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Pregnancy, excessive weight gain, immobility can cause the abdominal muscles get relaxed, lead to fat accumulation in this area and finally form abdominal deformity caused by the sagging of belly.

The best treatment after this stage is abdominoplasty surgery. Abdominoplasty, also referred as tummy tuck, is an operation that allows the removal of excess skin and fat tissue in the abdomen, and the restoration of the abdominal wall muscles to reach their original strain.

It is recommended for patients with obesity to lose weight prior to this kind of operation because the result will not be optimal and the risks of general anesthesia will increase. Performing such an operation for weight loss purposes will effect results adversely.

To achieve the best results, I have been doing abdominal surgery combined with liposuction known as the Saldanha technique (Saldanha lipoabdominoplasty).

The Surgery

The operation is done under general anesthesia under hospital conditions. Hospitalization is necessary for 1-2 days after surgery. After the surgery, you will be placed on your bed with a dressing over stitches, corset put on the operating table and 2 drains and your back and legs folded. You are required to wear anti-embolic socks starting from below the knees for protection until you are up and walking.

Your drains are removed on the 2nd or 3rd day. You are required to move in slightly tilted posture.

The special strips are placed over the stitches and the remaining stitches are  removed in the second week.

What You Need To Know

Smokers are at risk for both general anesthesia and surgical complications. It will affect the results in terms of wound healing and scarring.

Postoperative hematoma and wound healing problems may occur.

One of the feared complications is blood clot throb (embolism).

Therefore, anti-embolic sock use, preventive drugs and early mobilization is recommended.

It may be helpful to use a special silicone band or creams for the best possible healing of the scar.

Abdominoplasty is preferably recommended for patients who have given birth or do not consider giving birth. It has not been reported in the literature that patients who have been operated have encountered any problems regarding pregnancy.