Karın Germe Ameliyatı | Op. Dr. Ercan Demirbağ

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Tummy Tuck

The abdomen is an aesthetically important body area that is directly reflected in the external appearance of the person. Abdominoplasty is an operation with successful results in both men and women. However, the vast majority of patients are women who have given birth. In aesthetic surgery, it is the surgery that you most need to renew the clothes in your wardrobe after the surgery.
Normally, a pair of muscles extending from side to side and along the length of the anterior abdominal wall provides the resistance and aesthetic straight posture of the abdominal wall. We call these muscles the rectus abdominis muscle. The main task of the rectus muscle is to pull the body forward. The rectus muscles in women are mostly deformed during pregnancy, and in men, during excessive weight gain. In the last months of pregnancy, they cannot withstand the tension caused by the excessive growth of the abdomen, and they move away from each other and become deformed (rectus diastasis). Especially after recurrent pregnancies, the anterior abdominal wall has lost all its resistance and its anatomical structure has deteriorated. Even in women who have attained their ideal weight after giving birth, unavoidable sagging of the abdomen, post-meal digestive problems, and feeling of bloating occur due to this problem. The inability of the abdominal wall to show sufficient resistance allows the stomach to expand easily and plays a role in facilitating continuous weight gain.
After the growth in the abdomen in women or men, the only change is not in the rectus muscles. In addition to the deformation in the muscles, the abdominal skin is also affected by this change. Deep cracks called striae appear on the abdominal skin, the skin sags and loses its quality. These changes in the abdominal wall and skin cannot be restored with sports, exercise, diet, skin care, etc., and they do not benefit from procedures other than surgery.
Abdominoplasty is a 3-stage operation. First, the fat tissues in the front and sides of the abdomen are removed with the liposuction method, and a slim appearance is obtained both in the abdomen and in the waist. Secondly, the skin + subcutaneous tissue in the sagging abdomen, where there are dense cracks under the navel, is removed. The abdominal skin is tightened and the navel is sutured to its new place. Third, the deformed muscles in the anterior abdominal wall are brought closer together and the abdomen is made flat.
Abdominoplasty is one of the operations that I draw the most rosy picture for my patients in the post-operative period. Because I can tell my patients that they will slim down 2-4 sizes as soon as they come out of the surgery, and if they listen to my suggestions in the following 2-3 months, they will get at least 2 sizes thinner. During the operation, both the liposuction procedure and the plication procedure applied to the rectus muscles, already provide 2-4 sizes of thinning immediately. In the following process, if the patients are fed only with liquids and away from carbohydrates, it is not a dream to get that much thinner. Of course, there are a few factors that enable this. First of all, it is much easier for the patient to follow a certain diet program after tummy tuck surgery because the physical change associated with the surgery motivates the patient to a high degree. The plication to the abdominal wall compresses the stomach from the front, the stomach cannot expand as easily as before, and therefore the feeling of fullness occurs much more quickly. Finally, the patient, who has difficulty in movement due to his previous weight, moves away from a sedentary lifestyle and increases calorie consumption, as he can move much more easily.
Abdominoplasty is a procedure that takes about 2 hours under general anesthesia. The patient comes out of the operating room dressed in a special corset. The patient is asked to wear this corset for 4-6 weeks. In rare cases where there is a risk of bleeding, safety drains are placed and removed after 2 days. The patient starts walking in the 4th hour after the operation. The patient is hosted in the hospital for 1 day. When the patient is discharged from the hospital, he can walk on his own and meet his toilet and cleaning needs. Do not forget that you will feel the need to change the clothes in your wardrobe after the surgery.
There is no harm in getting pregnant after tummy tuck surgery. However, if you are planning to get pregnant within 12 months, I recommend that you postpone this surgery until after pregnancy. After all, each pregnancy period creates changes in the female body. The beautiful appearance and gains you gain after the surgery suffer some loss with pregnancy. That's why my patients who have a pregnancy plan 6-12 postpartum. I suggest postponing the surgery to see you next month. 

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