Preparation for abdominoplasty
Pre-care and preparation for abdominoplasty. Improve results and recovery.
In this post we will talk about Generalities and particularities in the preparation for abdominoplasty. The tummy tuck , liposuction associated or not, is one of the interventions that the more we realize today.Despite the fact that the majority of patients after a time of the intervention, they consider that having an operation was an excellent decision , and they recommend the intervention; the postoperative in general is one of the hardest in plastic surgery. Many patients ask us about postoperative care or if they can perform some type of preparation for tummy tuck , in order to improve results and optimize recovery. Although each case is different, in this POST we will try to explain our recommendations before the intervention . Then, in the next post, we will explain the recommended postoperative care.
Preparation for Tummy Tuck:
Many patients decide to undergo a tummy tuck after giving birth to recover their pre-pregnancy silhouette. Other patients may be overweight when deciding to perform the intervention. In some cases the motivation is just a great weight loss caused by bariatric surgery or a strict diet …
Thus, it is convenient to explain the recommendations for each type of patient.
General Recommendations Abdominoplasty:
To all patients, whatever their case, we recommend the following:
Plan the time of surgery and subsequent rest . As we have commented, the postoperative period is relatively hard, and although we do not have discomfort, we will need help in the first 7 days at least. Post-operative compatibility with childcare eg. If we don’t have some help, it can be a frustrating experience. The first few days, among other things, we will not be able to gain weight, and this includes lifting a baby, for example. A surgery elective and improve should be as far as possible , a good experience .
The ideal posture to rest the first days is “4”. That is, with a raised headboard and flexed hip. Often it is difficult to achieve this position in a non-articulated bed … And it is not a question of acquiring one for the intervention … But perhaps it would be good to value a reclining sofa (examples by clicking on the link), or adapt some of the ones we have with a cervical pillow or similar and a footrest, to rest in good posture, or even sleep the first days.
He abdominal exercise is always good . Before and after healing … Better to have some habits acquired before the intervention. Since later we will have to retake them. Contour surgery always requires some maintenance to show the result. Both at the level of physical exercise and diet.
Diet: If you are overweight, the ideal is to try to correct it before the intervention, or at least as much as possible. It will maximize results and decrease risks. We always recommend VLHC DIETS in general , which you can consult on our blog. Abundant consumption of fiber and high amounts of vitamins … If not, we can administer previous supplements.
Abdominal girdle: It is recommended to have it and try it before the intervention . We are in favor of the patient coming personally to test it in advance. Check the good tension and any discomfort that we feel, try to correct it. At CRISVI they will ensure that you feel as comfortable as possible with it. A month and a half in an uncomfortable garment … it gets long.
Doubts … It is important to ask any questions that may arise before the intervention. This will reinforce confidence in your surgeon, and will be positive for the postoperative period, when it is important to be sure that everything is going well.
TOBACCO: Tobacco is totally inadvisable for any cosmetic surgery intervention, but in this case, even more so … Since peripheral vasocontriction can cause the tissues not to perfuse well, and to become necrotic. It is essential to quit smoking at least 1 month before the intervention. Ideally 2 months before.
PREOPERATIVE STUDY : All patients must undergo a preoperative study. Important diseases to consider … History of previous thrombosis, contraceptive intake, history of bleeding, analytical alterations … With all this, the risk that the intervention may have is classified, modifications can be made to it and postoperative management is optimized.
After explaining this first part of generalities, we will now consider each particular case:
- Preparation for abdominoplasty After pregnancy and delivery.
- In these cases, the main problem is usually diastasis of the rectum, with or without a hernia and the excess skin, although there may also be overweight.
- Abdominoplasty pregnancy
- Pregnancy tummy tuck preparation
The first question we ask patients in this case is whether or not they want to have more children in the future. If yes, we completely discard the intervention until the genetic desires are completed. Abdominoplasty is not going to prevent children in the future, but a pregnancy after it will greatly worsen the result. If in the first pregnancy the patient develops stretch marks eg. In a new pregnancy after tummy tuck, you will develop many more. Thus, there is no point in performing an intervention to improve the contour, if in the future the patient wants a new pregnancy.
