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Mini tightening is an option for overweight persons whose skin is not elastic enough for liposuction alone, but still tight enough to avoid a full abdominoplasty. The advantages are a smaller scar and a faster healing process.
Frequently asked questions about mini-abdominoplasty:
What is mini-abdominoplasty?
A procedure to remove excess fat in the abdomen and on the waist, and excess skin below the navel.
Who is a good candidate for mini-abdominoplasty?
Women after childbirth, when too much fat has accumulated in the lower abdominal region.
How is a mini-abdominoplasty performed?
The first step is liposuction. It is followed by an incision just like in regular abdominoplasty, only shorter. The skin is lifted below the navel only, and excess skin is removed. If a small section above the navel is to be tightened as well, the navel is transplanted 1-2 cm higher up. If necessary, the muscles in the abdominal wall are repaired.
What to do and what not to do before treatment?
Three weeks before an invasive / surgical treatment patient must stop smoking and taking aspirin. In the last week, patients must stop taking any anticoagulant (“blood-thinning”) medicine.
The following substances are also prohibited:
• pain killers such as Apranax, Voltaren and Vermidon (alternative brand names are Minoset and Novalgin)
• multivitamin tablets containing ginseng, ginkgo biloba and coenzyme Q,
• green tea, herbal products containing linseed, sour cherry stalks, tomato seeds
• all diet products.
Three days before surgery you should avoid eating anything that can cause constipation. The preferable diet is vegetables and food stuffs that are easily digested.
Do I have to lose weight before the intervention?
Overweight is a surgery risk and has a negative impact on the healing process. We, therefore, recommend obese patients first to lose weight.
Does the procedure require anaesthesia?
The operation is performed in a hospital under general anaesthesia or under sedation.
How long does the procedure take?
That depends on the individual scope of intervention. If no comprehensive liposuction is performed, the mini-abdominoplasty takes 1-2 hours.
Is abdominoplasty painful?
Mini-abdominoplasty is not very painful. All intervention points are locally anaesthetised for about 10 hours. Patients feel no pain for a couple of hours immediately after the intervention.
What happens after the operation?
Surgical drains are placed to remove fluids and a corset is placed around the abdomen. Three to four hours after the procedure you can eat and get up. Patients are usually discharged the same day. The drains may stay in place for a little longer, if necessary. At night you can sleep on the side. You can take a shower 24 hours after drain removal. The sutures are placed under the skin and need not be removed. After 2-3 days you can return to your regular activities. After 3 weeks physical activities are permitted; however, exercises involving movements of the abdomen should be avoided. After 6 six weeks, you are free to exercise as you please.
What complications can occur after surgery?
No severe complications are expected. The healing process may cause problems in smokers. If the skin is too tight, the scar may spread. However, scar spreading can be corrected a year later under local anaesthesia.
Are the results of mini-abdominal tightening permanent?
The intervention addresses the root cause of the problem and is permanent. After childbirth or if you gain weight again, a certain amount of loosening is unavoidable. A return to the pre-operation status is, however, impossible.
How can I maintain my new body shape?
Patient must maintain their weight; this means in particular a healthy diet and moderate alcohol consumption to prevent abdominal fat formation. Regular skincare to prevent skin cracks and regular physical activities to strengthen the abdominal muscles are also strongly advised.
Is pregnancy possible after abdominoplasty?
Yes. However, childbirth puts new strain on the skin and abdominal muscles. Patients are, therefore, advised to coordinate pregnancy and abdominoplasty.
