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Case presentations on Total Abdominoplasty with Umbilical Translocation (surgical ‘tummy-tuck’) |
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Warning! The following pictures are highly graphic in nature. They show the operation in steps. Viewer discretion is required.
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Second case is of a 35 yrs old married Indian woman. She presented with |
- Effects of significant weight loss (lost 25kgs)
- Loose and hanging belly skin folds
- A protruding belly due to weak and stretched abdominal muscles following pregnancies.
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SURGICAL PLAN:
Pre-operative markings: the area within the marked triangle ellipses will be removed The incision line will fall within the ‘panty-line’. The lower line represents the ‘cut’. The hatched markings on upper belly and waist line will be reduced by liposuction. |
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| The umbilicus (navel) is detached from the skin and allowed to fall inside. It will be brought out later on during Umbilicoplasty. |
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| A very low cut is made usually one cm inside the pubic hair line. Therefore the final scar will be well hidden inside the panty line. You will notice that the cut is practically bloodless. There is virtually no bleeding during the incision.
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| The whole of abdominal skin is lifted up from the pubic area right up to the rib cage. As you will see there is no bleeding. The lifting is accomplished in a bloodless manner. The detached navel is seen in the centre.
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| The abdominal muscles are tightened in the midline from the ribs to the pubic bone. Patient experiences abdominal tightening and narrowing of waist line while it is being done.
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| Excess skin flaps are now evident. The right and left portions of skin flap marked preoperatively will be removed. If necessary, more skin may be removed.
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| The ‘original’ navel will be brought out from the stretched skin in its normal anatomical position which is usually at the level of crests of Hip bones. The opening for navel has been made.
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| Navel has been positioned and fixed with ‘stay’ sutures. |
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| Incision is being closed. |
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| Drains have been put in place and brought out from the pubic area. Surgery completed. |
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As seen before and after one year of Total Abdominoplasty
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(Operation scar is very faint and soft. It falls well within the pubic hair line) |
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SIDE VIEWS |
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After one year |
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FRONT VIEW |
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- Beautiful navel
- Very low scar (well inside the panty-line)
- Narrower waist
- Firm, tight skin & belly muscles
- Almost all pregnancy scars have been removed
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