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 removing skin, excess skin, and fat below the navel. The final scar is in the location of the C-section and is a little larger.

Anchor abdominoplasty is a surgical option for patients who have experienced significant weight loss, either through 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 an option and is rarer, treats excess skin only above the navel.

Mini-abdominoplasty, which is only "mini" in that it has 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 here, corrects umbilical hernia when present, and this results in a slightly smaller scar and much less skin removed.

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 that are in the midline are treated. The most common is the umbilical hernia and the treatment of rectus abdominis muscle diastasis (which is the separation that occurs in the musculature).

Many patients ask about the navel: how does the navel look 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 an extended circumferential scar.
360 abdominoplasty with anchor: abdominoplasty with an extended circumferential 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 repositioning of the old umbilical scar perpendicularly to the horizontal scar.
Complete miniabdominoplasty: dissection up to the xiphoid process, with muscle diastasis correction, repositioning of the umbilical scar, and infraumbilical skin resection.
Infraumbilical miniabdominoplasty: skin resection at the C-section site, with dissection up to the umbilical scar.
Pseudo-miniabdominoplasty: only the skin at the C-section scar site is removed, without dissection and without diastasis correction.
Hygienic dermolipectomy: only the abdominal fold is removed without dissection.
Complete reverse abdominoplasty: The 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 used. Or even a combined approach, using spinal or epidural only for analgesia, associated with general anesthesia.

Is a drain necessary for abdominoplasty?

It is common to use drains in surgeries with extensive dissections, but there are techniques that 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 get abdominoplasty through an insurance plan?

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 muscle diastasis. See more at abdominoplasty through insurance.

Is it possible to get abdominoplasty through the SUS (Unified Health System)?

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

Can someone who has had abdominoplasty become pregnant?

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

Are lipoabdominoplasty and abdominoplasty with liposuction the same thing?

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

Is swelling of the pubic region common? And the vagina?

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

How does the navel look after abdominoplasty?

The umbilical scar is redone in its original position, utilizing or not utilizing 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 removing skin, excess skin, and fat below the navel, resulting in a scar at the C-section location and a little larger. But there is also anchor abdominoplasty, which is a surgical option for patients who have experienced significant weight loss, that is, who have lost a lot of weight.

Transcription

Hello, I'm Dr. Fernando Amato, and today we'll 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 is the removal of skin, excess skin, and fat below the navel, resulting in a scar at the C-section location and a little larger. There is also anchor abdominoplasty, which is a surgical option for 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, there will be 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 that it has 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 here, corrects umbilical hernia when present, and this results in a slightly smaller scar and much less skin removed. 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 that are in the midline are treated; the most common is the umbilical hernia and the treatment of rectus abdominis muscle diastasis, which is the separation that occurs in the musculature. Many patients ask about the navel: how does the navel look 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. Do you want to know more about plastic surgery? Follow our videos on our social media. — Subscribe to our channel now!

Abdominoplasty and dermolipectomy