Tummy tuck (abdominoplasty) Wien

Overview
Duration: 2-3 hours
Anesthesia: general anesthesia
Duration of stay: inpatient 1-2 days
Suture removal: if necessary, after 14 days
Healing time: 4-6 weeks

The enjoyment and quality of ones personal life may be adversely affected when an individual is not satisfied with the appearance of their own belly. Particularly felt after pregnancy, women often no longer feel confident due to the changes and lasting affects the pregnancy has had on them most often concentrated in the area of the middle abdomen. Even after sever weight loss, those affected may feel uncomfortable in their own body. A tummy tuck is not only used to remove excess skin in the abdominal area, but also aids in the tightening of the skin. This provides relief to the negative feeling associated with building and hanging of the excessive skin folds. Ideally, the patient is left with a naturally looking, firm stomach with long lasting effects to improve the overall appearance of the stomach and boost an individuals confidence as a result.

When is a tummy tuck recommended?

Some areas in the human body, such as the abdomen, are particularly prone to large amounts of excess fatty tissue being stored. Once the skin also loses its natural elasticity which can happen with age or fluctuation in weight, this additional tissue is deposited as folds of skin. To remove it, many people exercise and attempt to target that area of the body. But in many affected cases even in the case of extreme exercise doesn’t encourage the extensive skin to firm up.

A tummy tuck, also known as an abdominoplasty, is a treatment to remove this excess tissue in order to tighten the abdominal wall and add more definition to an individual’s figure. Surgical intervention is encouraged, particularly when the excess skin and tissue around the abdomen begin to cause you emotional or physical discomfort or harm. These occurrences are common and prompt many individuals to have the surgery, most often following childbirth or significant weight loss.

For whom is a tummy tuck suitable?

This procedure is equally suitable for men and women. Though it is very important that the individual patient is a fully grown adult who possesses a good condition of general health and is able to maintain a target weight over a longer period of time. These are prerequisites for performing the operation. This is to ensure that other options, such as tightening the skin by means of sport or weight changes, are exhausted and surgical intervention is the last resort to get an individual to where they would like their body to be. It is worth noting that the procedure should not be used as a means to lose weight.

Dr. Matiasek recommends that women who are about to have children should not have the operation until they have completed family planning. Though a tummy tuck after a pregnancy is possible with few risk of complications, the positive results of such operation may be reversed with further pregnancies.

What do I have to consider before a tummy tuck?

Before the tummy tuck, a personal conversation with Dr. Matiasek takes place, where he explains the procedure of the operation to you as well as the possible risks. Your wishes and desired result will be discussed, and he will give you the opportunity to ask any questions that might be on your mind. You will also be asked about any regular medication you might take, and whether you may have certain allergies or diseases known to you.

Before the planned operation, it is important not to take any blood-thinning medication for about 14 days beforehand. An example of medication that causes thinning of the blood is aspirin. When blood is unable to thicken and clot, it can lead to serious secondary bleeding and can become difficult to manage during aftercare. In addition to this, it is particularly important for patients to refrain from taking hormone medication such as birth control pills for two weeks before the procedure. Alcohol and nicotine consumption is also something to be kept to a minimum. Ideally, smoking should be stopped from two to three weeks before the date of the operation.

Patients must arrive for the operation on an empty stomach as the procedure is performed under general anesthesia. During the consultation, Dr. Matiasek will provide you with all the information which concerns you as an individual having this procedure, including optimal pre- and post-operative care for your ideal recovery.

How does a tummy tuck work?

As a general rule, the procedure is carried out on an in-patient basis, as the patient needs medical care after the operation. General anesthesia is typically used in this scenario. Depending on the extent of the procedure, the operation takes between two and three hours. The degree of sagging skin on the abdomen and individual goals may affect the duration and result of the operation. In most cases, a long horizontal incision is made over the pubic area to tighten the abdominal wall. Then Dr. Matiasek removes the navel from the skin tissue with a fine round incision in order to be able to tighten the abdominal skin. Next, he gently removes the tissue of the skin between the abdominal incision and the ribs from the abdominal wall. In this way, the excess skin is removed, and the skin flap is professionally sutured together. In order to be able to reposition the navel, a new incision is cut. In this way, the navel can be sewn back in an appropriate position. Of course, the position of the skin incision can vary a little depending on the surgical technique used. Afterwards, drains are often placed at the end of the operation so that any additional fluids can drain away more easily.

What complications can occur after a tummy tuck?

Despite the greatest of care, complications can arise during or after the operation with any surgical intervention. However, these risks can be minimized if the operation is performed by a qualified doctor with sufficient experience.

There is a risk of bruising, swelling, infection, irritation, bleeding and the operative wound not healing well. Swelling and bruising usually heal on their own. In the vast majority of cases, antibiotics will help if the wound becomes infected. Blood clots can also lead to vascular occlusion, such as in the case of a thrombosis. In a few cases, the narcotic drug leads to allergies or intolerance. Immediately after the operation, numbness on the abdominal wall can occur due to pressed nerves, but these worries usually subside without any problems.

A rather unavoidable consequence of tummy tuck is the occurrence of a build-up of fluid due to the relatively large surface of the internal wound, although this is different in each and every person. In order to prevent fluid retention, wound drains are often continued slightly longer. Excessive bleeding that requires repeated intervention is very rare.

What do I have to consider after a tummy tuck?

After the operation, there are a few things to consider in order to encourage an ideal healing process. First and foremost, it is important that you wear compression garments for around six to eight weeks. Immediately after the operation, a girdle is placed on the abdominal wall. Directly after the procedure, bed rest is required for about 24 hours. The legs should be bent in order not to put pressure on the sutures and to avoid additional stretching of the abdominal wall. The sutures that are used during the procedure do not have to be removed as they are will dissolve by themselves after a certain period of time. If necessary, special sutures can be used, which are pulled out after about 14 days.

It is important to avoid exercise for about six weeks and generally take about four weeks of rest from very strenuous physical activity. Also try to avoid hot baths, saunas or solariums for about eight weeks. Appropriate skin care after the operation is also extremely important. Directly after the procedure, you should plan at least seven to ten days off during which you will not be able to work. In individual cases, you decide together with Dr. Matiasek which activities you can partake in again and after how long.

When are the results of the tummy tuck visible?

It can take up to three weeks for the swelling to completely subside. It usually takes about three to six months for the final result to become visible.

With the help of the tummy tuck, Dr. Matiasek redefines the abdominal wall in order to achieve an aesthetically pleasing result according to your wishes. Thanks to his professional competence and many years of experience, Dr. Matiasek will therefore provide you with the best possible support in your decision-making.

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