Abdominoplasty

What Is Abdominoplasty Plastic Surgery in the Philippines?

An abdomen that is flat and trim is just one of the fundamental attributes we identify with physical fitness as well as youthful good health. Flabby, loose skin as well as a bulging abdomen may make it almost impossible to wear certain types of clothing items we favour, and might make us self conscious about revealing our anatomies in the shore or in the gym, or even to our spouses or partners.

Many times, a protruding abdomen is the effect of weak abdominal muscles, or persistent cycles of weight gain followed by weight reduction. Occasionally, there is an inherited genetic pattern of localized abdominal obesity, while the remainders of the body contours are standard. Frequently, the perpetrator is pregnancy, which may also make your skin to reduce its elasticity as well as causing the abdominal muscles separate and to weaken. Such a laxity of the abdominal wall usually won’t enhance only as a consequence of greater attention to exercise or diet in the event the skin and underlying muscles have been too stretched and weakened, and their resilience has been driven past the point of healing. Many patients are discouraged by their dearth of progress or development in their own body contours, often in spite of extensive regimens of diet and exercise, which never seems to translate to visible development.

Get  Abdominoplasty Cosmetic Surgery in the Philippines and Save 50% to 80%

Abdominoplasty procedures provide significant and lasting results for patients who opt for them. The recovery period may be somewhat longer and the incision lines may be permanent, but it efficiently removes protruding, sagging abdominal skin and the scars fade over time. The incisions are normally placed in the natural skin folds, and most are covered by undergarments and swim wear. The abdomen should remain firm and flat for many years unless there is a significant change in weight or due to pregnancy.

Abdominoplasty patients feel more confident about their appearance months after the procedure. It gives them more freedom to choose what to wear without worrying over unsightly bulges. Patients who continue with their exercise routines and healthy diets will benefit the most from Abdominoplasty and will maintain their results longer.

Abdominoplasty Plastic  Surgery At Beverly Hills Medical Group – Asia’s Only U.S. Based Medical Center in the Philippines

For those discerning patients who expect U.S. standard medical care and facilities when they travel abroad, Beverly Hills Medical Group has opened a premier outpatient medical facility in Manila Philippines.  This facility, with its roots clearly imbedded in the U.S., is U.S. managed and operated and is Asia’s only U.S. based Medical Center.  Now with over 3 decades of experience with patients that travel abroad for surgery.  Beverly Hills Medical Group has provided Outpatient Medical Services in Cosmetic, Plastic and Reconstructive Surgery, Cosmetic Laser and Dermatology Procedures, Dental (General & Cosmetic), Gynecology Surgery, Podiatry, Orthopedic, and Urology.

Get Your Abdominoplasty Plastic Surgery Procedures Done In the Philippines with U.S. Trained Cosmetic Surgeons

Sure, you might be skeptical when you are talking about Philippine Doctors who might not be qualified or not have the necessary training.  But at BHMG, the medical staffs are U.S. and internationally trained Surgeons. Additionally, most of these same medical practitioners have graduate medical training in America, Singapore, Japan, Australia, or Europe. The over 100 medical practitioners at BHMG are experienced and board certified within their specialties making them among the most competent doctors on the planet.

Over a Million Very Happy and Completely Satisfied Clients

With its 30 years of legacy clearly imbedded in Beverly Hills California and designed to meet both U.S. Department of Health and JCI requirements, BHMG is the world leader in Medical Tourism.  Find out why over 1,000,000 VERY HAPPY clients from over 102 countries worldwide have chosen us for their medical service requirements.  We look forward to being of service to you.

