After a significant weight loss, the question of tummy tuck surgery is often raised. What are the procedures, how are they performed, what to expect, what are the complications, risks and management methods? We answer you.
Belly surgery after a sleeve or a bypass, is it compulsory?
In general, after a sleeve or a bypass, the important weight loss leads to a loosening of the skin. To put it simply, an abdominal apron is created and nothing can make it disappear, neither sport nor diet.
It is in fact the skin that, damaged by obesity, has been stretched too much to be able to take its place.
Beyond the aesthetic aspect, this apron is also very annoying in daily life and can even lead to dermatological problems.
Therefore, the only solution to get rid of it is to consider a tummy tuck surgery.
Of course, there is no obligation to undergo surgery, but for those who wish to do so, it is essential to choose the right surgeon and to know the different techniques.
How to choose a plastic surgeon for an abdominoplasty?
First of all, you should know that in 99% of the cases, the surgeon who operated on your sleeve or bypass is not qualified to perform belly surgery. Even if he or she offers to perform a tummy tuck and you trust him or her, make sure you get the right information before saying yes…
The team that took care of you normally works with specialized surgeons to whom they should be able to refer you.
Whatever your choice, make sure that your surgeon is qualified in plastic, reconstructive and aesthetic surgery.
What is the most commonly used technique for abdominoplasty?
As you will have understood, the aim is to reduce the after-effects of rapid and significant weight loss after a sleeve or a bypass.
To do this, the surgeon will pull on the healthiest part of the abdomen (usually the part located between the navel and the chest). This skin will be pulled back down and the excess removed.
Of course, a navel will be replaced by making a small incision in the skin.
In some cases, and if necessary, the surgeon may also have to put the muscle wall back under tension. Liposuction can also be performed.
At the end of the operation, a bandage is placed and a girdle is often required.
The procedure is performed under general anesthesia from 1h30 to 3h depending on the case and requires a hospital stay of 2 to 5 days.
After-effects and scars left by tummy tuck surgery
The goal is to give the patient a more harmonious figure. The surgeon will therefore try to camouflage the scars related to this tummy tuck surgery as much as possible.
In general, the scar is located at the limit of the pubic hair so that it can be hidden by the panties or the swimsuit. Please note that we are talking about a tummy tuck (or abdominoplasty) and not about a body lift, which causes many other scars.
When you return home, you will need to have dressings applied for at least two weeks (sometimes more, depending on the patient).
It is essential to follow the protocol to obtain the most discreet scars possible. Be aware that the final result in terms of scars will not appear for at least a year.