Plastic surgery of abdomen (abdominal plastic)
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This surgery gives solution to skin redundancies in the abdominal area and also the gap in rectilinear abdominal muscle. The skin redundancy is very often originated after the pregnancy, especially the repeated one, when during the pregnancy the abdomen's skin is exposed to enormous pressure of growing embryo, it can even crack and small scars, which pale out later, start to form. These scars never disappear and the skin elasticity decreases even further. The extent of such irreversible changes is very individual. Similar situation occurs even in the other case, which is the same for both men and women: obesity problems. The adipose cells are present not only in hypoderm, but also inside the abdominal cavity, and in both of these places the fat deposits form. The already mentioned cracks in the skin and subsequent scars occur even in this case. Then after bigger weight loss the skin stays stretched out, sometimes looking like a pinafore. These changes have negative effect on one's psyche and may create even practical difficulties, for example when buying clothes. These problems can be removed with a plastic surgery. Its extend will be determined by a plastic surgeon.


před zákrokem
 
Pre-surgical instructions:
po zákroku

1 ) After the plastic surgeon's checkup and determining the date of surgery the patient gets the recommendation for the internal pre-surgical check-up, which cannot be older than 1 month before the surgery.
2) Starting the midnight of the day of the surgery the patient cannot eat, drink nor smoke. 3) At least one month prior to the surgery the patient cannot use any drugs containing acetylsalicylic acid (which reduces the blood coagulation), for example Acylpyrin, Acylkoffin, Aspro, Alnagon. The usage of these drugs highly increases the risk of heavy bleeding during and after the surgery; such patient cannot undergo the surgery! !
4) The patient cannot suffer from any virus-based or any other diseases or undergo convalescence (recovery).
5) The surgery is paid for on the day of the surgery. The patient will receive a receipt for the amount paid.
6) The average time needed for healing is 2 months, count with it in terms of your work days off.
7) Discontinue the use of hormonal contraception 2 months prior to the surgery.
8) For the period starting a week prior to the surgery eat only light food that does not bloat.

 

 
The surgery itself:
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The surgery is done in the complete anesthesia and takes about 2-3 hours. The incision is usually carried out in the lower abdomen sideways, so the scar can be covered with the underwear. The alternative direction of incision and the scar can be discussed between the surgeon and the patient.
The skin (tncluding hypoderm) is made loose from its base and pulled up, with its excess being ~emoved. The place of surgery is then stitched and covered with bandage. In case of a gap in rectilinear abdominal muscle, the muscle is stitched up in its medial line. We recommend wearing an elastic waist-bandage after the surgery in order to protect the area and speed up the healing process.

 

Post-surgical period:
 

The patient must walk several steps a day after the surgery (embolism prevention); otherwise he spends the first 2 days in the bed. The surgeon determines the necessity of hospital care, we recommend 2 days. When releasing the patient for the home care, the surgeon should
determine the dates of next check-ups. The stitches are usually removed 2-3 weeks after the surgery. We recommend 6 weeks without any physical load and wearing an elastic waist bandage. The scar gradually pales out and its quality depends on the individual healing process of a patient.

 

 
Complications:
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The complications are general - bleedings and infections. Therefore the patient must undergo thorough pre-surgical check-up and follow all the surgeon's recommendations and advice. We try to prevent the complications by the exclusion of the circumstances, which lead to such complications.