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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 actual operation in steps. Viewer discretion is required. If you are faint hearted, please do not view them. |
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Third case is of a 36 yrs old married Indian woman. She presented with |
- Effects of significant weight loss (lost 20kgs) and pregnancies
- Massive ‘hernia’ (ventral) in the midline
- Loose and hanging belly skin folds
- A protruding belly due to weak and stretched abdominal muscles following pregnancies.
- Forward bent posture due to the excessive forward protrusion of belly
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As seen before surgery
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| SURGICAL PLAN: |
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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’ (it is hidden behind the belly ‘hang’ |
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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. Lower transverse incision has been given. 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.
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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 as pointed with an instrument.
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Repair of Long Ventral Hernia is being done. It will be followed by tightening of muscles in the whole of abdominal wall. 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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Excess skin flaps now become evident. The portions of skin flap marked preoperatively will be removed. If necessary, more skin may be removed. 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. |
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Redundant skin & fat flaps removed |
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As seen before and after three months 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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Note that belly is firm and tight Waist line is narrower Belly shape is aesthetically attractive Final scar is very low down which will be well hidden inside the panty line Abnormal belly bulge and hang have gone. |
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There is dramatic improvement in belly shape. Even the spinal curve has improved |
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There is dramatic improvement in belly shape. Even the spinal curve has improved |
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