DR. MATTIA COLLI SURGEON
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ABDOMINOPLASTY

THE IDEAL INTERVENTION TO RESTORE TRACTION, SLENDER AND SMOOTH PROFILES OF THE ABDOMEN

ABDOMINOPLASTY

Abdominoplasty (aka tummy tuck) is a surgical operation that restores traction to the abdomen.Especially in humans, the abdomen plays a very important aesthetic function.The patient who undergoes abdominoplasty surgery expects to obtain a body figure as sculpted and toned as possible. Depending on the lifestyle adopted, the abdomen can be subject to several changes that determine damage from an aesthetic point of view: a drastic diet, for example, can cause the loss of skin elasticity.To eliminate skin imperfections and make the abdomen profile slim, it is necessary for patients to undergo the aesthetic abdominoplasty surgery to regain their shape and feel good about themselves.

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ABDOMINOPLASTY: WHAT IS IT FOR?

Abdominoplasty aims to model the abdominal wall in humans, which over time has relaxed and has become fat. In fact, adipose tissue and excess skin are eliminated to obtain a flat abdomen.

A particularly bulky or extremely relaxed abdomen, due to factors such as aging or excessive sun exposure, can be corrected through abdominoplasty surgery, so as to restore a slim, youthful, and elastic profile.

ABDOMINOPLASTY: TO WHOM IS IT RECOMMENDED?

Abdominoplasty surgery is recommended for all patients who have excessive sagging of the skin with the possible presence of excess adipose tissue. Abdominoplasty is particularly indicated in men and women who have:

 
  • sharp and evident relaxation of the skin component (soft and relaxed abdomen)
  • excess adipose tissue with soft and relaxed skin (adipose abdomen)
  • sagging of muscle tissue due to severe weight loss or post-pregnancy
  • Enlarged, flaccid, and deformed navel due to redundant skin and excess fatty tissue
  • great discomfort in wearing tight-fitting clothes that highlight the waist and abdominal area
  • great difficulty in liking yourself in front of the mirror
  • ambition towards  increased self-esteem

ABDOMINOPLASTY – IF THE ABDOMEN IS ADIPOSE

The adipose abdomen has adequate skin elasticity and can be effectively treated with abdominoplasty. The adipose tissue of the abdomen has a completely different conformation between men and women: in men it is the richest source of stem cells and has a hard and metabolically inactive component. In women, adipose tissue is softer and more prone to changes in metabolism. Most often, in humans, in addition to liposuction, a lipostructure of the abdominal design of the rectal muscles is also associated. If the tone of the abdomen is not good, it will not be possible to program only the abdominoplasty but it will also be necessary to remove the excess skin in order to obtain the abdomen tense and flat.

ABDOMINOPLASTY – IF THE ABDOMEN IS RELAXED

The sagging of the abdominal skin tissue is caused by several factors such as aging and decay due to excessive sun exposure, pregnancies, and sudden weight changes. If the abdominal skin tissue is relaxed, there is nothing in the world (lasers, radiofrequency-based machines, ultrasound, shock waves, creams, etc.) that can pull the abdominal tissue optimally and with permanent results such as abdominoplasty surgery.

ABDOMINOPLASTY
— SURGICAL TECHNIQUE

 

The operating surgeon performs a first phase of the abdominoplasty surgery in which the anesthetic is introduced into the adipose tissue, with a vasoconstrictor (adrenaline), to avoid bleeding, thus reducing the blood supply in the area to be treated and allowing the operating surgeon to work at his best and in a delicate way eliminating a greater amount of fat. The abdominoplasty technique is peculiar because it is a liposuction aimed at removing excess fat: abdominoplasty also allows a detachment of the skin such as to make the next phase less traumatic on the tissues and have a much faster healing.

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ABDOMINOPLASTY – THE SECOND PHASE

The second phase of abdominoplasty surgery involves the excision of the excess skin portion “drawn” by the surgeon before the patient enters the operating room both in an orthostatic position (standing) and as a supine.

A single incision is made that runs from the lowest abdominal fold (which hides the scar inside the undergarments) to the anterior iliac spines or to the groin area (the latter, of considerably higher surgical ability, provides for an even lower scar and is carried out by Dr. Mattia Colli, if the type of undergarments and swimsuits used by the patient require it);  an additional thin scar is subsequently carried out at the umbilical level to preserve vitality and reposition the navel in the anatomical site (about 20 cm from the clitoris or 15 cm from the pubic area).

The detachment of the abdominal skin is not limited to stopping in the region above the navel but is carried out up to the end of the epigastric region where the handlebars of the sternum begins: Dr. Mattia Colli, ranks as one of the rare in the world to adopt these surgical technique of abdominoplasty of the highest level that allows you to put the abdomen in traction even in its highest part obtaining a completely taught and smooth effect.

At the end of the debridement, the surgeon performs careful hemostasis that reduces the risk of bleeding after abdominoplasty surgery and then proceeds to suture the surgical wound.

In the phase of closure of surgical wounds, special and innovative suturing techniques are carried out that bring the skin flaps together and make the scar as less visible as possible.

We give great importance to the scar, which must be as thin and hidden as possible, and precisely because it must support the entire abdominal traction, it is performed with special sutures through different surgical threads that guarantee the traction itself and achieve desired aesthetic results.

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ABDOMINOPLASTY
— SURGICAL TECHNIQUE

ABDOMINOPLASTY – THE HEALING PHASE

The healing phase, following the abdominoplasty surgery, is not abandoned to the natural evolutionary course but a completely personalized path is followed that involves the use of the most recent discoveries of regenerative medicine: the cells used in this area allow a very rapid healing, fighting the danger of keloid formation and obtaining a thinner scar and soft consistency.

