abdominoplasty
A great way to
a beautiful body
Always remember abdominoplasty is not primarily a weight loss surgery but is a body contouring surgery.
Always remember abdominoplasty is not primarily a weight loss surgery but is a body contouring surgery. Abdominoplasty removes the sagging skin in the abdominal area and leads to contouring the tone of the midsection of body and defining a leaner silhouette. Abdominoplasty should be done to enhance your looks and to get the confidence of a better and beautiful body.
Abdominoplasty, also known as Tummy Tuck, is a procedure which removes excess skin more than the fat, restores separated or weakened muscle in turn making the abdomen smoother, flatter and firmer.
Tummy Tuck called generally, is more useful for people who either have lost excess weight and have loose skin, weakened muscles or are thin but have loose, saggy skin in the lower abdominal region.
We usually try to achieve a flat tummy through exercises, diet and regular workouts but fail continuously. Everyone desires of it but sometimes it becomes nearly impossible to achieve it through workouts or diet control. In this situation, Tummy Tuck or Abdominoplasty can be a perfect solution.
Sagging of skin can be due to multiple reasons such as
- Significant weight fluctuation
- After childbirth or pregnancy
- Any Previous surgery like liposuction etc.
- As a part of aging process
A Tummy Tuck or Abdominoplasty cannot treat
- Over weight issues as its effective for loose or saggy skin only.
- It also cannot correct stretch marks totally, though they may not be visible after the surgery
Tummy tuck is most commonly combined with liposuction of the abdomen and flank region if localised fat deposits are present in upper abdomen and flank region which are targeted in classical tummy tuck surgery.
Discussions during Abdominoplasty or Tummy tuck consultation should include
- You should discuss your surgical goals.
- Any previous surgeries and illness
- Drug allergies.
- Current medications, herbals supplements and drug use.
- Use of tobacco and alcohol.
A candidate opting for Abdominoplasty or Tummy tuck should fill up these criteria for better results
- A person should be slightly overweight, preferably within 30 percent of their ideal body weight and have loose abdominal muscles and skin with more fatty deposits in the lower part of abdomen. Your BMI should be less than 35.
- You should be a non-smoker and if you are a smoker, you should compulsorily stop smoking before at least two weeks before the planned surgery.
- You should really know well about what surgery you are planning to undergo.
- You should not have any major chronic illness or medical conditions
- You should be motivated enough to undergo the procedure.
- You should have realistic expectations.
Dr. Amit Agarwal's focus during consultation
- Measure your BMI, assess your areas of fat deposits around abdomen
- Assess your sagging skin and muscle tone, any hernias
- Examine how much of fat is outside the muscles (can be targeted by liposuction as an additional procedure) and how much is intraabdominal-inside with internal organs (cannot be targeted by liposuction)
- Examine your overall health, and risk factors
- Discuss any other available options if required.
- Take photographs
- Tell you about the procedure and related outcomes.
- Any risks or complication involved.
- Highlight the importance of maintaining a healthy lifestyle even after surgery
Questions to be asked with your surgeon about your surgery
- Am I a good candidate for the procedure?
- How long do I have to stay at the centre?
- What is the procedure and how is it done?
- Will there be scarring post-surgery?
- How long is the recovery period?
- When can I return to work and daily routines?
- What is expected of me to change in my lifestyle to get better results?
- When can I start exercising after the surgery?
Preparations to be done for the surgery
- You should be physically healthy.
- You should stop smoking if you are a smoker before at least two weeks prior to the surgery.
- Get the tests done prescribed by Dr Amit Agarwal.
- Avoid taking anti-inflammatory drugs and herbal supplements as they aggravate bleeding.
- All pre surgical work up investigations should be shown to the operating surgeon and the anaesthetist, and we will evaluate your fitness for the surgery. You will be given date for the surgery only after you are declared fit for the procedure.
- Compression garment measurement should be given for post-surgical use.
- Admission will be done on the same day at the centre.
- Written consent form will be signed explaining the procedure after the admission.
- Meeting with the anaesthetist for Pre-Anaesthetic check-up before the surgery.
- Nil per oral for minimum of 5-6 hours before the planned procedure.
Abdominoplasty/Tummy Tuck procedure includes
- In the first step, General anaesthesia is given preferably.
- In the second step, tumescent anaesthesia solution is then infused in the fat tissues under the skin of the pre marked area of planned surgery to reduce bleeding, pain and trauma to the tissues. An incision is made in the lower most part of abdomen along the marked line decided before surgery with you. People with large excess and sagging skin, incision is also given around the belly button to detach it from its original position with its stalk to be give a new position later during the surgery
- Dissection of the lower abdomen skin flap is done then towards the naval or belly button. Usually, the length and shape of the incision is decided on the amount of skin which is to be removed. The dissection may extend up from your navel also depending on the excess skin and required muscle tightening.
- Abdominal muscles are appropriately tightened, and excess skin is stretched and trimmed in the third step.
- A new opening for belly button is made if required and then it is placed in position and sutured.
- In the fifth step, incision is closed with absorbable sutures accompanied by skin adhesives over a drain.
Recovery after the surgery
After the surgery, dressings are applied to the surgical area and you are made to wear a compression garment to reduce swelling and to support your abdomen. You will be made to walk on the same or next day of the surgery. You will be discharged on second day of the surgery after the drains are removed.
Drains are placed under the skin to remove excess blood or fluid from the surgery. We might send you home with drain if there is excess fluid in the body. It may be preferable to remove the drain at a follow up visit.
