Body sculpting (or core conditioning) is a non-aerobic, muscle-toning class, usually focused on core strength. Most sculpting classes use weight bars, exercise bands, or dumbbells, or a combination of these gadgets. You perform traditional weight-training moves in a class setting.
The physical appearance matters a lot for everybody. Achieving the desired body statistics is not a dream any more. Whether you are an aspirant to step into the glamour world or simply require a figure correction, we have a solution for you. We provide effective and permanent body sculpting solutions for men and women. Women have several problems with their figure due to weight gain during the pregnancy period, saggy skin, improper breast development and other reasons. At Cosmetic Studio, we provide high-end body sculpting treatments including Abdominoplasty, Vaser liposuction, breast enlargement/ reduction treatments and much more.
Abdominoplasty (Tummy Tuck)
Abdominoplasty, one of the most commonly performed aesthetic procedures, has undergone a significant evolution over the past several decades. Abdominoplasty or “tummy tuck” is a cosmetic surgery procedure used to make the abdomen thinner and more firm.
This type of surgery is usually sought by patients with loose or sagging tissues after pregnancy or major weight loss.
The abdominal deformity is excess skin and subcutaneous tissue and laxity of the abdominal wall musculature. The most common cause of abdominal deformity is pregnancy, most often multiple pregnancies. Pregnancy stretches the skin beyond its biomechanical capability to spring back and stretches the musculoaponeurotic structures of the abdominal wall. The result is stretching and thinning of these structures and diastasis of the rectus muscle. Postpartum weight loss also contributes to the process. If skin retraction has not occurred in approximately 6 months, it probably will not occur. Massive weight loss, whether from dieting or after a gastric bypass surgery, also plays a role in excess skin and laxity of the abdominal wall.
The pathophysiology of the abdominal deformity is 2-fold. It includes (1) excess skin and subcutaneous tissue and (2) laxity of the abdominal wall musculature.
The most significant area of the defect is around and below the umbilicus, where excess skin over a diastasis of the rectus muscles is most apparent.
The large number of different excisional designs is an indication that abdominoplasty is not an exact science. However, some guiding principles must be noted. First, ensure that the incision and subsequent excision address the deformity. For patients with a small amount of lower abdominal skin and fat excess and a minimal amount of lower abdominal laxity, a mini abdominoplasty can be performed.
This consists of a short suprapubic incision, elevation of abdominal skin to the umbilicus, plication of the fascia (if needed), and excision of excess skin.
Numerous designs for abdominoplasty are available. Recently, suction-assisted liposuction (SAL) has been added to the procedure.
9 major points: (1) incision selection, (2) panniculus elevation and SAL, (3) diastasis recti plication, (4) closure, (5) umbilicus tailoring, (6) upper abdomen suctioning, (7) adjacent deformity suctioning, (8) flap trimming, and (9) drain and dressing placement.
The studies below are performed at the surgeon’s discretion. Each institution’s preoperative anesthesia workup protocol should be followed to minimize cancellations.
- Basic metabolic panel
- Beta human chorionic gonadotropin (b-HCG) level
- Albumin level, , and total protein level (if indicated)
- Prothrombin time (PT), activated partial thromboplastin time (aPTT), international normalized ratio (INR) (if indicated)
- Urine cotinine level to gauge patient compliance with smoking cessation (if indicated) Complete abdominoplasty
In general, a complete (or full) abdominoplasty follows these steps:
An incision is made from hip to hip just above the pubic area. Another incision is made to free the navel from the surrounding skin. The skin is detached from the abdominal wall to reveal the muscles and fascia to be tightened. The muscle fascia wall is tightened with sutures. Liposuction is often used to refine the transition zones of the abdominal sculpture. A dressing and sometimes a compression garment are applied and any excess fluid from the site is drained.
A partial (or mini) abdominoplasty proceeds as follows:
- A smaller incision is made. 2. The skin and fat of the lower abdomen are detached in a more limited fashion from the muscle fascia. The skin is
stretched down and excess skin removed. 3. Sometimes the belly button stalk is divided from the muscle below and the belly button slid down lower on the
abdominal wall. 4. Sometimes a portion of the abdominal muscle fascia wall is tightened. 5. Liposuction is often used to contour the transition zone. 6. The flap is stitched back into place.
Length Complete abdominoplasty usually takes 2 to 5 hours, depending on the extent of work required. Partial abdominoplasty may take an hour or two.
General anesthesia or local anesthesia, combined with a sedative. In/Outpatient: Depending on individual circumstances and extent of the surgery required you may be released within a few hours or 2 to 3 days hospitalization.
Side-Effects / Risks
As with all body contouring procedures, complications can occur. The most common complications were wound dehiscence, seroma formation, infection, hypertrophic scarring, residual deformity, and wide umbilical scars. As noted from this article, the incidence of complications dropped dramatically with experience. The most devastating complication of an abdominoplasty is pulmonary embolus, which is described to be a risk factor at 0.8%. This complication is thought to be directly related to the severity of plication of the rectus fascia, which can cause intra-abdominal hypertension (ie, >20 mmHg).
The increased pressure has deleterious effects on the venous circulation by causing stasis and decreasing the return, therefore predisposing the patient to deep venous thrombosis. Communication with the anesthesiologist at this point can help address this problem by early detection of any changes in the peak inspiratory pressure. Cases of pulmonary compromise and gastroesophageal reflux following rectus plication have been reported in the literature due to intra abdominal hypertension; some cases required release for resolution of symptoms.
A tummy tuck (abdominoplasty) is a significant operation and takes a little time to completely recover from. Though you may not feel great, you will see a significant difference right away. Any hanging excess skin will be gone immediately after your surgery. You can use that for encouragement as you go through the initial 2-3 weeks of healing.
After surgery, you have a flatter, trimmer abdomen. Scars will fade with time. The results are long lasting if you follow a balanced diet and exercise regularly.
Frequently Asked Questions
- Who are the best candidates for tummy tuck procedure?
- The best candidates for a tummy tuck (abdominoplasty) are men and women who have large fat deposits or loose abdominal skin that won’t respond to diet or exercise.
- How soon can I return to work after abdominoplasty?
- 2- to 4 weeks.
- What kind of results should I expect after a tummy tuck?
- By removing the sagging excess skin and accumulated fatty tissue, you’ll immediately enjoy a flatter, firmer abdomen and a thinner waistline.