Patients are being evaluated and there are a variety of procedures to meet individual needs. The procedure should be individualized for the patient. For example, an excess of the skin and / or a muscle separation, bounded below the navel, may be met with a limited or minimal tuck. If the skin and muscle problems involve the entire front of the abdomen, complete abdominoplasty is required. Liposuction is often done simultaneously to further improve the end result.
Unfortunately, all surgical procedures have potential risks. The most common complication of abdominoplasty is persistent fluid accumulation called seromas. This happens because a large space is left behind by the procedure in a very moving part of the body. If you move your stomach while sitting, running, or even breathing, these tissues that are trying to heal can be disturbed, which promotes the formation of serums. In an attempt to prevent this complication, most surgeons use drains, called drains, to remove the produced fluid. Typically, 2-3 drains are placed in the surgical site and maintained until minimal fluid delivery is evident. This can take from one to four weeks. And even with the proper use of drainage, seroma formation has a herniation rate of 20% or more. We have developed a "No Drain Abdominoplasty", which involves a simple suture technique to secure the abdominal tissues so that they can heal without interruption. This unique method speeds up and facilitates patient recovery while reducing seromas and other potential risks.
During the first consultation, an individualized evaluation and treatment plan for the specific needs of the patient will be performed by the surgeon. During this visit, the surgeon will explain the technique, the expected convalescence and the expected results. The surgical technique we use is the progressive-tension suture technique; it allows the removal of subcutaneous pockets where the fluid can collect. No drainage is required, which minimizes postoperative care. This procedure allows patients to be straightforward, work physically and exercise at an early stage. It's an improvement over traditional methods,
Complications are drastically reduced through the use of Progressive Tension Sutures (PTS). (developed by Dr. Polock)
Modified abdominoplasty (abdominoplasty): The liposuction can be used both in the upper and in the lower abdomen. The operation then consists of making a relatively short transverse incision that lifts the skin and fat of the lower abdomen (called a flap) and repairs the muscle separation or diastase rectus. The incision is then closed after removing the excess skin. This procedure is usually performed on an outpatient basis. The belly button is either placed in the new position or restored with a new navel technique. The full abdominoplasty (abdominoplasty) presented above is similar but more extensive, as it involves an increase in the skin flap over the entire abdomen and repair of muscle separation.