What is Lipoplasty?
Abdominal wall angioplasty is a method to solve the problem of sagging abdominal skin and fat accumulation through surgical resection. It is an early degreasing and shaping operation. Compared with other abdominal shaping techniques, this surgery has great trauma and complications. The rate is relatively high. It is a fourth-level project in the classification of medical cosmetic projects by the Ministry of Health. It is technically difficult and risky. It should be performed in orthopedic surgery in a third-level plastic hospital or a third-level general hospital.
Abdominal wall angioplasty
- Chinese name
- Abdominal wall angioplasty
- Alias
- Belly reduction surgery
- Adapt to the crowd
- Women who have given birth
- Surgical grade
- Fourth-level surgery
- Abdominal wall angioplasty is a method to solve the problem of sagging abdominal skin and fat accumulation through surgical resection. It is an early degreasing and shaping operation. Compared with other abdominal shaping techniques, this surgery has great trauma and complications. The rate is relatively high. It is a fourth-level project in the classification of medical cosmetic projects by the Ministry of Health. It is technically difficult and risky. It should be performed in orthopedic surgery in a third-level plastic hospital or a third-level general hospital.
- Abdominal wall plastic surgery is a well-known "belly reduction surgery". It mainly uses surgical methods to remove excess skin and fat from the middle and lower abdomen and tighten the muscles in the abdominal wall. This method can significantly improve abdominal bulge. Shape. Whether it is a complete abdominal wall plastic surgery or a partial abdominal wall plastic surgery, it can make men and women with sagging abdominal wall muscles and excessive skin achieve excellent results. If you can continue to exercise and control your diet after surgery, the effect of plastic surgery on the abdominal wall can be maintained. If your expectations are realistic and you are mentally prepared for a permanent abdominal scar and a period of recovery after surgery, then abdominal wall plastic surgery is a correct choice for you to solve your abdominal shape.
- The most suitable people for plastic surgery of the abdominal wall are men and women who want to have a perfect figure, but want to be bothered by a lot of fat accumulation or bulky belly, but do not want to diet or exercise. For those women who have given birth to children, pregnancy makes their abdominal muscles and skin excessively expanded, which has exceeded the limit of being able to return to a perfect shape, and abdominal wall plastic surgery can achieve them to fully return to the normal shape of the abdomen. For some older patients, the skin of the abdomen is already slack, and the shape of the abdomen cannot be restored even through exercise or dieting. The abdominal wall can be used to tighten the abdomen.
- For women who plan to conceive in the future, surgery should be considered after giving birth, because pregnancy can cause the vertical muscles of the abdomen tightened during abdominal plastic surgery to split again.
- Abdominal wall plastic surgery can improve the shape of your abdomen and increase your self-confidence, but it cannot completely change your overall shape or make others treat you differently. Before you decide to perform abdominal wall plastic surgery, you must carefully consider what you want to ask and discuss with a plastic surgeon who has experience in abdominal wall plastic surgery.
- Inspection of upright position
- Observe the degree of abdominal wall bulge, whether chronic or localized. With or without local scars, navel position, and abdominal muscle tension with or without rectus abdominis separation.
- 2. Inspection method for rectus abdominis separation
- The patient was standing upright, with his back against the support, and the ulnar side of the hand was used to press the white line of the lower abdomen longitudinally to understand the separation of the rectus abdominis in the lower abdomen.
- 3. Pick up the experiment
- Understanding the amount of excess skin fat and skin in the abdomen is very helpful in assessing the amount of tissue removed during surgery and the design of the surgery.
- 4. Other experiments
- Find out if there is an abdominal wall hernia and measure waist size. [1]
- Generally, simple liposuction or small-scale abdominal wall plastic surgery can be used for local anesthesia. Large-scale surgery should be performed under general or epidural anesthesia.
- 1. Transverse incision of the lower abdominal wall and total abdominal wall plastic surgery
- 2. Longitudinal abdominal wall plastic surgery
- 3. Vertical and horizontal resection of abdominal wall plastic surgery
- 4. Circular abdomen resection abdominal wall plastic surgery
- 5. Partial abdominal wall plastic surgery
- 6. Abdominal liposuction
- 7. Endoscopic assisted abdominal wall plastic surgery
- 8. Secondary abdominal wall plastic surgery [1]
- 1. Label: Surgery, Level 4 Surgery [2]
- 3. Adaptation and contraindications
- Adapt to the crowd
- a. Abdominal partial obesity accompanied by moderate or severe skin relaxation, or even skirt-like abdomen.
- b. Obese people with localized scars.
- c. Can be combined with other surgical operations, especially gynecological surgery to remove excess skin and fat and tighten the abdominal wall at the same time.
- Contraindications
- a. Those with cardiovascular and cerebrovascular diseases, diabetes, abnormal blood coagulation, and impaired vital organ function;
- b. Long-term or taking anticoagulant drugs, vasodilators, corticosteroids and other drugs;
- c. Abdominal skin with infections;
- d. People with psychological barriers, high expectations, and excessive demands on their body;
- e. Patients with pathological obesity can discuss with doctors about the possibility of surgery after the primary disease is cured or controlled.
- 4. Surgery
- Underline marks: estimate the amount of skin tissue removed, and design the position of the umbilical cord.
- Anesthesia: extra-membrane anesthesia or intravenous anesthesia, swelling anesthesia can also be used for small area skin fat removal.
- Incision and peeling: W-shaped incisions are often used to cut the skin and subcutaneous tissue according to the drawing lines to separate the skin flaps. Remove excess skin and subcutaneous fat tissue. Make a circular incision in the umbilicus to free the umbilical foramen and umbilical stem.
- Strengthen the abdominal wall: Strengthen the sutured abdominal wall on both sides of the abdominal wall.
- Reconstruction of the umbilicus: suture the fixed umbilical cord to form a new one.
- Suture the incision.
- Pressurize the bandage and place drainage as appropriate.
- Decide whether or not to use liposuction.
- 5. Risks and complications
- Hematoma Hematoma is an important cause of postoperative infection.
- Infected adipose tissue is prone to infection after surgery. If infection occurs, it should be treated as soon as possible.
- Flap necrosis If flap necrosis occurs, it usually needs to be removed and repaired by skin grafting.
- Thrombophlebitis and pulmonary embolism are the most serious complications of this operation. Patients with heart and vascular disease should avoid this surgery; women who are undergoing surgery should ban contraceptives before and after surgery.
- The scar may produce hypertrophic scars, which can be relieved for most of six months. After the wound is healed, local injection treatment can prevent it from happening. Scar correction can be performed if necessary.
- Abnormal skin sensation may cause dullness and numbness of the abdominal skin after operation, which can usually return to normal in about six months.
- 6. Recovery time
- At 7-14 days after the operation, the patient should be revisited in the hospital to remove the incision sutures; dressings should be applied before the sutures are removed, and elastic dressings should be used in place of the dressings after the sutures are removed. It takes 2-4 weeks to resume normal work and study, and it takes about several weeks to several months to fully recover.
- 7. Matters needing attention
- Abdominal wall angioplasty is a major trauma operation in medical cosmetic surgery. Be sure to choose a qualified regular medical institution.
- Quit smoking for at least 2 weeks before and after surgery.
- For women, contraceptives should be disabled before and after surgery.
- If there is an infection or a cold, surgery should be postponed to avoid affecting wound healing.