Montreal Abdominoplasty – Objective

abdominoplasty

People are sometimes left with empty hanging folds of skin after pregnancy, serious weight loss, or sometimes just with aging. When this loose skin is surgically removed from the belly, it is called abdominoplasty or tummy tuck. As with liposuction, tummy tuck is not intended to correct obesity ; patients should be at normal or near-normal weight before surgery.

When considering alternatives to abdominoplasty in Montreal, “if it sounds too good to be true, it probably is”. In Montreal, there are many expensive devices on the market that claim to remove fat or tighten abdominal skin without incisions, abdominoplasty, anesthesia, etc. Sound too good to be true ? That is because it is too good to be true. As testimonials will confirm, many Montreal clinics buy these expensive devices in order to get patients in the office. And they are happy to transfer the cost of these devices to the patient. Ask for a GUARANTEE of results and see what they will say. Dr. Nicolaidis uses only PROVEN techniques that have stood the test of time. Abdominoplasty in Montreal is a PROVEN technique against which all other techniques are INFERIOR.

Montreal Abdominoplasty – Anesthesia

Dr. Nicolaidis always performs this surgery with general anesthesia.

Montreal Abdominoplasty – Surgical technique

Abdominoplasty is designed to tighten loose and flabby skin in the belly by removing excess skin and fat below , then stretching the remaining skin downward in order to make the looseness and wrinkling less. This surgery may be combined with liposuction in order to improve fat bulges (not tighten loose skin). Also, abdominal muscles which are overly separated on the middle (known as diastasis) can be brought back together.

Loose skin cannot be removed without leaving scars, and abdominoplasty often means long incisions that result in long scars. Dr. Nicolaidis will make every effort to produce the best scars possible, and to conceal them in the least visible areas. Although scars will fade over time, it is important to understand that the scars will be permanent and that their final width, height and color are not entirely predictable. If the loose skin is confined to the area below the belly button, an alternative approach used by Dr. Nicolaidis is the « mini-abdominoplasty » with its resulting shorter scars. On the other hand, if the loose skin is not only in front but in the back and on the sides as well, a « belt lipectomy » may be necessary, with resulting scars all the way around the trunk, like a belt.

Montreal Abdominoplasty – Return to work after surgery

After abdominoplasty, it is usually possible to return to work within 4 to 6 weeks.

Montreal Abdominoplasty – Possible complications

The most common complications of body contouring surgery are hematoma (an accumulation of blood under the skin), seroma (fluid accumulation under then skin) and numbness of the skin. Most of the feeling usually comes back. Hematoma and seroma may require intervention to drain the blood or serum that has accumulated if it is a large amount. Problems with healing after surgery are also possible, especially in smokers.

Montreal Abdominoplasty – Post Operative Instructions

In the first week after abdominoplasty, be sure to :

  • Keep your dressings dry and clean ;
  •  Do not force with your abdomen or arms ;
  • Wash with a sponge ;
  • Write the amount of drainage per day per drain (Please bring those results with you at your next visit with Dr Nicolaidis) ;
  • Wear your compressive garments at all times ;
  • Walk at least 5 minutes every hour during the day, but keep your body flexed at the hips in order not to put tension on the surgery (do NOT simply stay in bed constantly).

Your first post-operative appointment for abdominoplasty with Dr. Nicolaidis is very important, even if you feel very well.

  • After the first week of an abdominoplasty :
  • Continue to keep your dressings dry and clean unless Dr Nicolaidis says otherwise ;
  • Wash with a sponge in order to keep your dressings dry ;
  • Protect your new scars from sun exposure for a total of 6 months ;
  •  Avoid lifting heavy objects until Dr. Nicolaidis gives permission ;
  •  Avoid bathing or showering until Dr. Nicolaidis gives permission ;
  •  Continue wearing compressive garments until Dr. Nicolaidis says otherwise ;
  •  In order to avoid blood clot complications, keep moving (walk regularly during the day).

Please note :

  •  It is normal to have mild swelling and bruising of the abdomen in the first weeks after surgery.
  • For your comfort, be sure to take your pain medication as prescribed.

For an appointment or if you have questions or concerns, do not hesitate to call us

For further information about abdominoplasty, please click here : American Society of Plastic Surgeons

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