Patient story – Abdominoplasty with liposuction

Abdominoplasty and Liposuction

The large excess of tissue in the abdomen can be cut off and even a liposuction of inner thighs can be performed at the same time. It is not an exception although we can expect pain for several days after such larger procedure. The patient can carefully stand up and walk even the next day, although it is nothing comfortable. The pain fades away fast and the patient can usually return to work after
two weeks.
Like in the case of breasts I could never imagine that I can get rid of my kangaroo’s pocket on the tummy. Flat tummy was only in my dreams.
In case of the combined procedure we begin with the liposuction along in advance drawn areas directly on the body. During tumescent liposuction a solution is at first injected into hypodermis that helps to loosening of fat cells and the contained adrenaline stops the bleeding. Then small three to four centimeters wide holes in the skin are cut with a scalpel, where a vibrating cannula is inserted. The cannula vibrates and smoothly sucks at the same time. The sucked fat is really clean and without larger blood addition.
In case of Ladìna one and a half liters of mixture of fat and residual solution was sucked within few minutes from both sides of hips and inner thighs. It was necessary to remove fat the same way even from the area of upper tummy to correct the effect of abdominoplasty. Only a flat upper part of tummy can smoothly lead to lower part, which is cut off to remove the large excess.
During the surgery the first and also the last is a navel. It is cut off to be later inserted into a new hole. When the whole abdominal wall is elevated, hidden rectus abdominis muscles appear. In case of Ladìna there was a gap of almost two fingers between the muscles. That is not desirable according to expected effect. It was possible to remove more than a kilogram of extra tissue only after the suture of the muscles. After that the upper part of the abdomen is pulled close to the lower part and sewed.
The abdominoplasty is not a watchmaker’s job, it is much rougher. Nevertheless it is very effective. The belly looks very flat almost immediately after the procedure. Sucking drains are inserted into the wound for two days to remove residual blood. They are taken out in a second with one fast movement

Liposuction

 

Abdominoplasty - tummy tucks

I really didn’t feel well after almost four hours at the surgical room. The first night was the worst. I woke up on the bed in a forming compress pants from the navel to the knees. My legs were pillowed to reduce the pull from the abdomen. Although I was under anesthetics I could feel every brisker movement. After that everything was better every day. I felt no other limitation except the compress underwear that is not very comfortable in the hot days.
A diet program is very essential after liposuction or abdominoplasty for each patient. No reduction diet is necessary, rather healthy life style. It is more or less useless investment to perform these procedures and not to plan subsequent discipline in food and exercise. Surgically formed area resist some time their fat deformation, but this is not valid for the rest of the body. If the patient thinks that the plastic surgery has solved everything for him/her, he/she can loose its self-control. This might evoke the elimination of the effect or even unaesthetic body disproportion. Both effects are undesirable.
I could hardly recognize myself one month after the surgeries. Ten kilos of weight was gone and the mood permanently great. I have surprised even myself how full of energy I was and the drive to fight anything I had. Back then and even now I say “Devil takes that little pain. You can stand it and the result is really worth it!”
I felt like regenerated and the regular training and rightly set menu were still ahead of me. I expected from that another ten kilos down. And the reality exceeded my expectations. Although I truly bathed in my own sweat, I felt good and another 13 kilos were gone. Concerning my physical condition, there is always something to improve, but today I don’t perceive it as an unreachable problem. I see it as a challenge.