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TUMMY TUCK
(ABDOMINOPLASTY)
For many men, the abdominal region is a problem zone. Mostly due to heavy weight loss, but also with age increasingly weak connective tissue, sagging with excess tissue occurs. A balanced diet and sports are often no longer sufficient to pull the overstretched skin together. In this case, abdominoplasty, usually combined with liposuction, is the ideal procedure to achieve the desired taut abdomen.
Preparation
In the case of previous operations on the abdomen, an ultrasound examination of the abdominal wall should be performed beforehand to exclude any sbdominal wall hernias. Precise planning of the subsequent scar position is important. It is therefore advisable to bring underwear that you like to wear with you to the preparation appointment so that the scar can be placed exactly in the area that is covered by your favorite boxers.
You must not take any blood-thinning medication for at least 14 days before the date of the abdominoplasty. Any pre-existing high blood pressure must first be well controlled with medication and you should refrain from smoking. There are also some contraindications that we will discuss with you in detail during the preliminary consultation.
Technique
The surgery itself is performed under general anesthesia and is largely painless. Beforehand, we draw the exact surgical plan. Subsequently, all sagging skin and fatty tissue is mobilized from the pubic bone up to the costal arch. In addition, the abdominal wall muscles are united in the midline with firm sutures to accentuate the waist and re-stabilize the abdominal wall, creating an inner corset, so to speak. The excess tissue mobilized in this way is removed and the remaining skin is moved downwards. The belly button must be moved to bring it into its ideal position, centered on the abdomen. The wound is closed in depth with strong sutures, and the skin over it is very finely sutured to make the scar as inconspicuous as possible. It is hidden in the intimate area and fades with time.
If there is a large excess of soft tissue, including in the upper abdomen, a purely horizontal incision above the pubic border is not sufficient to create a flat contour. In this case, we combine the horizontal incision below with a vertical incision from the upper abdomen around the navel to the lower incision: this so-called anchor incision is also known as the "fleur-de-lis" technique. This can also be used to address excess tissue in the upper abdomen. We will discuss the right technique for you in our consultation.
Costs & Financing
The costs for a tummy tuck vary depending on the complexity involved and are made up of the surgical procedure, the material, the anesthesia and the final examinations. The costs start at 6,900 Euros, depending on the duration of the surgery and combinations with other procedures.
Risks
The procedure is a very common operation within plastic surgery. Risks can arise with regard to possible secondary bleeding, wound healing disorders or unsightly scars. The latter may require correction later.
Smokers have an increased risk of wound healing disorders and other problems, so we strongly recommend not smoking for at least four to six weeks before and after the surgery. Furthermore, it is essential to protect the abdominal wall with a compression garment for six weeks.
Aftercare
The procedure is performed on an inpatient basis with a stay of at least one night in an affiliated clinic. After the operation, you must abstain from sports and heavy loads for six weeks. During this time, a special compression garment is worn day and night. After 2-3 days, the first check takes place with the removal of the wound drains. Further follow-up checks follow. Since we work with self-dissolving sutures, there is no need to pull threads.
Sauna sessions or bathing should be avoided for two to three months. The scars are fine and with the right care they fade quickly and are very inconspicuous.
Are there reasonable alternatives to surgery?
In the case of small, circumscribed excess tissue on the lower abdomen, a so-called mini-abdominoplasty without relocating the navel may also be possible.
INFORMATION
OVERVIEW
Duration
About 2 hours
Anesthesia
General anesthesia
Costs
Starting from 6.900 euros or 102 euros per month
Technique
Tummy tuck with transposition of the belly button and inner corset, scar is usually hidden in the intimate zone
Post-treatment
Approximately 7-14 days downtime, 6 weeks no exercise and heavy lifting, wearing of a special corset
Useful information
Can also be combined with liposuction in the sense of a lipo-abdominoplasty, anchor incision is also possible in the case of large excess skin
Pain level
Pain-free thanks to general anesthesia
Presentability
After about 2 weeks
Procedure
One night inpatient
Risks
Rarely bruises, wound healing disorders, infections