- The sutures will be mostly on the inner folds and inside the skin which will be dissolvable and do not require to be taken off.
- There can be substantial swelling and bruising of the surgical area which usually subsides in 3 to 4 weeks.
- In the days following surgery, there will be pain which can be subsided by the pain killers given by Dr Amit Agarwal.
- Soreness might last for few weeks.
- You will be made to walk 6 hours post-surgery or the very following day, depending on your will and wish.
- You can start exercising after three weeks post-surgery.
- Pressure garment is a must wear for the next 4 to 6 months without gap or fail for almost 24 hours a day.
- You can return to work depending on your will power and the type of work required between 3-6 days.
- You can return to your normal lifestyle after two weeks of surgery.
Dr. Amit Agarwal will give you specific instructions for
- How to take care of the surgical site
- About the medications and how to maintain the general health.
- About your follow ups.
Risk and complications post-surgery
The complications and aftermaths of the surgery vary from person to person and his physical well-being. The factors which affect are poor circulation, a history of blood clots, diabetes or heart, lung or liver infection.
Like every surgery, Abdominoplasty/Tummy tuck may involve some risks and complications which include:
- Rare risks related to General anaesthesia. Anaesthesia is very safe in present times and with best machines and a qualified anaesthetist, chances of encountering any complication is less than 0.1 percent in a healthy individual. We at Kayakriti Plastic Surgery and Dental Centre are equipped with world class anaesthesia workstation, other equipments and two very qualified intensivists for the surgical procedures to be very safe and smooth.
- Seroma formation or fluid accumulation can occur which sometimes persists for a week.
- Rare chances of infection which might require prolonged antibiotic therapy.
- Bleeding and haematoma formation which might require drainage.
- Poor wound healing because of poor blood supply(mostly seen in smokers, people with high BMI, diabetics, hypothyroidism and in people with multiple diseases).
- Numbness or altered skin sensation can persist for 3-6 months.
- Scar will be in lower abdomen area which normally will be under the undergarments. It can get hypertrophied in few prone individuals.
- Very rare chances of skin loss or sutural dehiscence which might require resuturing.
- Persistent pain which subsides with time and slight medications.
- Prolonged swelling and skin discoloration which subsides with time.
- Rare event of Deep vein thrombosis, pulmonary or cardiac complication scan occur or precipitate in patients with multiple pre-existing diseases diagnosed or undiagnosed by routinely available standard tests and if multiple procedures are done in the same sitting.
- Possibility of revised surgery if the results don't meet your desired expectations.
These are the risks and possible complications which should be discussed by you with Dr Amit Agarwal before the procedure.
The total benefits of Abdominoplasty/ Tummy tuck will be seen after the swelling subsides.
You should always follow a healthy lifestyle to maintain your profile and confidence. It is also very important to maintain a healthy lifestyle to maintain your shape and contour. If you are unable to maintain it or plan an exercise regime, there can be deposits of unwanted fat at other sites other than the surgical. Then probably you may have to go under another surgery
Do's and don'ts of abdominoplasty
- You should always discuss any previous surgery or medical condition without hesitation.
- You should always wear pressure garment as it reduces swelling and gives proper shape.
- You should immediately consult your doctor if you have any complication.
- You should always maintain a healthy lifestyle for best and prolonged results.
- You should not get into surgery if you are having any major chronic illness and you should not hide it with your doctor.
Frequently Asked Questions
If your BMI is less than 35 and you are slightly overweight with a loose saggy lower abdominal skin, then you are a suitable candidate for the surgery.
You can get discharged on second day after the surgery after your drain is removed and with doctor's consent.
If you already have a scar that may merge with the one you will have after the surgery, you will not have two different scars after Abdominoplasty.
No. If your BMI is higher you should opt for lipoabdominoplasty after having discussion with Dr Amit Agarwal. If your BMI is more than 40, then bariatric surgery is the answer for you.
Quitting smoking is a perfect solution even without surgery as it involves many health risks, but it's totally up to your wish that you want to quit or not. But you should surely stop smoking at least 2 weeks before the surgery.
No. This is a time-consuming procedure and involves muscle tightening of the abdomen area and should be done under general anaesthesia.
You can resume work just after a week of the surgery, but you surely have to wear pressure garment for 4-6 months for best results and follow your doctor's instructions.
Abdominoplasty or Tummy Tuck Images
Indivisual results may vary from person to person.
These pictures are shown for the purpose of education only.
Shaping dreams through
Know your surgeon better
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
MNAMS, FACS, FICS, FRCS (Edinburgh, UK)
His Credentials
Three pillars of kayakriti
Privacy
We believe your experience with us should be comfortable and hassle-free to make it one of your best lifetime experiences for yours. We, here at the clinic, take full precautions to maintain your privacy in any manner. We also provide a staff who will receive you from the gate and take you to the chamber directly if you demand.
Trust
Our Surgeon is highly qualified and internationally certified with a team of skilled staff to perform any surgical or non-surgical treatment on your body.
Safety
When you plan to undergo any surgery you should always keep in mind that it's your body and it's a surgery. We, here always keep your safety a priority and will never recommend you to undergo any such procedure which is not safe for you. We also provide you with a detailed description of the complications which may occur after the surgery during the consultation as it's a surgical procedure so there may be some complications depending on the way your body reacts.
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Frequently Asked Questions
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
Kayakriti Plastic Surgery & Dental Center
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
Phone No. +919695940009, +919695940006
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