Abdominoplasty provides good visual results, but for the price of scars and necessary reduction of excessive skin. These scars fade away with time, but they always persist and their aesthetic quality is individual. In plastic surgery, we divide the surgeries of the abdomen to two groups:
- reconstruction surgeries – these deal with disorders of the abdominal wall, diastasis of the rectus abdominal muscle, hernias, etc.
- aesthetic procedures – after labours, often due to improper care during pregnancy or sudden weight loss, there occurs skin release, which is then flappy and sometimes sagging in waist etc
Surgery of the abdomen is performed in general anaesthesia or in a block, epidural anaesthesia. Abdominoplaty lasts for 2 – 4 hours according to the severity. During the procedure, the surgeon releases skin in the abdominal wall from the base in the whole extent of the abdomen, the navel is circumcised with a scalpel and it is kept in its original site and while pulling is the excessive skin removed and it is firmly sutured. In case of spread abdominal muscles is also performed a procedure similar to a surgery of a hernia, i.e. suturing of the internal edges of rectal abdominal muscles. The navel is then seated through a cut in skin to the original level on the trunk. The patient has to count that abdominal surgery is a demanding procedure.