 

Abdominoplasty Plastic Surgery at Beverly Hills Medical Group

 

Candidates for Abdominoplasty

Both women and men who have excess fat and loose skin of the abdomen can benefit fromAbdominoplasty. BHMG’s Board Certified Surgeon carefully considers age, obesity and overall health when evaluating a candidate for this procedure. The best candidates are healthy and physically fit patients who have maintained a stable body weight near their ideal goal, with a disciplined program of diet and exercise. You may be a good candidate for Abdominoplasty if you have one or more of the following conditions:

• Excess or sagging abdominal skin • An abdomen that protrudes and is out of proportion to the rest of your body • Abdominal muscles that have been separated and weakened by pregnancy or weight gain • Excess fatty tissue that is concentrated in your abdomen

Smokers, diabetics, and patients with uncontrolled obesity are poor candidates. Women should be relatively certain that they will not become pregnant in the future. For qualified patients, Abdominoplasty can provide a dramatic improvement in physical appearance and general sense of well-being. There is often an increased exercise tolerance, along with an alteration in available styles of dress and clothing, and a motivation to maintain the outward improvement in body shape, with healthier lifestyle and dietary choices.

The Abdominoplasty can sometimes be combined with other procedures, such as hysterectomy or bladder suspension.

Back to the top

Your Consultation

BHMG’s Board Certified Surgeon will take a complete medical history and conduct a careful examination to evaluate your overall health. Ideally, the Abdominoplasty patient has no health problems, and wishes only to remove an excess deposit of fat or loose abdominal skin. Patients on a personal or medically-supervised weight-loss plan should be relatively close to their target weight before having the operation. Women planning future pregnancies should delay Abdominoplasty, as pregnancy may cause further abdominal stretching.

Photographs will be taken before and after surgery.

Antibiotics will be prescribed at the time of surgery to prevent infection. To minimize the possibility of excess bleeding, you should avoid taking drugs containing aspirin. You may also be advised to shower with an antiseptic soap on the night before or morning of your surgery.

Back to the top

The Abdominoplasty Procedure

Abdominoplasty is generally carried out in an accredited outpatient surgical facility, or on occasion, in a hospital setting. The procedure is done under general anaesthesia. You may be given a sedative medication beforehand so you will feel relaxed. The surgery generally takes 3 to 4 hours, depending on the individual circumstance, and whether other additional procedures are planned in conjunction. Patients usually spend the night of surgery in an aftercare facility; alternatively, patients may be discharged to their own home under the care and supervision of a private-duty nurse or a responsible adult caregiver.

The procedure is most commonly performed by making a gently-curving incision extending for a variable length between both hip bones and above the pubic area, hidden in the bikini line. The length of this incision depends upon the amount of excess skin requiring removal. A second (circular) incision is generally made around the navel (umbilicus). The skin is lifted from the abdominal wall and elevated up to the ribs, revealing the abdominal muscle. Loose, separated muscles are tightened with sutures, and any abdominal hernias are repaired. This results in a firmer abdominal wall and narrower waistline. The skin is re-draped and tightened over the abdomen, the excess skin and fat are trimmed and removed, and the navel is restored to its normal location through a new incision in the abdominal skin. Existing stretch marks in the lower abdomen are often removed in the process, and any remaining stretch marks tend to be flattened and improved. The incisions are then carefully closed with hidden sutures and surgical tape. Temporary suction drains are inserted to eliminate fluid build-up, and firm elastic bandages or a surgical girdle are applied to the area to limit swelling and bruising.

Back to the top

Recovery

After surgery, you will awaken gently from anesthesia in the recovery room, with mild discomfort that is usually controlled by pain medication. Once you are fully awake, you will be transferred to the aftercare facility or to your home with a responsible adult caregiver.

Below are some recommendations for better recovery:

  • Go for short walks to promote circulation and to facilitate deep breathing. Even if you are not able to stand up straight, it is recommended that you do not lie in bed or sit for long periods of time during the first several days right after surgery.
  • It is necessary that you wear a support garment or girdle in order to limit swelling and fluid accumulation.
  • Sleep on your back with a pillow under your knees.
  • Straining, bending and lifting must be stopped to avoid increased swelling, bleeding or disruption of the surgical repair.

