TUMMY TUCK (ABDOMINOPLASTRY)
ISTANBUL / TURKEY
of beauty have undergone many changes troughout the millennia.
The body types appreciated by the Egyptian and Greco-Roman
civilizations have persisted througout the ages, whereas
the rounded forms idealized by Rubens are not considered
ideal today. Liposuction (suction-asisted lipectomy) can
be defined as an aesthetic procedure that removes subcutaneous
fatty tissue from the body in an attempt to bring the body
into conformity with current perceptions of attractiveness.
The focus of body contour procedures is the body unequal
distrubition of fat, its overabundance in some areas and
absence in others.
usually have explored nonsurgical alternatives to liposuction
before their first appointment with aesthetic surgeon. Patients
report that they have followed strenous diet and exercise
regimens, attempted to hide their appearance, and avoided
embarrasing social situations with increasing frustration
and lowered self esteem. Disproportionately deposited pockets
of genetically determined adipose tissue do not respond
even to unhealthy extremes in diet and exercise.
(suction-assisted lipoetomy) consist of the removal of body
fat using a device called a cannula that aspirates fat cells
by suction. This procedure is effective in removing exess
fat of the face, chin, arms, axillary breasts, abdomen,
hips, trochanteric area (saddle bags), thighs, knees and
ankles. There are limits to amount of the fat that can be
removed and the degree of body sculpturing that can be accomplished
with liposuction. However, in patients with abnormal deposition
of fat liposuction is extremely helpfull in enhancing appearance.
is effective in most patients who have good skin elasticity
because the skin contracts after the fat has been removed.
In most areas of the body where abnormal collection of fat
have developed, liposuction has been beneficial in recontouring
the area. Older patients and others with poor tissue elasticity
may benefit from liposuction in conjunction with traditional
body contour methods, such as facelift, abdominoplasty and
is performed through small stab incisions (3 mm) A cannula
is inserted into a layer of fat under vacuum extracts fat
only while the surgeon strokes the cannula. Today smaller
diameter cannulas (1,5mm to 4 mm) are preffered to decrease
the probability of irregularities. Recently with the delivery
of local anesthetic -epinephrine containing fluids into
the fat layers before aspiration, liposuction can be performed
with a considerable reduction in blood loss and large amount
of fat can be aspirated without necesitatating blood transfer.
is now performed as an outpatient procedure under sedation
or general anesthesia. Majority of patients can be sent
to home a few hours after the surgery. If large amount of
fat is removed (more than 5 liters) the patient is discharged
from hospital in the next morning following the operation
use of local aneshetic solutions pain is minimal and can
be controlled with anargesics. A special elastic girdle
or binder is applied at the end of surgery to reduce postoperative
edema and bruising. The patient may shower 48 hours after
surgery, removing the girdle. The patients are advised to
wear the elastic girdle 2-3 weeks. The patient may return
to daily activities and work in a few days. Exposure to
full sunlight should be avoided and suctioned areas should
be covered until bruising has subsided, generally for 6-8
weeks. Sunscreens should be applied liberally.
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