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Abdominoplasty

Removal of excess skin and fat from the abdomen

Overstretched abdominal skin that occurs as a result of obesity, followed by the deflation caused by weight loss, results in multiple functional and aesthetic irregularities in the area. Irregularities typical of post-bariatric patients include: inelastic and sagging skin (dermatochalasis), skin folds susceptible to continuous irritation, persistent fat deposits and lax muscles. Of course, the natural ageing process, with or without weight loss, contributes to a progressive loss of skin elasticity in the abdominal area.

The surgical operations used to correct these defects are:

  • abdominoplasty
  •  “anchor-line” abdominoplasty

ABDOMINOPLASTY

Abdominoplasty is utilised in the case of severe skin looseness in the lower abdomen, which may hang in apron-like folds over the pubis.  It involves excision of excess skin and fat in the lower abdomen below the navel. The surgical incision and resulting scar runs horizontally above the pubis and continues upwards and laterally towards the flanks, an area normally hidden by underwear or bathing wear.  The abdominal tissues above the navel are stretched downwards and are joined to the pubis. The muscular wall is strengthened and tightened and the navel is repositioned to its normal location. There is an additional scar inside the navel. There are no sutures to be removed, as solely deep dissolvable stitches are used.

In selected cases, liposuction is performed to remove fat deposits and improve the abdominal contour during abdominoplasty.

This operation can also be associated with puboplasty, which consists of the uplift, with or without liposuction, of the pubic region.

Abdominoplasty is performed under general anaesthesia (the patient is asleep) with a two-night hospital stay after the surgery.

Careful administration of pain-killers during and after the surgery ensures that post-operative pain and discomfort are kept to a minimum.

“ANCHOR-LINE ABDOMINOPLASTY”

 “Anchor-line” abdominoplasty is utilised in cases of severe skin looseness in the upper and lower abdomen with excess skin, which may hang in apron-like folds over the pubis. It is also utilised in cases with a pre-existing upper abdomen vertical scar, following surgery. It involves excision of excess skin and fat in the lower abdomen and in the mid upper abdomen, above the navel. This technique allows the removal of abdominal skin circumferentially.

The surgical incision runs horizontally, above the pubis continuing laterally towards the flanks and vertically, from the upper abdominal region downwards as far as the pubis.  The abdominal tissues above the navel are stretched downwards and joined to the pubis. The muscular wall is strengthened and tightened and the navel is repositioned to its normal location.

The resulting scar has two components: one runs from above the pubis towards the lower flanks, an area normally covered by underwear or bathing wear. The other is a vertical scar, from the upper abdomen down to the pubis, which meets the middle of the horizontal scar.  There is also a scar inside the navel as above. The procedure is so-called because the scar resembles an “anchor”. There are no sutures to be removed, as solely deep dissolvable stitches are used.

In selected cases, liposuction is performed to remove fat deposits and improve the abdominal contour during abdominoplasty.

This operation can be associated with puboplasty, which consists of the uplift, with or without liposuction, of the pubic region.

“Anchor-line” abdominoplasty is performed under general anaesthesia (the patient is asleep) with a two-night hospital stay after the surgery.

Careful administration of pain-killers during and after the surgery ensures that post-operative pain and discomfort are kept to a minimum.

Contact Dr. Pierfranco Simone!

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