Frequently asked questions
Dúvida

Abdominoplasty

1. Abdominoplasty makes scar visible?

The scar resulting from an abdominoplasty (or abdominal dermolipectomy) is located horizontally just above the implantation of the pubic hair (usually in the same line as the cesarean section scar) and extends laterally to a greater or lesser extent, depending on the extent of abdominal flaccidity. be corrected. This scar is designed to be hidden under bathing suits or underclothes and gradually acquires better aesthetic appearance after surgery, reaching its definitive result usually one year after the surgery.

2. How Many Pounds Will I Lose With Abdominoplasty?

It is a surgery that removes a certain amount of skin and fat in the abdominal region, so there is a reduction in body weight, which varies according to the volume of abdomen taken from each patient. However, it is not the "pounds" removed that define a pleasing aesthetic result but the proportions between the abdomen and the rest of the trunk and limbs. Often, abdomens in which small amounts of tissue are taken have excellent end-to-end aesthetic results, as there are several other details in surgery that lead to a good end result.

Most women have varying degrees of abdominal “sagging” after one or several births, with skin predominating over the amount of fat located in the abdominal region. These cases allow excellent results. In other cases, in which patients are overweight, the result will also be compensatory and proportional to the rest of the body, especially when associated with abdominal liposuction. Remember that “excess fat” in other regions around the abdomen will still exist, which leads to advise patients trying to lose weight before surgery in order to provide greater body balance and better aesthetic result.

3. It is true that a new belly button will be made in the tummy tuck?

No. In fact, navel remodeling occurs, often aesthetically improving its contour and size by repositioning the abdominal skin around it. We must take into account that in the inner navel there will be a scar that will undergo the same evolution of the lower abdominal scar, gradually improving over the months. However, because it is a circular scar, in some cases the evolution may not be the one desired, leading to an aspect considered “artificial”. Scarring may occur in any patient, but may be treated with specific medications or refinement under local anesthesia.

4.Does tommy tuck correct excess fat over the stomach area?

Not necessarily. Excess fat in the stomach region is not corrected by a simple abdominoplasty, which aims to remove skin and treat abdominal flaccidity. However, this situation can be corrected if it is associated with a desired abdominal region liposuction. The association of tummy tuck surgery with liposuction is very common, which can be performed in the abdominal region, waist, back, hip, thighs, arms and other regions where the amount of localized fat is to be reduced.

5. How soon will I reach the definitive result of abdominoplasty?

As with all plastic surgery, the result of abdominoplasty is gradual and improves every month after surgery. In the early months, the abdomen exhibits a relative decrease in tenderness and is subject to periods of “swelling” that gradually and spontaneously regress. Over the months, after starting the physical exercises and lymphatic drainage sessions, the definitive result is gradually reaching. In general, it should be noted that after 2 months at least 70% of the swelling will have already regressed and by the end of the 6th month the result will be very close to the definitive. Abdominal scarring after the 6th month will still improve in appearance, but the coloration and definitive consistency will only be achieved one year after surgery.

6. Can I have children after a tummy tuck? The result will not be harmed?

The decision whether or not to have more children is up to you and your gynecologist. Regarding the result, its maintenance may or may not be preserved, provided that in the new pregnancy the weight is controlled with adequate physical activities and dietary control. If you are careful, you can maintain the good aesthetic result of surgery prior to the end of pregnancy. However, it is evident that there is the possibility of greater weight gain during pregnancy, leading to a new situation of sagging and excess skin in the abdominal region. Therefore, we advise that patients have children before undergoing a tummy tuck, avoiding the future possibility of further surgical interventions.

7. Is the postoperative of abdominoplasty very painful?

No. The normally evolving abdominoplasty does not present excessive pain. Pain after surgery is perfectly treatable with conventional pain killers and anti-inflammatory drugs. However, the combination of surgeries, such as liposuction and mammoplasty, may increase the intensity of pain because they have different body regions operated. Even in these cases, in which tummy tuck associated with other surgeries is performed, stronger analgesics can provide peace of mind to the patient, avoiding the possibility of excessive pain.

8. What are the risks of tummy tuck surgery?

Rarely, tummy tuck surgery (abdominal dermolipectomy) has serious complications, provided it is performed within technical criteria and with all necessary care. This is because each patient is adequately prepared for the surgery, with preoperative examinations, cardiological and anesthetic evaluation, as well as considerations about the advisability of associating this surgery with others. Another extremely important fact is the search for a qualified plastic surgeon and member of the Brazilian Society of Plastic Surgery to perform the surgical procedure, a qualified professional who will perform the surgery with all the details and care necessary for its good evolution. Finally, just as important as the previous items is the surgery performed in a good quality hospital or clinic, with all the necessary resources to perform the procedure and all the necessary safety. Therefore, abdominoplasty has the same risk potential as any other surgery, such as infections, bleeding, anesthetic complications or scarring, which can be avoided according to all the precautions listed above.

9. What type of anesthesia is used for abdominoplasty?

General or epidural anesthesia, depending on the evaluation of the anesthesiologist.

