At the beginning, a long skin incision is made, which, running just above the pubic hair, extends from one pelvic bone to the other. In addition, the navel is freed from the surrounding tissue with a small circular incision. In a partial abdominoplasty, the incision is considerably smaller and it may even be possible to dispense with the incision of the navel.
Which risks does an Abdominoplasty have?
Complications are rare in an abdominoplasty and are usually insignificant for a lasting good result. Nevertheless, there are general risks associated with every operation, which are due to the surgical procedure itself. As with every operation, bruising and swelling can occur after an abdominoplasty, which usually heals by itself.
Serious secondary bleeding, combined with considerable swelling and pain, is a very rare complication. It must be corrected surgically. Infections of the wound area are very rare. Here there are highly effective antibiotic therapies that lead to complete healing. Wound healing disorders are just as rare, although factors that are discussed in detail in the discussion before the operation usually play a role, such as delayed healing in diabetics, smokers and patients with blood coagulation disorders.
With all operations there is a slightly increased risk of developing deep vein thrombosis of the legs. This risk is minimised by early mobilisation after the operation and medical support. Overall, abdominoplasty is a low complication surgery with a high degree of efficiency and safety.
How does an Abdominoplasty in the clinic of Dr. von Isenburg & Dr. Neuhann-Lorenz take place?
1 Personal information
Prior to any medical treatment, including abdominoplasty, our team provides the patient with comprehensive information about the planned procedure and its risks. It is very important that you think about your future body image and write down your wishes and questions beforehand. Do not be afraid to ask anything that interests and concerns you. In our experience, you should present your fears and concerns. If questions should still arise after the interview, we will gladly help you by telephone or during another preliminary meeting.
As a result of the preliminary talk, you will sign a declaration of consent: This documents which treatments will be carried out for you, which risks may occur and what needs to be considered. Your signature guarantees that you have received the appropriate information and that you agree to your treatment with knowledge of the general and specific risks.
2 Preparation for treatment
You should be as fit as possible, especially before a planned surgical procedure. Also to improve the chances of recovery, we recommend that smoking and alcohol consumption be kept to a minimum. If you are taking medication regularly, it is essential to state this in the preliminary consultation. Together with our medical specialists, we will regulate the intake in detail and individually.
The intake of hormone-containing medication (contraceptive pill, hormone replacement products) may have to be stopped temporarily. In any case, you should stop taking aspirin or similar medication at least seven days before the procedure. For perfect results and rapid healing, we also recommend that you take a shorter break about one week before the operation and allow yourself some more rest.
3 Process of the surgery
The duration of the abdominoplasty is usually one and a half to three hours, depending on the extent of the procedure. In principle, the operation proceeds as follows:
Lifting of the abdominal muscles
The abdominal muscles are then exposed. The straight abdominal muscles can now be approximated in the middle, tightened and fixed in the new position. The loose skin area is then pulled downwards and excess skin is removed. The navel is given a new exit hole.
Lifting of the abdominal muscles
Finally, the incisions are closed again and a wound dressing is applied. For the partial abdominoplasty, the skin is lifted only between the navel and the incision line. This area of skin is pulled downwards to remove the excess skin and then reattached.