Abdominoplasty is performed to improve the contour of the abdominal wall. It is best performed when you are at or within 5 KG of your ideal weight. There are many different types of abdominoplasty which can be done depending upon your individual needs. These vary from a full abdominoplasty with repositioning of the umbilicus to liposuction of the abdomen and removal of a small amount of excess skin.
Both require a horizontal incision of varying length. The full abdominoplasty requires an incision from hipbone to hipbone while the mini abdominoplasty only requires an incision about twice the length of a ceasarian section scar and is concealed below the panty line.
Brachioplasty is aimed at the removal of excess skin and fat from the upper arm. The ideal candidate is at or near goal weight and has mostly excess skin for removal. An incision is made from elbow to armpit, the excess skin and fat removed and then stitched. Additional fat may need liposuction for removal.
The resultant scar quality is unpredictable and taping of the scar is strongly advised for three months post surgery. This will optimize the final result which may take up to one year to become manifest. The scar may become raised and red in the initial three months post surgery but will improve and fade in a year. A raised scar may still result in patients prone to this.
This operation is performed on patients who have wrinkled, sagging skin in the region of the upper and inner thigh from varying causes. An incision is made in the groin crease and in some instances vertically down the inner aspect of the upper thigh as well in order to remove the excess skin. It may also be combined with liposuction to improve the contour further.
Liposuction or suction lipectomy is ideally performed on patients who are not overweight and still have fat bulges not responsive to exercise. It is not a weight reduction alternative but a procedure to refine body contour.
Best results will be achieved in younger patients with elastic skin. Liposuction or liposculpture will result in a relative excess of skin and if the skin cannot contract around the now diminished underlying tissue, will sag with resultant wrinkling of the skin.