BHMG will see you in the office 24 to 48 hours after surgery. By then, you will be given special instructions for showering and changing your dressings until the drains are removed, which is a week to 10 days after the procedure. The sutures are removed in stages over the period of 5 to 14 days.

The speed of recovery depends on your physical conditions before surgery. Those who have stronger abdominal muscles usually recover faster.

A mild amount of swelling and bruising is normal during this first week after surgery. Take at least 1 to 2 weeks to recuperate before returning to non-strenuous work. Sexual activity should be avoided for a minimum of two weeks as well. In 3 to 4 weeks after surgery, patients may resume light to moderate exercise. You may experience numbness over portions of the abdominal area that persist for several months. The incisions may remain red or pink for many months following surgery before they finally begin to fade. Swelling may subside several weeks after the Abdominoplasty procedure to see the final results of your improved abdominal contour.

Back to the top

Options and Alternatives

There are several variations of the standard technique of Abdominoplasty, which our medical staff will discuss with you, if appropriate to your condition. These include “mini” or partial Abdominoplasty, in which there is no incision around the umbilicus. This more limited procedure is reserved for patients with minimal loose skin and excess fat deposits located primarily below the umbilicus. For some patients with excessive and lax skin of the flanks and hips in addition to the abdomen, a more extensive procedure such as Belt Lipectomy or Lower Body Lift may be required in order to achieve the best results. Occasionally, Liposuction alone may be used in circumstances where there is good skin elasticity and localized excess fat only. More often, Liposuction (suction lipectomy) is used in conjunction with either mini- or full Abdominoplasty procedures, to remove additional unwanted fat deposits, and to improve the overall contours of the waistline, hips, and thighs.

Back to the top

Risks

Anyone considering surgery should be aware of both the benefits and risks. Fortunately, significant complications from Abdominoplasty are infrequent, and patients are generally gratified with the results.

Potential risks of Abdominoplasty include bleeding, infection, and reactions to anaesthesia. There may occasionally be tissue loss and delayed wound healing along portions of the horizontal incision, especially in cases where the procedure has been extensive, or in smokers and diabetic patients. Patients are encouraged to walk as much as possible in the first few days after surgery, to avoid the possibility of pneumonia or of blood clots forming in the leg veins. There may be an accumulation of serum fluid beneath the abdominal skin, requiring prolonged drainage. All scars will be permanent, although they are expected to fade over time. Rarely, the scars will require revision involving a subsequent procedure if they have healed poorly, or additional contour-correction procedures (dog-ear excision or liposuction) may be required to achieve optimal results.

It is not possible to list or anticipate every conceivable complication. However, most risks can be lessened and managed by carefully following the recommendations and instructions provided to you by BHMG’s medical staff during your consultation. BHMG’s medical staff will address any of your personal questions or concerns at that time as well.

Back to the top

Your New Look

You will awaken gently from anaesthesia in the recovery room, usually free of nausea or pain. Mild discomfort is usually well-controlled with pain medication. When you are fully awake, you will be ready for transfer to the aftercare facility, or to your home with a responsible adult caregiver. You will be encouraged to get out of bed for short walks to promote circulation and to facilitate deep breathing. Although you may not be able to stand up completely straight, it is best if you do not lie in bed or sit for long periods of time during the first several days. A mild amount of swelling and bruising is normal. You will also be required to wear a support garment or girdle, to limit swelling and fluid accumulation. You may be instructed to sleep on your back with a pillow under your knees. BHMG will see you in the office 24-48 hours after surgery. You will be given special instructions for showering and changing your dressings until the drains are removed, generally 7 to 10 days after surgery. Sutures are removed in stages over the period of 5 to 14 days.

