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Abdominoplasty at anchor eliminates sagging on the sides of the body
Fleur de Lis ") is a variant of classic abdominoplasty in which vertical incisions are made from the underside of the abdomen to almost the area between the breasts, in addition to the lower incision of the abdomen, and may be associated with the extension of this incision to the back of the back. Indications of abdominoplasty in anchor
It is usually indicated when abdominoplasty classical model can not reshape the body in the way the patient wishes, due to a buildup of skin both in the lateral, upper and lower sense.
It is as if there was an accumulation of flaccid skin with great mobility throughout the circumference of the abdomen and back. That is, if the surgeon removed only the excess skin, pushing everything down, as in the usual abdominoplasty, would end up leaving tissue on the side of the body.
So the solution is to also make a long vertical incision across the front of the abdomen (including the reconstruction of the navel) so that it "pulls" the flabby skin from the sides to the center of the abdomen the excess lateral tissue. With this, the improvement of the global contour of these patients, specifically in the lateral part of the body, is achieved with great success.
Ideal for those who have lost weight
This happens in some cases of ex-obese patients or patients who have lost dozens of pounds In these cases, there is a large excess of skin and fat and the classic abdominoplasty can not bring the desired results. When the patient already has a central vertical scar in the abdomen (such as those who underwent previous surgery), the same scar can be used as a means of accessing this technique in the central portion of the abdomen.
What changes in abdominoplasty in anchor?
The surgical planning is highly individualized and planned in abdominoplasty at anchor. One must be certain of the clinical, laboratory and health conditions of the patient, since this surgery is longer and more time-consuming than the classic abdominoplasty. The location of the scars and surgical technique is chosen together with the plastic surgeon.
In the postoperative period, longer hospital stay may be necessary, depending on the case. The patient should have a balanced diet rich in proteins to have a good healing and minimize the chance of opening the stitches. The general care at the patient's home is basically the same as a classic abdominoplasty, and should sometimes increase rest and activity because the surgery is larger and more complex.
At the end, the scar is inverted "T" in the abdomen, coming from the central high part of the abdomen to the lower part where it encounters another long horizontal scar on the abdomen. The quality of the scar depends on individual biological characteristics of the patient, a good diet and scar care. Therefore, strict follow-up with the plastic surgeon throughout the recovery, especially in the first postoperative months, is critical.
This article was written by plastic surgeon Marcelo Wulkan (CRM 108732 / RQE 28948), a PhD from the University of São Paulo and is a member of the American and Brazilian Society of Plastic Surgery.
Plastic surgery to remove excess skin
Surgery for the treatment of morbid obesity - surgery bariatric surgery - has been performed for about 20 years and already has its place in the treatment of obese patients. The procedure has good results in weight loss, causing positive reflexes on quality of life, body image and improvement of the physical and mental health of the patients who undergo it.
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