Abdominal Lipectomy / Lipoabdominoplasty
This surgery consists of removing skin in excess, flaccid or damaged, from the abdominal area, below the navel. It is usually required after pregnancy or massive weight loss; the idea is to simultaneously correct sagging that accompanies postpartum (internal muscular corset), as well as removing those abnormal fatty deposits that are altering the body contour, in the back, arms or legs; this can be accomplished by means of a simultaneous procedure called lipolysis.
The ideal candidate is a patient who does not suffer from chronic diseases such as diabetes, autoimmune diseases, uncontrolled hypertension, etc. In the case of maternal patients, they should have at least 3 months after having stopped breastfeeding.
The wound or incision to remove damaged or excess skin is made in the lower crease of the abdomen (lower abdominal groove), usually passing over previous cesarean scars (to eliminate them). Said cut is as long as the pleat that forms the skin of the abdomen over the inguinal region, when we observe the patient in a seated position. The length of this incision is not at the surgeon's will.
For the "softening" of the fatty tissue, and facilitate its extraction, in the process of molding by complementary lipolysis, waist, hip and back; Different types of technical aids are used. If the preparation of such fatty deposits is performed by a beam of light, we speak of "laser assisted lipolysis". If, on the other hand, internal ultrasound is used, the procedure will be called "vaser lipolysis". Or if a handpiece is used which causes a weakening of the fat by an aiding apparatus which induces mechanical vibration of the fatty tissue, and hence a "softening" thereof, then said process is called "assisted lipolysis with vibration or Vibroliposuction ".
Each patient may require the help of one of these particular techniques, or the combination of some of them. This is intended to obtain a better surgical result, shorten the duration and recovery time of the surgery, decrease inflammation and postoperative bleeding.
Removing excess fatty tissue through surgery can be performed on patients at any age, over 18 years and up to 60 years old.
The surgery is ideally carried out under general anesthesia. It encompasses moderate pain, which in some patients may be greater, according to their particular pain threshold. The need for immediate postoperative observation and proper management of pain make it a safer and more effective procedure if the patient remains in the clinic during the first day after surgery.
To assist in the recovery, postoperative physical therapy (external ultrasound, lymphatic drainage massage) is often used for the first 3 weeks. This therapy is provided by specialized personnel. During the same period, a Lycra-postoperative medical support should be used; that support is better known as postoperative girdle.
Work disability should be between 3 days and a week, depending on the degree of inflammation and postoperative pain. The bruises, although present in areas such as the waist, hip or legs, are not relevant during the recovery period.
As in any other surgical procedure, we start talking about end results between the 4th and the 6th week after surgery. At that moment in time we can go back to the gym, get sunbathe, or engage in intense outdoor activities.
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