3. Adapt to the crowd and taboo crowd

① Adapt to the crowd

A. Abdominal obesity is accompanied by moderate or severe skin relaxation, and even a skirt abdomen appears.

B. Abdominal obesity with local scar.

C it can be combined with other surgical operations, especially gynecological operations, to remove excess skin and reduce abdominal fat at the same time.

② Taboo crowd

A. Patients with cardiovascular and cerebrovascular diseases, diabetes, abnormal coagulation function and impaired function of important organs;

B long-term use of anticoagulants, vasodilators, corticosteroids and other drugs;

C. the focus of abdominal skin infection;

D people with psychological barriers, high expectations and high demands on their own bodies;

E morbidly obese people can discuss with doctors whether they can operate after the primary disease is cured or controlled.

4. Surgical procedure

① Scribing: estimate the amount of excised skin tissue and design the position of displaced umbilical cord.

② Anesthesia: Epidural anesthesia or intravenous anesthesia, swelling anesthesia can also be used for small area skin fat removal.

③ Incision and peeling: W-shaped incision is often used to cut the skin and subcutaneous tissue according to the drawing line and separate the flap. Remove excess skin and subcutaneous adipose tissue. Make a circular incision on the navel to free the umbilical foramen and umbilical trunk.

④ Reinforce abdominal wall: reinforce and sew the loose abdominal wall on both sides of abdominal wall.

⑤ Umbilical cord reconstruction: suture and fix the displaced umbilical cord to form a new umbilical cord.

⑥ suture the incision.

⑦ Pressure bandaging and drainage as appropriate.

Whether liposuction is supplemented or not can be decided as appropriate.

5. Risks and complications

① Hematoma Hematoma is an important cause of postoperative infection.

② Infected adipose tissue is prone to infection after operation. If infection occurs, it should be treated as soon as possible.

③ Skin flap necrosis If skin flap necrosis occurs, it often needs excision and skin grafting.

④ Thrombophlebitis and pulmonary embolism are the most serious complications of this operation. Patients with heart and vascular diseases should avoid this operation; Contraceptives should be banned in female patients before and after operation.

⑤ Hypertrophic scar may be caused by scar, which can be relieved in half a year at most. After the wound is healed, local injection can prevent it, and scar correction can be carried out if necessary.

⑥ Abnormal skin sensation After the operation, abdominal skin sensation can be numb, and it can generally return to normal in about half a year.

6. Recovery time

7- 14 days after operation, go to the hospital for a follow-up visit and remove the incision suture; Dressing should be used before stitches are removed, and elastic underwear should be used instead of dressing after stitches are removed. It takes 2-4 weeks to return to normal work and study, and it takes weeks to months to fully recover.

7. Preventive measures

① Abdominal plastic surgery is a traumatic operation in medical cosmetic surgery, so we must choose a qualified regular medical institution.

② Quit smoking for at least 2 weeks before and after operation.

③ Contraceptive pills should be banned in female patients before and after operation.

④ In case of infection or cold, it is necessary to postpone the operation so as not to affect the wound healing.