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Abdominoplasty and liposuction can be done in the same surgery

Abdominoplasty and liposuction can be done in the same surgery

Is it safe to perform abdominoplasty and liposuction at the same time?

Yes, there have been hundreds of scientific studies and thousands of surgeries with this one. association of procedures. Was Brazil even the "pioneer"? in the lipoabdominoplasty that simultaneously performs the liposuction with the abdominoplasty. Therefore, technically, plastic surgeons who are members of the Brazilian Society of Plastic Surgery (SBCP) are able to perform these procedures. However, each case should be evaluated in particular by the doctor of patient's choice to make sure that the benefit of the surgery will be greater than any risks. As a precaution, the SBCP suggests that the maximum volume of liposuction in these cases does not exceed 7% of body weight.

Does this association modify or make difficult the surgery?

In terms, but everything depends on the technique to be used. In fact, there are hundreds of scientific papers demonstrating technical variations of the abdominoplasty and liposuction association. For example, more recently the journal Aeshtetic Plastic Surgery has published a new approach to abdominoplasty with liposuction called TULUA. This approach is a possible variant of techniques already known to all plastic surgeons. Is better? No, because it is not suitable for all cases. Therefore, what we need to understand is that each patient presents a particularized need so that the technique used by the plastic surgeon has to fit the need of the patient, not the other way around.

What are the benefits of joining these procedures? The benefit of associating the two surgeries is that one can achieve a more defined body contour of the trunk. Often, when performing only abdominoplasty, can "fat" be left? in areas where excess skin has not been removed. Another benefit is that liposuction can make it easier to remove more sagging skin and help have a smaller scar. But attention: surgery does not aim to lose weight and the size of the scar can vary according to the need of the patient and technique, such as: mini abdominoplasty, conventional abdominoplasty, circumferential abdominoplasty, among others.

Who can do the two surgeries together ?

The final approval depends on laboratory tests and clinical examination that will guide the conduct of your SBCP plastic surgeon. In general, there are some criteria that should be observed:

Patients with ideal weight or up to 20-30% over ideal weight

- Patients without breast cancer or breast diseases that may require breast reconstruction

  • - Overweight patients who want only "hygienic" surgery to improve their quality of life, knowing that there will be no extreme changes in body contour. The goal is to remove excess skin-fat that accumulates in the lower abdomen and is constantly itching and with skin infections due to bacterial and / or fungal contamination. In these situations, the medical cov- erage can often cover part or all of the hospital costs and / or medical fees

  • - Patients who do not plan to become pregnant within a short period of time

  • - Patients who do not suffer from an "accordion effect", where they gain weight and lose weight in a short period of time period of time

  • - Patients who commit to maintaining healthy habits and maintaining their stable weight after surgery

  • - Non-smokers (preferably)
  • - Patients with no large scar above the umbilicus.

  • - Patients who are emotionally stable, optimistic and realistic with the limitation of the procedure.
  • What is the recovery of this surgery?

  • The recovery depends very much on each case , because, as we speak, there is not only one abdominoplasty technique associated with liposuction. The pain symptom is subjective and usually relapses with analgesics and anti-inflammatory drugs.

  • Sometimes it is possible to choose a drain that collects liquid from the abdomen for a few days and then the surgeon withdraws in the office. The recovery should follow strict medical guidelines, such as relative home rest, staying slightly bent forward (for a time determined by the doctor), use of modeling bandage and medications prescribed by the doctor. Lymphatic drainage can speed recovery, but it can only be done if your doctor agrees.

An interesting novelty for those who are afraid to take stitches is a tape with biological glue that is placed in the incision at the end of the surgery and stays for 2 -3 weeks. In addition to not having stitches to take, the patient can also take a bath the day after surgery.


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