Post-Abdominoplasty Guidelines.
What are the post-abdominoplasty guidelines?
- These are somewhat generic questions, but they vary depending on the doctor and technique used. But I'd like to share how I do it with my patients.
I like to advise the patient to always be prepared for the first few days, to know that the first week will be much more restricted for activities at home, and not to hesitate to ask for help from an acquaintance or family member.
What are the dressing care instructions?
- When I use a dressing that has a transparent film, I try to keep this dressing until the follow-up appointment, making these first few days easier and allowing the patient to shower without worrying about the dressing.
- When I use surgical glue like Dermabond or Prineo, if the surgical wound is dry, I only recommend a dressing to protect the wound from clothing.
- When I use gauze and micropore dressing, I like it to stay on for at least 48 hours before a new one is applied.
- For the navel, I often use a technique without cuts, so no dressing is needed, just protection from clothing. But when I make incisions, I follow the same dressing rules.
What are the drain care instructions?
- It is important to note the daily volume.
- If it clogs or a connection detaches, contact us as soon as possible for more specific instructions.
What elastic garment to use?
- You can use elastic garments in the form of a swimsuit, shorts, shorts with a swimsuit, and even elastic bands with segments.
- The important factor in the decision is to consider whether there were other associated surgeries such as liposuction or breast surgeries, which may require a specific garment.
- The garment should never be tight and mark the skin; it should be snug.
- In some cases, you can even choose not to use a band or garment, but this must be thoroughly discussed with the patient.
How to lie in bed?
- The ideal is a hospital bed, which can even be rented.
- The bed needs to have the back elevated to about 45 degrees and with the legs bent.
- If you don't have a hospital bed, the way is to use many pillows for the back or even anti-reflux pillows and place a pillow to bend the legs.
- This position is important to relieve tension in the stitch area.
When can I shower?
- I usually allow showering on the 2nd day, according to the dressing guidelines.
- I recommend never showering alone.
- Place a plastic chair in the shower to take a seated shower and avoid falling if you feel unwell.
- If you have a showerhead, you can use it to help with cleaning.
When can I walk?
- I like my patient to walk as soon as possible on the same day of the surgery. This early ambulation is important to prevent complications like thrombosis, in addition to stimulating bowel function.
- For the first 7 to 10 days, this ambulation needs to be with the patient hunched over, to avoid tension on the scar stitches.
- You cannot overdo it; you must walk many times, but short distances, meaning only at home, moving from room to room.
- Avoid going out in public during these first few days to avoid the risk of bleeding and infection.
When can I drive?
- I usually allow driving after 1 month, but I can hold it for up to 2 months.
- It will depend on the car; it's easier if it's automatic and has power steering.
- And always start with short distances.
When can I sunbathe?
- Excessive sun exposure is not good for anyone.
- For all post-operative patients, I advise against sun exposure for up to 6 months and always to use sunscreen.
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