Abdominoplasty and dermolipectomy

Abdominoplasty or abdominal dermolipectomy

 

It consists of the aesthetic treatment of the abdomen, mainly with the removal of excess skin and fat.

Classic abdominoplasty consists of the removal of skin, excess skin, and fat below the navel. The final scar is located at the cesarean section site and is a little larger.

Anchor abdominoplasty is a surgical option for patients who have experienced significant weight loss. That is, they have already lost a lot of weight, either with diet or bariatric surgery. In these cases, they will have a final anchor-shaped scar, with one vertical and one horizontal.

Inverted abdominoplasty or reverse abdominoplasty, which is a rarer option, treats excess skin only above the navel.

Mini abdominoplasty, which is only "mini" in having a slightly smaller incision than classic abdominoplasty, but in this surgery, the entire musculature is treated. That is, with a small incision, it dissects up to the top, corrects an umbilical hernia if present, and this results in a slightly smaller scar and removes much less skin.

Lipoabdominoplasty, which is a combination of liposuction in the abdomen and abdominoplasty. It is a little different from when liposuction is performed on the body and abdomen; in this case, liposuction is performed on the abdomen itself.

In almost all these surgeries, hernias located in the midline are treated. The most common is an umbilical hernia and the treatment of rectus abdominis diastasis (which is the separation that occurs in the muscles).

Many patients ask about the navel: what does the navel look like after these surgeries? There are techniques that preserve the navel and reinsert it into the new abdomen. A scar remains at the junction of the old navel with this new abdomen. Depending on the case, it is even possible to leave it without a scar.

 

Questions about abdominoplasty

What are the types of abdominoplasty?

• Classic or complete abdominoplasty: skin resection, diastasis correction, and horizontal abdominal scar
• Anchor abdominoplasty: skin resection, diastasis correction, and anchor-shaped abdominal scar
• 360-degree abdominoplasty: abdominoplasty with a circumferentially extended scar
• 360-degree abdominoplasty with anchor: abdominoplasty with a circumferentially extended scar associated with an anterior vertical scar.
• Abdominoplasty with floating or lost umbilical scar: skin resection, diastasis correction, and repositioning of the old umbilical scar between the new scar and the horizontal scar
• Abdominoplasty with mini T: skin resection, diastasis correction, and perpendicular repositioning of the old umbilical scar on the horizontal scar
• Complete mini abdominoplasty: dissection up to the xiphoid process, with muscular diastasis correction, repositioning of the umbilical scar, and infraumbilical skin resection
• Infraumbilical mini abdominoplasty: skin resection at the cesarean section site, with dissection up to the umbilical scar.
• Pseudo-mini abdominoplasty: only the skin at the cesarean section scar site is removed, with no dissection and no diastasis correction.
• Hygienic dermolipectomy: only the abdominal fold is removed without dissection.
• Complete reverse abdominoplasty: Skin resection in the mammary sulcus, joining the two scars.
• Partial reverse abdominoplasty: skin resection in the mammary sulcus.

What type of anesthesia is used in abdominoplasty?

Generally, in my routine, general anesthesia is performed, but epidural or spinal anesthesia can also be performed. Or even combined, using spinal or epidural only for analgesia, associated with general anesthesia.

Is drainage necessary in abdominoplasty?

Drainage is common in surgeries with large dissections, but techniques can be performed to reduce the dissected space, which can avoid the use of drains. However, it is an individual routine for each doctor and should also be individualized for each patient.

What are the risks of abdominoplasty?

• Fluid accumulation (seroma and hematoma)
• Bleeding
• Infection
• Skin necrosis
• Suture dehiscence
• Poor scarring
• Loss of sensation
• Scar asymmetry

Is it possible to have abdominoplasty through insurance?

Yes, it is possible, but there are criteria for full coverage, and there may also be partial coverage in cases of hernia or rectus abdominis diastasis. See more at abdominoplasty through insurance.

Is it possible to have abdominoplasty through SUS?

Yes, it is possible in cases of significant weight loss, or in medical teaching services, but a referral via a Basic Health Unit is necessary.

Can someone who has had abdominoplasty get pregnant?

Abdominoplasty, or abdominal dermolipectomy, does not prevent a patient from getting pregnant in the future, nor does it harm the baby. What can actually happen is that it may compromise the aesthetic result of the abdominoplasty. A tip: avoid gaining too much weight during pregnancy!

Are lipoabdominoplasty and abdominoplasty with lipo the same thing?

In lipoabdominoplasty, liposuction and skin resection are performed in the abdomen, like an abdominoplasty, while in abdominoplasty with lipo, liposuction is not necessarily performed in the abdomen.

Is swelling in the pubic area common? And in the Vagina?

Yes, it is common, and this swelling can last for 1 to 2 weeks, and then gradually subsides.

What does the navel look like after abdominoplasty?

The umbilical scar is redone in the original position, using or not using the existing scar. There are numerous techniques for its reconstruction, and the shape can vary.https://youtu.be/OETRgX4HLro Description

Dr. Fernando Amato (CRM 133826) talks about abdominoplasty or abdominal dermolipectomy. Abdominoplasty consists of the aesthetic treatment of the abdomen, mainly with the removal of excess skin and fat. Classic abdominoplasty consists of the removal of skin, excess skin, and fat below the navel, resulting in a scar at the cesarean section site and a little larger. But there is also anchor abdominoplasty, which is a surgical option for patients who have had significant weight loss, that is, they have already lost a lot of weight.

Transcript

Hello, I'm Dr. Fernando Amato, and today we will talk about abdominoplasty or abdominal dermolipectomy. Abdominoplasty consists of the aesthetic treatment of the abdomen, mainly with the removal of excess skin and fat. It can be classic abdominoplasty, which involves the removal of skin, excess skin, and fat below the navel, resulting in a scar at the cesarean section site and a little larger. There is also anchor abdominoplasty, which is a surgical option for those patients who have experienced significant weight loss, meaning they have lost a lot of weight, either with diet or bariatric surgery, and in this case, will have a final anchor-shaped scar, with one vertical and one horizontal. There is inverted abdominoplasty or reverse abdominoplasty, which is an option and is rarer, to treat excess skin only above the navel. In addition, there is the famous mini abdominoplasty, which is only "mini" in having a slightly smaller incision than classic abdominoplasty, and in this surgery, the entire musculature is treated, that is, with a small incision, it dissects up to the top, corrects an umbilical hernia if present, and this results in a slightly smaller scar and removes much less skin. In addition, there is lipoabdominoplasty, which is a combination of liposuction in the abdomen and abdominoplasty. It is a little different from when liposuction is performed on the body and abdomen; in this case, liposuction is performed on the abdomen itself. In all these surgeries, hernias located in the midline are treated; the most common is an umbilical hernia and the treatment of rectus abdominis diastasis, which is the separation that occurs in the muscles. Many patients ask about the navel: what does the navel look like after these surgeries? There are techniques that preserve the navel and reinsert it into the new abdomen, and a scar remains at the junction of the old navel with this new abdomen, and depending on the case, it is even possible to leave it without a scar. Want to know more about plastic surgery? Follow our videos on our social network. — Subscribe to our channel now!