Лучшие больницы для «Abdominoplasty Treatment» в Хайдарабад, Индия

Abdominoplasty addresses structural and aesthetic deformities of the anterior abdominal wall that cannot be corrected by diet or exercise alone. The most common underlying conditions include post-partum diastasis recti — a midline separation of the rectus abdominis muscles that widens to >2 cm and causes functional weakness, lower-back pain, and stress urinary incontinence — as well as pannus formation (a dependent apron of redundant skin and subcutaneous fat) following massive weight loss after bariatric surgery or significant voluntary weight reduction. In these scenarios, the abdominal skin loses its elasticity due to irreversible collagen and elastin fibre disruption, and no non-surgical modality can reliably achieve the degree of skin excision or fascial repair that surgery provides.

• Ideal Candidates:
• Adults (≥18 years) with a stable body weight for at least 6–12 months who have excess lower-abdominal skin laxity that does not respond to exercise
• Patients with confirmed diastasis recti (inter-recti distance >2.5 cm on abdominal ultrasound or CT) causing functional symptoms (back pain, core weakness, stress incontinence)
• Post-bariatric surgery patients (minimum 12–18 months post-op, BMI stabilised ≤32 kg/m²) with panniculus grade III or IV (Madan & Tichansky classification)
• Women who have completed childbearing and have residual post-partum abdominal laxity
• +16 more

Surgical technique selection is individualised based on the degree of skin laxity, location of excess tissue, diastasis severity, and patient anatomy. The principal approaches are:

1. Full (Standard) Abdominoplasty Indicaton: Moderate-to-severe laxity of the entire abdominal wall, significant diastasis recti, umbilical malposition. Technique: A low, hip-to-hip incision is placed within the bikini line. The abdominal skin flap is elevated to the costal margins under direct vision or with endoscopic assistance. The rectus fascia is plicated (double-layer Ticron sutures or barbed V-Loc absorbable sutures) from xiphoid to pubis, reducing the inter-recti gap. Excess skin is excised under maximal tension. The umbilicus is repositioned (neoumbilicoplasty). Progressive tension sutures (Pollock technique) obliterate dead space to reduce seroma. Closed suction drains (typically 2 Jackson–Pratt drains) are placed and removed at 5–10 days.

2. Mini-Abdominoplasty Indication: Isolated infra-umbilical laxity with minimal or no diastasis above the umbilicus, good skin tone above navel. Often performed as day surgery under IV sedation + local anaesthesia or short general anaesthetic. Technique: Shorter incision, limited flap elevation, infra-umbilical plication only; umbilicus is not relocated. Less downtime (return to light activity in 1–2 weeks).

3. Fleur-de-Lis (Vertical + Horizontal Excision) Abdominoplasty Indication: Post-massive-weight-loss patients with significant horizontal AND vertical skin excess (overhanging pannus with lateral laxity). Results in both vertical and horizontal scars. Provides the greatest volume of skin removal.

PHASE 1 — PRE-OPERATIVE (4–6 weeks before surgery)

• Week 6: Virtual consultation with GAF Healthcare's assigned plastic surgeon. Review of medical history, photographs, BMI, and diagnostic reports. Surgical technique selected and operative plan confirmed.
• Week 4–6: Complete all pre-operative blood work, imaging (abdominal ultrasound ± CT), ECG, and medical clearance. Nutritional optimisation begins (protein intake ≥1.2 g/kg/day; iron, Vitamin D, and Vitamin C supplementation as needed).
• Week 4: Mandatory smoking cessation confirmed via serum cotinine testing. Discontinuation of NSAIDs, aspirin, vitamin E, fish oil, and herbal supplements (all increase bleeding risk).
• Week 2: Compression garment purchased in advance. Pre-operative chlorhexidine shower protocol initiated (night before and morning of surgery). DVT chemoprophylaxis plan confirmed (LMWH dosing schedule).
• Day before surgery: Nil by mouth from midnight. Pre-operative LMWH dose administered per anaesthesiologist's instruction. Early ambulation encouraged on the morning of the procedure.

PHASE 2 — THE PROCEDURE (Day 0)