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Abdominal

Liposuction is most commonly done over abdomen in both males as well as females. The most important factors which determine the success of the surgery are- sex of the patient, amount and location of the fat and history of pregnancy.

Sex of the Patient

Liposuction is easier to perform on a female but it can be done for both males and females. The softer fat in a woman makes it easier. Age of the patient does not play a major role in determining the prognosis and it can be performed even on older patients quite easily without much of complications

A good improvement is seen after abdominal liposuction because most patients have more subcutaneous fat than intestinal fat.

Upper abdominal skin may appear slightly wrinkled after liposuction unlike the lower abdominal skin which is more elastic because of scarpa’s fascia.

Pregnancy

History of previous pregnancy is important as the abdominal muscles are stretched post liposuction which cause the lower abdomen to bulge and there can be a laxity or spreading of the abdominal rectus muscles which might require a tummy tuck procedure along with liposuction.

Prior Weight Gain and Loss

This makes fat more fibrous which ultimately makes liposuction difficult.

Prior Weight Gain and Loss

This makes fat more fibrous which ultimately makes liposuction difficult.

WHEN A TUMMY TUCK ALONG WITH LIPOSUCTION SHOULD BE DONE??

Patients who are obese with pendulous lower abdomen have really good results with liposuction alone and usually do not require a tummy tuck procedure.

The indications of tummy tuck are excessive loose, lax skin and stretch marks. The procedure involves excision of a large piece of skin from the lower abdomen just above the pubic area after which the abdominal muscles are tightened using sutures; and finally, the large wound where the skin was excised is closed with staples or sutures.

Tummy tucks are associated with more serious complications as compared to liposuction. Tummy tuck can be combined with liposuction during the same sitting or it can be done as a two stage procedure where liposuction is done initially and after 2 months, the results are evaluated and then it can be decided whether to proceed with tummy tuck or not.

POST OPERATIVE CONDITION

Pain

Pain is not a big concern to the patients after a liposuction and pain killers for 2-3 days are enough to control it. The quality of the pain is similar to the muscle soreness and burning. It is most intense when the skin of the area is touched or flexed. The pain is most prominent upto 72 hours after surgery but it can be taken care of with medications.

Smaller liposuction cannulas cause less postoperative pain and soreness.

Swelling

There is a gradual onset of swelling which decreases over the following four to 12 weeks. This subcutaneous abdominal swelling can reduce the ease with which the patient bends forward. The edema that occurs after liposuction of the abdomen typically takes longer to resolve than edema in other treated areas. A certain degree of swelling, firmness and lumpiness is normal for the first four to 12 weeks. This firmness of the abdominal skin and subcutaneous tissue gradually decrease over 3 to 4 months after surgery.

Bruising

Bruising can be seen for a couple of weeks post procedure. It resolves on its own and hardly requires any intervention.

Activity Post Procedure

There is no limitation on postoperative physical activity. Patients are advised to walk inside their home and start their normal daily activities from the next day itself. More is the physical activity, better it is for the patient to attain quicker results post procedure.

Points to be Kept in Mind

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