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Alterations in the abdomen can be due to excess of fat, skin or abdominal wall weakness. In cases of skin sagging, it will be necessary to undergo abdominal dermolipectomy or abdominoplasty which consists of eliminating abdominal excess skin and fat and tightening the muscles in the abdominal wall. The patient in the photograph presents Grade 1Lipodystrophy with important skin flaccidity in the infraumbilical region.

Abdominoplasty or abdominal dermolipectomy consists of resection of skin segment and abdominal fat as well as restoration of normal muscle wall tension.

Abdominoplasty is one of the aesthetic procedures that cause most unease to the surgeon due to the scar’s great dimensions. At the same time, it is one of the procedures that satisfies patients most, due to the important change in their body contour. It is frequently combined with liposculpture of fat deposits that don’t respond to diet or weight loss.

Complete exploration is required, like before any other procedure, in order to discard any type of pathology that could contraindicate surgery. Among these pathologies, cardiovascular, lung and coagulation problems are to be highlighted.

Obese patients, whenever possible, should lose weight under endocrine control. In patients, who cannot manage to lose weight and have a large abdomen, abdominoplasty may be the answer. In said cases, some days prior to the procedure some breathing exercises will have to be done.

Due to the great extension of skin separated from the abdominal wall and the flaps dimensions, which is usually performed in this procedure, it is important for smokers to stop for around 2 weeks before surgery. The reason is that smoking can cause alteration in microcirculation, which can seriously compromise the final result. azul


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