Abdominoplasty Treatment: Say Goodbye to Your Good Old Jeans
Understanding Abdominoplasty in the PH and how it can be an advantage to you
Abdominoplasty, or more commonly known as tummy tuck, is one of the most in-demand plastic surgery procedures in the Philippines. It involves the removal of excess lower abdominal skin and its attached layer of fat, with simultaneous tightening of the abdominal wall. Abdominoplasty creates a flatter abdomen with the elimination of loose skin, stretch marks and post surgical scars below the umbilicus (commonly vertical caesarian section scars). The protuberant appearance is likewise addressed by way of tightening of the muscle and facial layers.
For Dr. Edwin Paul V. Magallona, most of his patients who undergo this procedure are those who had multiple pregnancies or those coming off from a major weight loss. Just like any other plastic surgery procedure, Dr. Magallona explains that the first step that a potential patient must do is consult a board-certified plastic surgeon, “this is a must for every cosmetic procedure, no matter how small or major the operation is,” he says.
He adds that tummy tuck will not guarantee a person financially rewarding and even a successful career. Instead, the only guaranteed result of abdominoplasty is boost in self-confidence. Dr. Mgallona stresses that before undergoing a tummy tuck, he thoroughly screens his patients to gauge their level of emotional and mental stability. The patient should always aim for a realistic result.
Abdominoplasty is considered a major plastic surgery procedure so it is important that one should do it ONLY with a board-certified plastic surgeon to avoid complications. He adds that “tummy tuck is not an easy procedure. A plastic surgeon should know different ways to do it; and must discuss it with the patient.” Good thing for Dr. Magallona, his more than 10-year experience in the field makes him knowledgeable about different techniques for any kind of plastic surgery operation.
There are types to choose from
There are several different types of abdominoplasty procedures. The type that is best for you depends on whether you need to have muscles tightened, skin tightened, fat removed, or a combination of any of those factors. Most surgeons do not perform every technique and some may try to ‘one-size-fits-all’ you for a sale. Be sure to determine all of your option
Endoscopic abdominoplasty could be right for those of you who have weakened muscles of the lower abdomen, excess abdominal fat, but who still have relatively tight abdominal skin. An endoscopic procedure cannot tighten loose skin on your stomach.
Endoscopic surgery is performed using a small camera, called an endoscope, along with several surgical instruments that are inserted through two or more small incisions. The surgeon can tighten muscles and suture with the help of the endoscope. Liposuction can be done to remove fat and then the incision is closed.
Mini-Tummy Tuck; Partial or Modified Abdominoplasty
If you need skin and fat removal only and not tightening of muscles, and if your navel does not need to be repositioned, you are a candidate for a mini-tummy tuck. A mini-tummy tuck usually has a shorter scar than a full one. A mini-tummy tuck is between endoscopic abdominoplasty and dermolipectomy.
Dermolipectomy is the removal of excess skin and fat, and includes repositioning the belly button. There is no muscle tightening. It is for patients who have a higher level of skin laxity than mini-tummy tuck candidates. It is often done for people who have a lot of excess skin after a large loss of weight, such as those who have had bariatric surgery such as stomach stapling.
This technique is the most invasive and is usually reserved for people with very lax muscles and excess amounts of skin to be excised. In a full abdominoplasty, you usually end up with a new navel because skin will be pulled down and redraped over your navel.
Because a full abdominoplasty is so invasive, there is quite a bit of pain and swelling, as well as bruising. This is caused by the amount of tissue that needs to be removed or rearranged for a proper correction. However, everyone is different and not everyone will experience the same amount of discomfort.
A reverse abdominoplasty is not a common procedure. It can be used in conjunction with breast reduction or mastopexy (breast lift) or for people who have a lot of loose skin above the navel. The incision is made just under the breasts in an inverted V. Instead of being pulled down, as in a regular abdominoplasty, the skin is pulled up. Excess skin and fat are removed and the incision is sutured. Rectus abdominal diastasis can be corrected with reverse abdominoplasty, but not many surgeons commonly perform this procedure.
Vertical Scar Abdominoplasty; or Fleur-de-lis
This technique combines an incision across the lower abdomen with a vertical incision up the center of the abdomen. This technique is usually reserved for people who need substantial amounts of skin removed and a lot of tightening around the waist.
Many people only need liposuction of the abdomen. For those of you who have good skin elasticity and stubborn pockets of fat in your lower abdomen and around your navel, liposuction can reduce the size of a protruding belly.
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FAQs about Abdominoplasty