10.How long does the surgery last?

On average 3 hours if no other surgeries are associated.

11. What is the period of hospitalization?

Usually 24 hours in normal evolutions.

12. Drain is used in abdominoplasty?

Yes. The equipment remains on the patient for an average of 2 to 5 days, depending on the amount of secretion drained after surgery.

Blepharoplasty

1. Where are blepharoplasty scars located? Are they visible?

The eyelids are the region of the body where the skin is the thinnest. This greatly assists in the quality of healing by allowing the scars to be hidden in the natural grooves of the upper eyelid or almost on the margin of the lower eyelid. Thus, after about 3 months the scars are almost imperceptible. In the meantime, they can be disguised with light makeup from the early postoperative days.

2. What type of anesthesia is used in blepharoplasty?

Most of the time, local anesthesia is used, which may be associated with intravenous sedation. Blepharoplasty has a relatively fast duration and the good quality of anesthetics allows the patient not to feel any pain throughout the surgery. In some cases, general anesthesia is used, indicated for situations in which patients have contraindications to local anesthesia or surgeries in which there are other associated procedures, such as a face lift surgery associated with blepharoplasty.

3. There is postoperative pain in the surgery?

Usually not. If it occurs, it is usually a minor pain that can be treated with common anesthetics.

4. Is there an ideal age to operate the eyelids?

No. Younger or older patients may undergo the procedure, depending on the correct indication. In younger patients, for example, there is often no sagging of the eyelid skin but an excess of eyelid fat pockets (especially in the lower eyelids). In this situation, the surgeon can treat the excess structure by a scar on the inner eyelid (called transconjunctival blepharoplasty) without the need for scarring of the eyelid.

5. How long does a blepharoplasty last?

It depends on which eyelids will be operated. In general, when operating the upper and lower eyelids in the same surgery, the surgery lasts an average of 90 minutes. Small variations exist in each patient, however the duration of surgery rarely exceeds 120 minutes.

6. What is the period of hospitalization for blepharoplasty?

The length of stay depends on the type of anesthesia used. In simple local anesthesias or associated with sedation, as anesthetic recovery is faster, the average hospitalization period will be 12 hours. When general anesthesia is used, the average hospitalization will be 24 hours.

7. When will I reach the definitive result of blepharoplasty?

In general, 6 months after surgery, when the swelling has completely regressed and the scar has reached maturation. However, after the 2nd week at least 50% of the result can be observed, with gradual improvement until the definitive result.

8. What are the purple spots after blepharoplasty?

The purple spots correspond to the infiltration of blood on the eyelid skin or conjunctiva due to the existing surgical trauma. However, this infiltration is an existing complication in many cases, but regresses spontaneously after 14 days. Of paramount importance is the strict sunscreen that such patients must follow when having spots, as the incidence of sun without the use of sunscreen (at least factor 50) makes them permanent.

9. Do the eyelids get very swollen after surgery? How long does the swelling persist?

Eyelid swelling (edema) after blepharoplasty varies among patients. In the first 3 days, it is more evident, gradually reducing. In these early days, wearing sunglasses can be helpful to disguise the swelling, as well as the use of gauze or wet wipes or cold saline, allowing swelling to regress more quickly. In general, after the 7th day of surgery, the eyelids appear very natural and after the 3rd month, the residual edema is very slight, not compromising the result of the surgery.

10. Will my eyes be occluded after eyelid surgery?

Usually not. For this, temporary occlusion together with the eyelids several times a day for a few minutes with gauze or compresses soaked in serum or ice water is recommended. With this care, swelling of the eyelids after surgery will regress much faster.

11. I have heard of a type of surgery on the lower eyelids that leaves no scar. What surgery is this?

Some patients who undergo through blepharoplasty surgery do not have lower eyelid sagging skin and in this case the swelling is caused by protrusion of the lower eyelid fat pockets into the thin eyelid skin. As it is not necessary to remove the flaccid skin of the eyelid, it is possible to perform the surgery scar on the inner part of the lower eyelid, called ocular conjunctiva. As a result, this type of blepharoplasty is called transconjunctival (through the conjunctiva) and has been increasingly indicated to young patients with excess fat eyelids and skin without sagging. One of the advantages is that there are no stitches to remove, so the postoperative recovery from edema and bruising is faster than in conventional surgeries.

12. Is blepharoplasty worth it?

If you have been able to pass on your eyelid complaints to the surgeon and it meets your expectations, the surgery certainly pays off. Importantly, blepharoplasty will not provide full face rejuvenation if performed alone. The goal of surgery is to improve the peri-eyelid region with surgical treatment, alleviating pre-existing aesthetic defects. For the facial rejuvenation as a whole, other surgical or non-surgical procedures should be performed, such as fillings, botulinum toxin application, peelings, facial lifting and others. During the medical consultation the surgeon should give all this information and it is up to you both to decide which treatments are best suited to achieve the best possible result in facial rejuvenation.

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