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Information about the abdomen tightening

An abdomen tightening can be necessary in the following cases: After a pregnancy or a large loss of weight, the expanded skin can’t withdraw into the original condition any more and remains hanging. These problem zones are correctable with an operation only then, if one year passes after the pregnancy and/or the weight loss without that the skin withdraws itself, because a spontaneous improvement is possible in this period. The fixture of the skin decreases over the years as well, that can be solved also with the tightening of the abdomen. The slackening of the abdominal wall is often due to the sliding apart of the muscle tissues of the abdominal wall. It can occur as well, that the fat deposition under the skin leads to the expansion of the skin. The essence of the operation is: the removal of the surplus skin and the surplus fat under the bellybutton and in the end the tightening of the skin. If it is needed we do the reconstruction of the musculature of the abdominal wall as well. In the case of a serious overweight, it is recommended to diet before the abdomen tightening so that the success and the safety of the operation can be enhanced. Before the operation laboratory tests (blood, urine) and ECG are necessary. The tightening of the abdomen is accomplished under general anaesthesia. Normally the cut is led along the connecting line between the two iliac spines, in the groove above the genital hair. The abdominal muscles are raised up to the costal arch, the surplus skin and the fat tissue will be removed and the belly button will be brought into the correct position. Only light scars remain visible around the belly button and the scar between the two iliac spines can be covered with a bikini. After a thorough haemostasis vacuum tubes are inserted in order to derive the ichors. The tubes will be removed on the third or fourth day after the operation. In our clinic the patient has to spend 1-3 days, after that 2-3 weeks rest is necessary at home (the first 7-10 days bed rest!). In this time you must come 3-4 times for control and for the switch of the dressing. The removal of the seams happens between the 2-3. week. The dressing is 5-6 days long very tight after the operation, afterwards the patient gets a special compression trouser, which he / she must wear a few weeks long. 3-4 weeks after the removal of the seams the patient is allowed to do easy physical exercises. The patient can drive a car after the fourth day and take a shower after the sixth day. After the removal of the seams it is not recommended to do any intensive physical work and sport for further 1-3 months. Side-effects: Secondary bleeding or inflammation (3-4 %) Necrosis of the skin or the fat tissue (1 %) Sense irritation, insensibility a few cm wide over the scar In general these complaints end spontaneously without any treatment, but this can last even for a half – one year. Excessive scarring can be corrected with a simple treatment or with a cut out of the scar.
6 EINFACHE SCHRITTE