Liposuction and abdominoplasty

One of the most popular of the cosmetic surgeries is the “suction assisted fat removal”, i.e. liposuction. This body contouring procedure evolved from the end of the 1970s and became increasingly popular. It is good to know, that a Hungarian surgeon, Árpád Fischer developed this procedure in Italy.
Changes of the abdomen are often due to weight loss after weight gain, or after pregnancy. The local excess skin and fat may cause not only aesthetic, but functional and psychical disorders as well. The abdominoplasty is aiming to restore or to eliminate the skin, fat tissue, and abdomen disorders. 


Whom is liposuction recommended?

The best candidates for abdominoplasty are young or middle aged men and women in good overall health, who are at or near their ideal body weight but have excess, well localized fatty pockets in their abdomen that don’t respond to diet and exercise. The skin elasticity is a very important factor. Saggy, droopy skin cannot readily tighten around the new shape after liposuction.
Liposuction is not a treatment for pathologic obesity!!!!
Patients complying with the above strict guidelines may expect a safe procedure with spectacular aesthetic outcome


Abdominoplasty

This procedure is recommended when the abdominal skin is stretching and loose. Large pregnancy, twin pregnancy or important weight loss may result in loose tissues. Sometimes severe obesity results in sagging, even without weight loss. There are different stages of this condition. Sometimes only wrinkles around or below the belly button causes aesthetical discomfort. In more severe cases the excess skin of the lower abdomen hangs loose, like an apron. Abdominal muscle separation occurs often together with the loosening of the abdominal skin.
Restoration of abdominal muscle separation may be carried out during the abdominoplasty procedure.
There are different types of abdominoplasty: midi, mini and full. As a matter of fact, the “mini” abdominoplasty is the smallest intervention. Only the excess skin of the lower abdomen is removed. When performing full abdominoplasty, skin of the full abdomen is disconnected, the excess skin of the lower abdomen is removed, and then the skin is stretched on the abdomen. The surgery is generally performed under general or epidural anaesthesia. 1-2 days hospitalization is generally necessary.
Supportive abdominal binder or a dressing is recommended for 6 weeks after surgery.
Stitches are removed after two weeks from surgery. Resulting scars run from hipbone to hipbone
The quantity of excess skin defines the location of the incision. Usually we are aiming to place the incision under the bikini line. Half year after the surgery scare starts to fade, after one year only a tiny, flat line will be visible.
After full abdominoplasty, scars will be around the belly button, but later they will be hardly noticeable.