Tummy Tuck Surgery In Pakistan

Introduction

Tummy Tuck Surgery is also called Abdominoplasty. This surgery deals with loose abdominal skin. It is one of the popular procedures and commonly performed cosmetic surgery procedures nowadays to improve the shape of the body and get rid of loose hanging skin.

Dr Abdul Malik is doing these surgeries in Multan at Medicare Hospital Multan (0345-4492128).

Procedure Steps

Usually, Tummy Tuck Surgery is done under general anaesthesia. The patient is patient and dropped for maintenance of sterilisation. Marking is repeated. Infiltration is done at the incision site. Skin is lifted up from below to above till required area. Then rectus muscles are checked and approximated (rectus plication) to improve the strength of the abdomen. The umbilicus is saved. Excess skin is assessed and marked then excess skin is removed. After that hemostasis is secured then wound stitching is done and the umbilicus opening is placed at its position by making a hole in the skin. Then a dressing is done.

Types of Abdominoplasty

After the assessment of the patient is decided which type of tummy tuck surgery is needed for a specific patient. These Types include:

  1. Miny tummy tuck
  2. Standard tummy tuck / Abdominoplasty
  3. Extended tummy tuck
  4. Belt Lipectomy in which circumferential loose skin is removed
  5. Tummy tuck with liposuction

Possible Candidates

The following four people can be the possible candidates for abdominoplasty or tummy tuck surgery:

  1. Females after multiple pregnancies lose their skin of tummy / abdomen
  2. Massive weight loss Patient after bariatric surgery like sleeve gastrectomy or gastric banding or gastric balloon insertion
  3. Male/females who lose their weight with dieting and exercise and their skin of tummy get loose hanging.
  4. Patients after Liposuction surgery if their skin remains loose and did not retract back properly.

Consultation Process

Clients usually visit the clinic and detail discussion and examination of the tummy is done to see the extent of loose skin whether it is below the umbilicus or above that also and whether it is on the front or on sides and back also especially after massive weight loss cases because the type of tummy tuck is then decided accordingly. Also in evaluation is examined the loose rectus muscles ( recti) and divarication of recti muscles at the midline of the abdomen.
During the evaluation is discussed the procedure details, benefits, side effects and outcome and also the details about any diseases which can compromise results like diabetes, blood pressure issue, heart issue or any other.

Preparation for Abdominoplasty

In the preparation process, general fitness is seen of a patient clinically and also baseline blood tests and ECG and chest X-ray is done for general anaesthesia fitness and marking is done before surgery.

Recovery

The patient is kept hospitalised for one to two days and from day one slight mobilisation is started and the patient is advised to keep bend himself or herself during the movement and on the bed, legs should be kept flexed so pressure should not occur on stitches. Drains if placed are removed after one to two days and the patient is discharged. The patient is advised for follow up after one week and after one week patient is advised to slowly make him or herself straight while walking and the abdominal belt should be kept wearing during all time for about 4-6 weeks. Swelling is usually settled in 2-3 weeks time and stitches are removed after 2 weeks. The patient can return to work after 2 weeks and good results are seen after 6 weeks and further improvement can continue up till 6 months.

Results and Expectations

With proper surgery performed by authorised and experienced plastic and cosmetic surgeon, the results are usually excellent and the patient satisfaction rate is more than 95 per cent. And patients usually get happy after getting their body back into shape and then they are able to wear the dresses of their own choice and can go back to society with confidence.

Benefits & Advantages

With proper surgery, the patient can have the following five benefits:

  1. Body into proper shape
  2. Improved confidence level
  3. Scars which can be hidden in underwear
  4. Good waist definition
  5. Symmetry in body shape

Side Effects & Complications

Surgery should be done by a plastic and cosmetic surgeon who is authorised and experienced in these procedures to have minimal side effects and complications. The complications can occur which usually settle down with conservative treatment. These can be:

  1. Hematoma formation
  2. seroma formation means; fluid collection under skin
  3. infection
  4. scarring
  5. asymmetrical shape
  6. wound dehiscence mean stitches break down
  7. scar hypertrophy
  8. numbness in the skin edges
  9. colour change of umbilicus
  10. swelling

Cost Of Tummy Tuck Surgery

The cost of tummy tuck surgery is variable depending on which type of tummy tuck procedure is done and whether it is done alone or combined with liposuction. The cost is in the range of 90 thousand to 3 lac 50 thousand rupees.