The speed of recovery depends on your physical condition prior to surgery; those with stronger abdominal muscles usually recover faster. Straining, bending, and lifting must be avoided, since these activities might cause increased swelling, bleeding, or disruption of the surgical repair. Allow yourself at least 1 to 2 weeks to recuperate before returning to non-strenuous work; sexual activity should be avoided for a minimum of two weeks. Most patients may resume light to moderate exercise 3 to 4 weeks after surgery. You may experience prolonged numbness over portions of the abdominal area, which may persist for several months. The incisions may remain red or pink for many months following surgery before they finally begin to fade. It may take several weeks for all the swelling to subside to the point that the final results of your improved abdominal contour can be appreciated. 

Back to the top

Frequently Asked Questions

Q: Why are drains necessary?

A: Yes, Abdominoplasty patients who are smokers have a higher risk for loss of skin, delayed wound healing, infection, pneumonia and blood clots in the leg veins which may result in pulmonary embolism and death. It is essential that you refrain from smoking for 3 weeks before and 3 weeks after the surgical procedure.

Back to the top

Q: How long will my drains remain in place?

A: Drains (usually two) will remain in place until the daily volume of drainage decreases to a minimum, generally between 5 days and two weeks.

Back to the top

Q: When can I shower or bathe?

A: You may shower after the first office visit / dressing change, generally within 24-48 hours after surgery. You must not bathe or immerse the incisions or drain sites under water in a bathtub, hot tub, swimming pool, etc. until all drains have been removed and the incisions are completely healed. BHMG’s medical staff will instruct you when bathing is permitted.

Back to the top

Q: How long do I need to wear the binder or girdle?

A: The binder or girdle is used to diminish the amount of swelling and bruising in the abdominal area, especially after Liposuction in combination with Abdominoplasty. It also prevents accumulation of excess fluid (serum or blood) under the abdominal skin, and helps to maintain the contour of your new abdomen. It should be worn continuously, 24 hours a day, 7 days a week (except while showering) for the first 3-4 weeks. After that time, it can generally be used for support and comfort during the daytime only, for an additional 3 weeks.

Back to the top

Q: When can I resume exercise?

A: Patients are encouraged to begin walking immediately after surgery. You may resume more strenuous walking on a treadmill, or mild upper extremity weight training after 7-10 days. Most patients resume full, unrestricted exercise after approximately 4 weeks.

Back to the top

Q: When can I resume driving?

A: Most patients may resume driving after approximately 48-72 hours. You should not drive if you are taking narcotic pain medication, sedatives, or muscle relaxants.

Back to the top

Q: When can I return to work or normal social activities?

A: Most patients are able to return to work or resume normal social activities after 5 to 10 days. If your work involves sitting for extended periods, you are encouraged to take frequent breaks to stand and walk, in order to promote circulation and deep breathing. You will need to wear loose-fitting clothing which will hide the presence of your drains and abdominal binder or girdle, as long as these are necessary.

Back to the top

Q: What would happen if I become pregnant after Abdominoplasty?

A: Your skin and abdominal wall will stretch to accommodate your pregnancy. However, you may require an additional surgery to regain the improvement, if the skin becomes lax again.

Back to the top

Q: Does insurance ever pay for Abdominoplasty?

A: Abdominoplasty is usually considered a cosmetic procedure; therefore it is not covered by insurance. However, if significant spreading of the abdominal wall muscles or a hernia is present, a portion of the surgicenter and professional fees may be eligible for reimbursement.

Back to the top

Q: Is there a greater risk if I am a smoker?

A: Abdominoplasty patients who smoke have a much higher risk for loss of skin, delayed wound healing, infection, pneumonia, and blood clots in the leg veins which may result in pulmonary embolism and death. It is absolutely essential that you refrain from smoking for three weeks before and three weeks after surgery.

Back to the top

Q: Is there anything that can be done to improve the appearance of the scars?

A: Generally, the scars will fade nicely as time passes, and in many cases, no additional treatments are needed. If the scars become somewhat thick or red, BHMG may recommend treatment with silicone gel strips or liquid, or possibly laser treatment of the scars to lessen the redness. For this reason, your follow-up visits are important, so that the progress of your wound healing can be monitored.

Back to the top