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TR
After excessive weight loss, there may be sagging and excess skin on the abdomen and waist, in which case a 360-degree body lift may be necessary. In general, such patients may have the following problems:
- Excess skin with sagging in the lower abdomen, sides of the abdomen and waist area,
- There is a bulge in the abdomen as a result of the separation between the abdominal muscles in the abdominal area (two right and left muscles called rectus muscles form the structure of the anterior abdominal wall), this situation is called diastasis recti,
- Widespread stretch marks (striae), especially in the lower abdomen
- Fat in the upper abdomen, waist arch and waist area (above the butt)
- Drop in the butt
- If a hernia is detected in the anterior abdominal wall, general surgery consultation is requested for hernia repair and a general surgery specialist also participates in the surgery.
Before the surgery, a detailed interview and examination is carried out (especially abdominal hernia examination), blood tests, heart electrocardiography and lung x-ray are taken, and the approval of the anesthesiologist is obtained.
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The surgery is performed in a full-fledged hospital under general anesthesia (full sleep) and the surgery takes approximately 3-4 hours. The surgery is performed by making an incision that starts horizontally from the top of the butt, passes from the sides, and extends to the lower abdomen in front, remaining within the bikini or underwear. First, excess fat in the waist area is removed by liposuction, then the sagging skin in the waist area is removed, the waist skin is tightened and the butt is lifted. Then, the patient is turned and moved to the front. After the excess fat on the side and upper part of the abdomen is removed by liposuction, the abdominal skin and fat tissue are removed over the abdominal muscle, preserving the belly button. If there is a separation in the muscles, the separated abdominal muscles are repaired, the excess tissue in the lower abdomen is removed, The navel is placed in its new location. If there is an abdominal hernia, the hernia is repaired at the same time by a general surgeon.
After the surgery, the patient is put on a special corset and compression stockings, and 4-6 hours after the surgery, fluids are first given, and then solid food is started. On the same day, after eating, he can walk, provided that he is slightly bent, and he is hospitalized for at least two days and discharged. It can be washed two days after the discharge date, no dressing is done, and no stitches are removed because dissolvable stitches are used.
Absolute rest for 7-10 days is recommended, he can start his business life and daily activities after 10-15 days, and he must wear a special corset for about 1 month.