This content created by Serhat Tuncer, MD with attribution to scientific articles.
One of the treatment methods that have been applied as a result of the developments in medicine in recent years for individuals with excess fat, excess skin, sagging and similar problems in the abdominal region for various reasons is tummy tucks surgery. Although it can be seen in both genders, it is ensured that the looseness and sagging of the abdominal area, which are frequently seen in women and in the post-pregnancy period, are stretched with the help of a simple operation applied with aesthetic surgery methods and a smooth appearance. In this way, the appearance of the sagging skin is removed and excess fat is removed and the abdominal area is flattened, especially the cracks in the part below the belly button are eliminated.
Tummy tucks, also called abdominoplasty, is a kind of plastic surgery operation. It is one of the most effective methods among the types of surgery applied in the areas of abdominal and belly aesthetics. Especially after pregnancy, the muscles and skin in the abdominal region cannot fully return to their old form. As a result, deformations occur in the abdominal area and the sagging belly causes an aesthetically unpleasant appearance. The level of deformation is much higher in pregnancies resulting in excess weight gain and in women who have given birth more than two.
After pregnancy, an undesirable appearance occurs with the loosening of the connective tissue in the abdominal wall, the protrusion of the abdominal wall, the appearance of swelling in the abdomen, abundance and cracks. Most of the time, it is not possible to destroy this appearance and to regain the old appearance of the abdominal area with methods such as sports and diet that the person will apply individually. In tummy tuck surgery, which solves this problem with a single operation, the abdominal skin loosened and sagging is recovered, and the excess fat concentrated in this area is removed and the person is provided with a flat stomach in a short way.
As with any operation, there are some risks of complications that may occur after tummy tucks. Bleeding and infection are the most important of these. For this reason, medications given by the physician should be used after surgery, avoid sudden movements and dressings should be renewed regularly.
The technique applied in tummy tucks, the area where the skin will be removed and other issues are decided in the light of the detailed examination to be made by the physician and the radiological images examined. The sagging and cracked skin in the area up to the belly button is taken from the area, which is generally called the cesarean scar level, from the area to be drawn sideways and the skin above the belly button is stretched down.
The belly button is also rebuilt in order to bring it to the appropriate position. In addition to sagging and looseness, if there is an excessive fat problem, excess fat in the abdominal area is removed by the method called liposuction. Thanks to the collecting stitches placed on the abdominal wall membranes, the loosened abdominal muscles are tightened and restored to their former stiffness. The incisions at the end of the surgery are stitched with aesthetic stitches to prevent the formation of unsightly scars.
After the operation, abdominal sagging, looseness and cracked skin problems, especially due to pregnancy or excessive weight gain and loss, are eliminated. However, in the event of a new pregnancy and delivery after the surgery, some of these problems may occur again.
Although it varies depending on the operating conditions after tummy tuck, patients are usually discharged after 1-2 days of hospital care. Patients are generally recommended to wear a special corset after tummy tuck surgery. This corset, which is worn continuously for 1 month, increases the success of the operation by helping the abdominal region reach the desired form. Approximately 3-4 hours after the end of the operation, the patient can stand up and walk with the help of a his/her relative, and the day after the operation can walk slowly without help.
During the operation, it is normal to experience pain for a while due to the processes and stitches in the abdominal area, and the necessary painkillers will be applied by the doctor. 2-3 days after the operation, the patient can take a bath and reach the comfort that s/he can do her/his daily work her/himself. During the first week, movements such as coughing, sneezing, and straining can hurt due to the fact that the stitches do not fully heal, and these movements should be avoided as much as possible as they may damage the stitches if they are severe.
If the patient is not working in a heavy job, it can return to work in about 7-10 weeks under average conditions, although it varies according to the doctor's recommendations and whether s/he feels well. This information is valid for full tummy tuck surgeries and although the recovery time is shorter in mini tummy tuck surgeries applied to solve milder problems, patients can return to their daily lives within 3-4 days.
One of the most curious questions of people who want to have tummy tuck surgery is whether pregnancy after surgery will cause any complications. Tummy tuck surgery is not an operation that affects pregnancy or may cause any problems during pregnancy. The appropriate time for pregnancy in women who have a tummy tuck procedure is related to the completion of the healing process of the operation, and it is the healthiest method for the physician to decide how long after the operation can become pregnant.
Another issue is how long mothers who want to have tummy tuck surgery after pregnancy should wait. The ideal period for abdominoplasty is stated as 1 year after birth. During this period, it is possible for the mother to lose as much weight as she can with the help of regular nutrition, breastfeeding and exercise, at the same time it is possible to determine the exact degree of cracks and sagging.
Mothers who do not plan a new pregnancy and want to stretch the abdominal region can plan the operation process by consulting a specialist at the end of 1 year after birth. Since new sagging and cracks may occur after a new birth in women who have had tummy tuck surgery, mothers who are considering getting pregnant again should postpone the surgery for a while. Tummy tuck surgery is a surgical method that can be applied to all patients whose general health is good, whose youngest child is at least one year old, who are not planning a new pregnancy in the future, who have not had a major operation in the abdominal region in the previous period, and who are deemed appropriate by the physician.
The duration of the tummy tuck surgery varies from person to person. Although the full abdominoplasty operation, which is called total tummy tuck, takes approximately 3-3.5 hours, the operation time can be up to 4 hours in people with wide abdominal area. In mini tummy tuck surgeries, which are applied in patients with milder sagging, sagging and similar problems and do not cover a large area as much as total abdominoplasty, the operation time is shorter and the operation is completed in a short time such as 1-1.5 hours.
Some of the factors that affect the duration of the operation are the amount of excess skin in the abdominal area, whether or not to take fat, the area of the abdominal area, the suture technique to be applied and the condition of the abdominal muscles. The operation is performed under general anesthesia and must be done in a hospital environment with suitable conditions and equipment.
Published: 11 Ekim 2020
Updated: 25 Şubat 2021