If the answer to this first question is negative. The next question would be … How long has it been since delivery and what type of delivery has it been? Caesarean section? Vaginal delivery?
Regarding the elapsed time, we must bear in mind that we need a recovery time, so that the uterus returns to its initial state and the body and metabolism normalize. The skin can retract, and the muscles reach a normal tone. The minimum time recommended for carrying out a tummy tuck after delivery is 6 months . But you have to know that time always works in our favor. The longer the year, the better. From there, it is indifferent.
In general, although the pelvic floor can be affected in all types of delivery, it does it more importantly in vaginal deliveries . The appearance of mild or stress urinary incontinence in the first months is not uncommon. The appearance of hemorrhoids is also frequent … It usually tends to correct or improve time after delivery, once the intra-abdominal pressure has disappeared.
- We recommend pelvic floor physiotherapy to all patients after delivery . Especially Kegel exercises and hypopressive Ambominals until you get a good function … What happens in most cases.
- If this problem is chronic and persists, prior to any type of abdominal intervention, we recommend a urological study.
- This is because the correction diastasis recti , to increase abdominal pressure for a time in which the internal organs must adapt to the new contour …
- This can worsen any problems related to the pelvic floor, if there has not been a good recovery before.
- After recovering the pelvic floor, all patients are also recommended to exercise the abdominal and lumbar muscles . Methods like Pilates or Yoga can help.
- On the one hand they can improve the diastasis of the rectum in the early period, and on the other they enhance a musculature, which later we will need to be relaxed with a girdle while the healing of the diastasis lasts. If we start with a good muscle tone, the better.
- Preparation for abdominoplasty in overweight patients.
- Some patients are, for whatever reason, overweight when considering this procedure.
Overweight tummy tuck
A certain degree of overweight does not contraindicate the intervention , and we can add liposuction to try to compensate, but the ideal is to try to correct it as much as possible.
Does this mean that I should try very hard to lose the maximum amount of weight before having surgery at any price? Absolutely not.
What we usually recommend is the adoption of healthy lifestyle habits that allow us to improve that overweight, but that are easily adaptable to our lifestyle . That they do not suppose an exception, if not the norm for the future . That they are easy to fulfill and maintain … Otherwise, it would not make sense.
From our own experience we know that the VLCH DIETS, or simply LCH, have an excellent nutritional profile and are the easiest to meet in the short, medium and long term, since it does not consist of measuring or restricting food, if it is not to change a series of bad eating habits… so we generally recommend them to all our patients.
Exercise, equally recommended, must be compatible with our day to day. Preferable lower intensity (walking at a good pace, increasing the ” NEAT “) but constant, to very intense and sporadic (which over time we will end up not doing again).
Abdominoplasty after obesity surgery.
The largest and most effective part of obesity surgery generate some type of intestinal malabsorption.
Abdominoplasty, like other surgeries to improve the abdominal contour, involves in many cases a loss of protein and hemoglobin, given the large amount of tissue to be removed, and its highly developed vascularization (the blood vessels that nourish the skin are especially large , since previously they nurtured much more tissue).
It is very important to assess the analytics prior to the intervention, see if there is any deficiency, and try to correct it as much as possible.
In general, a diet rich in proteins such as VLCH DIETS, and vitamin supplements is adequate . It is also essential to arrive at the intervention with good Hemoglobin figures, since the nutrition and oxygenation of the tissues depends on it. If necessary, it can be supplemented with oral iron, and in case of low absorption, intravenous.
Although many times we would like to combine abdominoplasty with other interventions to improve the contour, in these cases, especially if there is anemia or some type of malabsorption, slight inuno-suppression, etc … we strongly recommend limiting surgical aggression to the minimum necessary .
Carry out successive interventions on different days , leaving sufficient recovery time between them (minimum 3-6 months). The objective is to always seek safety , and that the postoperative period be more bearable. It also has an important advantage … It is very difficult, given the amount of excess tissue and the length of the scars, that they are all perfect. In successive interventions, it can be used to make some small corrections of previous scars, if necessary.
Although it is important to individualize, these are the general recommendations before having a tummy tuck surgery lahore. In the next post, we will discuss the postoperative recommendations in these particular cases.