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Abdominoplasty is a surgery, which is used for the correction of the abdomen shape, reduction in volume, removal of the elasticity deformed skin in a post-natal phase, strengthening the muscles of the abdominal wall, lumbar breeding. Removal of the excess skin or fat, plastic surgery of the navel , the abdominal wall reinforcement are the essential functions of the surgery. Correction of stomach and waist contours and formation of thin scar above the pelvic bone.

For the first time in Georgia aesthetic approach to abdominoplasty was developed by our clinic staff. At present we are doing abdominoplasty operations in combination with a variety of face and body surgeries.

Starting from the 1990s we usually conduct abdominoplasty together with liposuction . These two methods complement each other, and thereby maximize the desired aesthetic result obtained. When we observe a  hanging skin just below the navel , we do umbilical mini abdominoplasty without plastic procedures.

The first abdominal surgery to reduce the size of the abdomen was conducted by American surgeon J. held. A. Kelly (G. A. Kelly) in 1899. He used the method of dermo-lipoctemy (only removal of fatty tissue without mobilization of tissues).

In 1905, Goudet and Morestin removed a fatty tissue without excision of the umbilical and operated a hernia.

In 1916 Babcock carried out removal of fatty tissues with wide excision and tissue , which enables changing the contours of the abdomen and waist .

In 1967, the Brazilian surgeon Pitanguy was the first to describe the milestones and set new standards for the operation , which is now used to evaluate the results obtained .

These standards are: noticeable scar above the pelvic bone, sufficient mobilization of fatty segments, plastics of the navel and aponeurotic abdominal wall reinforcement.

Abdominoplasty is indicated for the correction of a hanging belly, skin aprons, excessive fat accumulation, cellulitis, distasis (separation) of abdominal muscles, umbilical, and central white line hernia. Typically these changes are associated with genetic causes, pregnancy, labor, excess weight and quick loss of weight. 

The operation is conducted under general anesthesia; the duration of the surgery is 2-5 hours. Incision is made at a bikini level. This location allows to completely cover by underwear or swimming costumes.

In case of mega abdominoplasty the incisions are made of an inverted T- shaped.

During the surgery the skin and fatty tissues are removed In case of abdominal muscle diastasis, recovery of abdominal muscle corset is completed. If the patient has a hernia it is removed during the operation.

During standard Abdominoplasty the navel is shifted and plastic procedures are applied. If the abdominoplasty corrects only the lower abdomen hanging skin mini abdominoplasty is applied without affecting the umbilical.

If necessary Abdominoplasty can be combined with liposuction of the spinal cord, thoracodorsal and other parts of the body. If the patient has lost more than 40 kg, the hanging lower abdomen skin, buttocks and thighs is evident. These are indications for body lifting (see Bariatric Surgery) . An important effect of a combined method is a compelling result with minimal post-surgical stitches and a high esthetic quality. It is necessary to wear special bandages 4 weeks after the operation. During the operation it may be necessary to use a drainage system, which is removed in 2-4 days.

Depending on the scope of surgery the patient is transferred on outpatient treatment within 3-6 days. It is possible to go back to work in 1-2 weeks after the operation. Stitches are removed in 10-12 days. In some cases temporary loss of skin sensitivity may be observed in the abdominal wall. Driving a car is allowed in two weeks.

The full extent of physical activity is allowed in 2 months. The final formation of the insicion area completes in approximately 12 months after the operation.

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