What is the Abdominal Wall? How is the structure?

The abdominal wall (inner abdomen) is a structure formed by interconnected muscle groups and membranes, protecting the internal organs by wrapping them like a cylinder. At the same time, the movements of these muscle groups control the bending and rotation of the trunk in different directions. This cylindrical front part of the abdominal wall is formed by a pair of muscles that start just below the breasts and extend to the groin. These muscles are called ‘Rectus Abdominis Muscles’. The rectus muscles provide the forward movement of the trunk (shuttle movement), and the weakest part of the entire abdominal wall is the thick membrane that runs along the length of the two rectus muscles.

What are the Deformations Caused by Pregnancy in the Abdominal Wall?

Especially in the last months of the pregnancy period, the abdomen grows well. The abdominal wall expands in women who gain excess weight or whose abdominal structure is not strong enough. At the same time, the membrane that holds the rectus muscles together ruptures and the muscles move away from each other so that a gap is formed between them. This condition is called ‘Rectus Diastasis’.

Features after recurrent pregnancies; Between the rectus muscles moving away from each other, the stomach moves forward and expands. The stomach, which increases in volume, delays the formation of the feeling of fullness, and after eating more food, the stomach becomes more prominent. This situation occurs as both sagging of the abdomen and obesity (obesity) in women. The lubrication of the abdominal region and skin sagging due to enlargement accompany the picture. As a result; The enlargement of the stomach characterized by swelling just above the navel and sagging skin under the navel appear as a permanent problem.

What are the Problems Caused by Abdominal Sagging?

The most important problem is unavoidable weight gain and obesity. These patients feel thinner and fitter in the morning due to the emptying of stomach contents during the night. However, with the first meal, the forward movement of the stomach is triggered and sagging of the abdomen occurs.

While the person looks older and out of shape due to the sagging of the abdomen, the mobility of the person decreases in advanced weight gains.

The sagging of the abdomen results in the fact that the woman does not like her own body, decreases her sense of self-confidence, does not fit her clothes on, and avoids social environments due to reasons such as avoiding the attention of her body.

What is Tummy Tuck (Abdominoplasty)?

The surgery that provides both the collection of sagging abdominal skin and the recovery of the expanding and separating abdominal muscles is called ‘Abdominoplasty’. In this surgery; A longer incision is made, similar to the cesarean section, to reach the deformed abdominal muscles first. These muscles are stitched to each other along the length and the separation between them is eliminated. This process is called ‘Rectus Plication’.

What are the Types of Abdominoplasty?

Abdominoplasty can be performed in two types, mini and exactly. What determines the type of surgery to be performed is the degree of relaxation in the rectus muscles and the amount of sagging in the skin.

In Full Abdominoplasty; By separating the belly button, the dissociated muscles are brought closer to each other from top to bottom and the underlying tissue is completely removed from the belly button.

In Mini Abdominoplasty, the procedure is applied only to the part below the navel, the navel does not leave its place.

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