Mr A. O. Grobbelaar  MBChB  MMed(Plast)  FCS(SA)(Plast)  FRCS(Plast)

Abdominoplasty

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Introduction

Abdominoplasty

Excess skin and fat as well as slack muscles can be addressed during the surgery. Sometimes if only a small amount of fat is problematic it may be removed by liposuction. Stretch marks are not really addressed during this type of surgery except the marks that are on the skin that will be removed.

The procedure

You will be left with a noticeable scar from one hip to another. It can be positioned so that it is hidden when wearing fashionable swimwear. A small circular scar not unlike a laparoscopy scar is left around the umbilicus as it is resited. Some liposuction around the  "love-handle" area normally enhances the overall result. The operation is normally performed under a general anaesthesia and the hospital stay varies but includes at least one night. You will have plastic surgical drains coming out of the wound afterwards that will normally be removed the day after the surgery. Pain in the early phase after the surgery can be controlled by tablets or injections and sometimes a continuous pump of painkillers will be used, allowing you by the pushing of a button to administer the painkiller on demand.

After the surgery

It may feel more comfortable in the early phase to sleep with a few pillows under the head and the knees as this will remove the pulling effect on the suture line. If liposuction was also done a support garment should be worn for a period of 4-6 weeks. Sutures are normally removed around two weeks at which time you can return to work as long as it is not a very physically demanding job. Full recovery to a normal exercise level can vary from 4 to 6 weeks. The wound should be kept clean and dry at all times and bathing is not advisable.

Limitations and complications

It is generally not indicated in very overweight patients and your weight should be fairly stable. Smoking can lead to impaired wound healing and wound breakdown. There is also a small risk of:

 

If you require further information or want to schedule a consultation please contact Mr. Grobbelaar's secretary details on the Contact page.