Abdominal aesthetics (abdominoplasty)

Abdominal aesthetics (abdominoplasty) is an operation that can be performed in both genders, but the majority of patients are women. Patients with the appropriate characteristics benefit greatly from the abdominoplasty procedure.

Normally, the resistance and aesthetic stance of the abdominal wall are provided by a pair of muscles on the anterior abdominal wall extending side by side and along its length. We call these muscles the rectus abdominis muscle. The main task of the rectus muscle is to pull the body forward, and we can do the sit-up movement thanks to this muscle pair. The rectus muscles are most deformed during pregnancy throughout life. In the last months of pregnancy, they cannot withstand the tension caused by the excessive growth of the abdomen, and they move away from each other and become deformed (rectus diastasis). Especially after recurrent pregnancies, the anterior abdominal wall has lost all its resistance and its anatomical structure has deteriorated. Even in women who have attained their ideal weight after giving birth, unavoidable sagging of the abdomen, post-meal digestive problems, and feeling of bloating occur due to this problem. The inability of the abdominal wall to show sufficient resistance allows the stomach to expand easily and plays a role in facilitating continuous weight gain.

Abdominoplasty surgery includes 3 separate procedures in itself. In the first stage, the fat tissues on the upper and lateral sides of the abdomen are removed by the liposuction method. In the second stage, the excess skin and subcutaneous tissue sagging under the abdomen is removed and a taut abdominal skin is obtained. In the third stage, the deformed rectus muscles on the anterior abdominal wall are brought closer to each other by the plication method, and the birth-related deformations in the region known as the inner abdomen are removed.
Abdominoplasty is the surgery that I draw the most rosy picture for my patients in the post-operative period. Because I assure my patients that they will slim down 4 sizes as soon as they come out of the surgery, and if they listen to my suggestions within the next 2-3 months, they will get at least 2 sizes thinner, which is my claim. During the surgery, both the liposuction process and the plication process, already 4 sizes of thinning are achieved immediately. In the following process, if patients are fed only with liquids and away from carbohydrates, it is not a dream to get that much thinner.

Of course, there are a few factors that enable this. First of all, it is much easier for the patient to follow a certain diet program after tummy tuck surgery because the physical change associated with the surgery motivates the patient to a great extent. The plication to the abdominal wall compresses the stomach from the front, the stomach cannot expand as easily as before, and therefore the feeling of fullness occurs much more quickly. Finally, the patient, who has difficulty in movement due to his previous weight, moves away from a sedentary lifestyle and increases calorie consumption, as he can move much more easily.

There is another effect of tummy tuck surgery that is perhaps never mentioned but I think is very important. The risk of having a heart attack, especially for people over the age of 40, increases in direct proportion to their waist circumference. For this reason, tummy tuck surgery directly reduces the risk of heart attack in patients over the age of 40, and I think this is an undeniable gain.

Abdominoplasty is completed in about 2 hours. The procedure is done under general anesthesia. The patient comes out of the operating room dressed in a special corset. The patient is asked to wear this corset for at least 6 weeks. In rare cases where there is a risk of bleeding, safety drains are placed.

The patient is hosted in the hospital for 2 days. So when will you recover after tummy tuck surgery? You will start walking in the 6th hour after the surgery. You don’t even need to walk upright. When you are discharged from the hospital, you will be walking by yourself and meeting your toilet and cleaning needs. When the first week of the surgery is over, you can wear your jeans and walk around the market. After the 2nd week, you can drive. But before 6 weeks, you cannot lift the table and hold a broom under it or carry the water bottle left in front of the door to the kitchen.

In every operation performed on the abdomen, a significant edema occurs after a certain period of time after the operation. The development of this edema depends on the damage of the lymph channels during the procedure and continues until the lymph channels are active again (this period is 3-4 weeks). During this period, the area should be relieved with daily massages, as the existing edema will adversely affect wound healing. It is a little difficult in practice for a person to massage patients for 30 minutes on average every day. In order to solve this issue in a practical way, I have patients buy weight loss belts that are powered by electricity and are wrapped around the waist. Using these belts for 30 minutes at low speed is very effective and my patients say that they feel very comfortable after this procedure. I am pleased to watch that many of my patients change their clothing styles in the 3rd-4th months after surgery and choose tighter and more assertive clothes. Not to mention that the future gentlemen who were cold and hesitant before the operation brought smiles on their faces…

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