If the clinical case presents a laxity of the rectus abdominal muscles, these will be approached by different surgical sutures or prosthetic mesh implants. The choice of the method of abdominoplasty surgery depends on the clinical presentation of the patient, in fact the mesh is implanted when muscle relaxation is considerable and the distance of the muscles cannot be reduced through surgical sutures. If the surgeon deems it necessary, at the end of the abdominoplasty surgery, two drains will be affixed to allow the drainage of any inflammatory fluid accumulation.

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During the first months in healing the scar will have a reddish color while in the following months it will tend to fade and become white.

Dr. Mattia Colli abdominoplasty is famous for low scars, completely hidden even with small undergarments and with the possibility of programming the lateral part at the iliac crests or even lower towards the groin region.

When the patient has a skin laxity of modest or medium magnitude along the entire length of the belly, Dr. Mattia Colli adopts a further surgical technique of abdominoplasty which always consists in pulling the abdomen to make it flat, smooth and firmed but without performing the umbilical scar (abdominoplasty without umbilical scar).

When, on the other hand, the patient has a skin laxity of modest or medium entity on the lower part of the navel, a surgical micro-lifting of the lower abdominal portion is carried out without detaching the entire abdomen (mini abdominoplasty or abdominal micro-lifting).

The average duration of abdominoplasty is 50/60 minutes. At the end of the abdominoplasty surgical operation, special compression dressings will be arranged that will be removed and changed according to the indication of the Surgeon and the tailor-made garment will be worn to be worn for about 10 days.

ABDOMINOPLASTY : PREPARATION FOR SURGERY

Before abdominoplasty surgery, all the blood and ECG tests listed and proposed during the first visit must be carried out.

You should inform the surgeon of any treatment with drugs (especially cortisone, contraceptives, anti-hypertensive medications, cardioactive drugs, anticoagulants, hypoglycemic agents, antibiotics, tranquilizers, sleeping pills, stimulants, etc.), before undergoing the surgical operation of abdominoplasty.

If the patient takes anti-inflammatories or other blood-thinning drugs, stop taking medicines containing acetylsalicylic acid (e.g. Alka Seltzer, Ascriptin, Aspirin, Bufferin, Cemerit, Vivin C, etc.) at least 7 – 10 days before abdominoplasty.

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If the patient smokes, they will have to eliminate or reduce the smoke at least one week before abdominoplasty surgery, to prevent risks related to nicotine that causes a vasoconstriction of the arteries and suffering to the tissues in the process of healing (poor healing, failure to close surgical wounds and skin necrosis).

The onset of colds, sore throats, coughs or skin diseases should be reported immediately.

In all clinical cases, tailor-made garments are designed for each patient. If during the medical  history and examination the patient has manifested some signs and symptoms that the Surgeon deems necessary to investigate further, additional tests such as ultrasound or abdominal CT scan will be prescribed.

Numerous pre-operative images will be made to implement the planning of an increasingly personalized therapeutic path.

It is always advisable to plan, for the post-operative period at the abdominoplasty surgery, the presence of a companion, which can be helpful although not essential. The perfect result of abdominoplasty surgery is also linked to the attention that is paid to prescriptions and post-operative medical indications.

ABDOMINOPLASTY – ANESTHESIA

Dr. Mattia Colli prefers to abandon general anesthesia with its dangers: abdominoplasty surgeries are performed with the most modern anesthesiological techniques of deep sedation (local anesthesia + intravenous anesthesia), so that fear and the sensation of pain are completely canceled while the unconscious is invaded by dreams and pleasant images.

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Local anesthesia occurs by introducing anesthetic in the anatomical areas to be treated in order to effectively eliminate the sensation of pain during abdominoplasty surgery. The insertion of this solution, called tumescent, also takes place with a vasoconstrictor (adrenaline) to avoid bleeding, because it reduces the blood supply in the area to be treated allowing the operating surgeon to work at his best and in a delicate way, managing to eliminate a greater amount of fat.

Another advantage is to have an immediate return to social life, without having to endure classic situations of fatigue, dizziness and exhaustion typical of the disposal of general anesthesia drugs.

In abdominoplasty surgery, however, when it is necessary to rebuild the muscular part that is relaxed or with some hernia, the surgeon may decide to perform general anesthesia to work better on the muscles.

 

ABDOMINOPLASTY – POST-OPERATIVE PERIOD

The purpose of abdominoplasty is to completely change the appearance of a flabby, fat abdomen to one that is flat, pulled, and firm. The goal of abdominoplasty surgery requires not only high-level surgical techniques but also a very careful postoperative period.

The abdominal area should not be strained for the first few days after abdominoplasty surgery, and the patient should maintain a body posture with shoulders forward without inducing traction on the sutures. The dressings will be changed by the surgeon and his team for the first 10 days. Abdominoplasty surgery creates a certain degree of swelling and the presence of bruising at the level of the pubic area is absolutely normal (in fact, liquids due to gravity tend to reach the low point by running from top to bottom).

After the second week of abdominoplasty surgery the abdominal area will manifest less edema and will appear to have a more harmonious appearance.

ABDOMINOPLASTY – RESULT

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The surgical results of abdominoplasty surgery are surprisingly striking. The fat and drooping belly that showed unsightly rolls will be a distant memory, following the abdominoplasty surgery. Our patients can show off their flat, taut abdomen, wear tight- fitted clothing, admire themselves in front of a mirror and be appreciated when wearing swimsuits or undergarments.

Through abdominoplasty surgery, self-actualization and increased self-esteem can reach high levels, as does the confidence the patient one gains with their new appearance.

Abdominoplasty completely transforms the abdomen, and the thin scar remains inside the undergarments or swimwear. Please note that the maintenance of this result is in any case linked to factors such as lifestyle, sudden changes in body weight and the aging process.

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