The whole abdomen is treated; mostly it’s inferior part. All the excess of tissues is removed through an inferior abdominal incision. A second incision may be done around the umbilicus. The lower abdominal scar can involve the entire lower abdomen, like a standard abdominoplasty, or it can be limited to its center part, as in mini abdominoplasty. The surgery is frequently combined with liposuction. It can also be combined with breast surgery for a complete trunk remodelling.
The patient is encouraged to be active to diminish the risk of developing venous clotting. The shower is permitted 24 hours after the drain removal. On the first week, the head is elevated and pillow is used behind the knees to help the patient being more confortable. Usually, to diminish tension on the abdomen, the patient walks bended on the first week. Garments are worn the first month. Off work for 10-14 days. Regular exercises started 3-4 weeks after the surgery.
All patients need to stop smoking; taking blood thinner’s medications. Nothing to eat and drink before the surgery. The skin needs to be cleaned with antiseptic soap before and on the day of the surgery.
What to watch
Dizziness, bleeding, wound discharge, wound opening, fever, skin redness, breathless and pain in the calf. In these scenarios, the patient needs to seek medical assistance.
Short term: Bleeding, infection, liquid in abdominal wall, stitch abscess, phlebitis, and wound opening or sloughing. Long term: visible scarring diminished sensation on the lower aspect of the abdomen, recurrence of abdominal laxity.