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ABDOMINOPLASTY
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Dr. Rohit Krishna with Indian President
Dr. Rohit Krishna is a Consultant Cosmetic and Plastic Surgeon practicing in Delhi for the past 15 years and currently working with the Max group, a renowned, state-of–the-art chain of hospitals...
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ABDOMINOPLASTY

#1 My abdomen looks bloated and spoils my figure as well as my life. Can I do anything about it?
Dr Rohit: Abdominoplasty is performed to improve the shape of the abdomen by removing excess fat and skin and tightening the abdominal wall muscles.

#2 Well, my abdomen is out of proportion with the rest of my body due to an excess of skin and fat in this area. The abdominal muscles that have been separated and weakened, specifically after pregnancy.
Dr Rohit: The best alternative in that case is Abdominoplasty

#3 What is the procedure?
Dr Rohit: A horizontal incision is made just above the pubic area, and extends laterally toward the pelvic bones. The length of the scar depends on the amount of skin that needs to be removed and usually the incision can be placed within the lines of the bathing suit. When there is a small amount of loose skin and the fat deposits are concentrated below the navel, a much shorter horizontal incision will be sufficient. This is called a mini-abdominoplasty – though in your case we can finally say something after examination. If there is loose skin above the umbilicus, a second incision may need to be made around the navel freeing it from the abdominal skin. The excess skin can then pulled down and the navel re-positioned, so that the final position of the navel remains the same.

#4 Is it a long operation?
Dr Rohit: No the OPERATING TIME is between 2 & 4 hours.

#5 Is a very strong ANESTHESIA used?
Dr Rohit: General anesthesia is needed when the muscle wall needs tightening otherwise local anesthesia with sedation is administered.

#6 What about the hospital stay?
Dr Rohit: A minimum 24-hour stay is advised with a full abdominoplasty (especially if combined with another procedure). A mini abdominoplasty can be performed on an outpatient basis although an overnight stay is advised.

#7 Is the recovery period very long?
Dr Rohit: Temporary pain is treated with analgesics. Swelling, tenderness, numbness of abdominal skin, bruising, and tiredness, can last up to several weeks. Small drains, removed after a few days, are used to help avoid the accumulation of fluids in the abdominal wall.
Dressings are applied and will be changed every other day for the first two weeks. You may be required to wear a girdle for 20 to 30 days. Stitches will be removed in stages over a period of one or two weeks.

#8 Are there any possible complications?
Dr Rohit: A few. Like collection of liquid under the flap. Blood clots. Infection. Bleeding under the skin flap. Reactions to anesthesia. Delayed healing. Poor healing resulting in visible scarring or skin loss. Need for a second operation. Possibility of wide scars (keloids) in patients. Any one of these complications could occur and every precaution is taken to minimize the possibility.

#9 What is the Recovery Time:
Dr Rohit: Back to work: in 2 to 3 weeks. Strenuous exercising and sunbathing in 4 to 6 weeks or more. Fading and flattening of the scar : occurs after 3 months and sometimes up to 2 years.

#10 Are there any other details I have to be aware of?
Dr Rohit: Any plan to become pregnant or lose weight in the future, should be discussed before the procedure. The scar placement and quality from previous abdominal surgery may limit the results of your abdominoplasty. There may be an improvement in the number of stretch marks, especially those located below the navel, as the skin of the lower abdomen that contains the stretch marks will be removed. Sometimes liposuction may be used alone to remove abdominal fat, or in conjunction with an abdominoplasty procedure.

#11 What is the duration of the results?
Dr Rohit: The abdomen should remain firm and flat for many years, unless you gain a lot of weight or become pregnant. However, over the years, with the pull of gravity and natural aging process, a second abdominoplasty may be needed to improve the body contour.