Plastic surgery

Tummy Tuck (Abdominoplasty)

Tummy tuck is a surgical procedure to remove excess skin and fat and to tighten the muscles, leading to a more attractive look. The procedure is performed on patients with loose abdominal wall, most often caused by weight loss, pregnancy, etc.

The procedure takes around three hours. Horizontal incisions are made just above the pubic area, so they can be easily concealed. After the surgery, drains are left in place for about 2 days. The swelling and bruising will disappear after 2 weeks. The patient needs to wear a tummy tuck girdle for about 2 months. Strenuous physical exercise should be avoided for one month following the surgery.

The surgery is performed on patients who are in general good shape and have normal lab results.

Contraindications to the surgery

  • unrealistic expectations of the patient
  • active infectious disease
  • mental illness
  • untreated hypertension
  • untreated heart diseases
  • untreated diabetes

Lab tests required

General anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)
  • glucose
  • creatinine
  • anti-HCV and anti-HIV antibodies;
  • urinalysis
  • electrocardiogram
  • chest X-ray

 

Local anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)

The patient must be vaccinated against hepatitis B virus.

Preparation for the surgery

Before the scheduled surgery, you have to inform the doctor about any existing medical conditions as well as about any medications you are taking or allergies you have.

  • at least 4 weeks before the scheduled surgery you have to stop taking any hormonal contraception or replacement therapy (HRT);
  • at least 3 weeks before the scheduled surgery you must refrain from smoking;
  • 14 days prior to the surgery you should not take any salicylates (Aspirin, Polopiryna, etc.) or other substances affecting blood coagulation (e.g. herbs, garlic);
  • 3 days before the surgery you must refrain from taking pain medication: paracetamol, pyralgin and NSAID drugs (e.g. Ketonal, Ibuprofen, Naproxen, etc.);
  • 6 hours before the surgery you must refrain from eating, drinking or chewing gum;
  • you must take your chronic medication with a small amount of water.