Two types of abdominal cosmetic surgery are available: isolated abdominal liposuction and abdominoplasty. Abdominoplasty is used in cases where there is significant sagging of the skin. Abdominoplasty modifies the abdominal silhouette by acting on the skin, fat and muscles of the abdominal wall.
Abdominoplasty is particularly indicated in cases of sagging skin or diastasis of the rectus abdominis muscles.
Objective of abdominal cosmetic surgery:
Abdominoplasty consists in repairing aesthetic disfigurements of the abdomen through three procedures.
By reshaping the abdomen:
➊ A skin lift
A large spindle of skin is then removed between the umbilicus and the pubis. The umbilicus is replaced at the end of the operation, leaving two scars, one above the pubic area and one around the umbilicus.
➋ Flank liposuction to reduce excess fat
➌ Abdominal muscle strengthening (diastasis treatment)
Anaesthesia :
Abdominoplasty surgery requires general anesthesia.
Smoking cessation one month before and after surgery is strongly recommended, as it increases the risk of post-operative complications. The patient can be helped to stop smoking. No anti-coagulant medication should be taken in the ten days preceding the operation, and the same applies to aspirin.
Duration of intervention:
The procedure lasts between one and a half and three hours, and ends with the application of a shaping dressing and a compression girdle.
The operation leaves scars that vary in length and shape depending on the degree of skin laxity, but which are hidden in the folds of the body or by undergarments.
Operative sequences :
Abdominoplasty surgery requires a hospital stay of 1 to 2 days.
Abdominal girdle to keep on for 1 month.
Compression stockings to be worn on the day of surgery.
Post-operative edema lasts 1 to 2 months.
Sports activities must be stopped for six weeks following the operation.
The results will only be visible one year after the operation.
No exposure of scars to the sun for 1 year
Are complications possible?
Complications may arise from the surgical procedure itself, or from the anesthesia. Thrombo-embolic complications, hematoma and infection are common to all surgical procedures.
Serum effusion may be observed from the third post-operative day onwards.
More rarely, localized skin necrosis may occur.
There may also be a loss of subumbilical sensitivity for three to twelve months.
Social security coverage :
Yes, the procedure can be reimbursed by the health insurance scheme, but you need to apply for prior authorization. The decision on coverage will be favorable if the abdomen covers the pubis.