Flabbiness of the abdominal skin

Flabbiness of the abdominal skin is a loss of elasticity and elasticity of the skin in the abdominal area as a result of weight loss, pregnancy, hormonal changes in the body.

The content of the article:
Anatomy of the anterior abdominal wall
Indications for abdominal plastic surgery
Abdominoplasty: modern methods
Rehabilitation
Flabbiness of the abdominal skin
There may be several reasons for the appearance of this deficiency: a sharp weight loss, heredity, natural aging, chronic stress, pregnancy and childbirth. The stomach is one of the most problematic areas on the female body, it just so happens by nature that the main fat reserves are deposited there in case of hunger or diet. Over the years, women’s skin becomes less and less elastic, loses its elasticity, and its recovery period may simply not keep up with our fluctuations in weight. It is very important to approach the problem of flabbiness of the abdominal skin comprehensively, only diet or cosmetics will not be enough.

Anatomy of the anterior abdominal wall
Anatomy of the anterior abdominal wall
For the convenience of examination and description, the anterior abdominal wall is usually divided into several departments. The anterior abdominal wall is bounded from above by the costal arches, and from below by the upper edge of the symphysis and inguinal ligaments. It is divided into three main areas: subcutaneous, abdominal and epigastric. The boundaries between the walls will be two horizontal lines. Each of these three areas is also divided into three vertical cavities. Thus we have 9 regions.

In the anterior abdominal wall, there are deep, middle and superficial layers of the skin.

Surface layer
The surface layer is skin, subcutaneous tissue, superficial fascia. The skin is elastic, mobile and thin, in the navel area firmly fused with the umbilical ring, scar tissue. Subcutaneous adipose tissue in different departments has different severity. The superficial fascia consists of a superficial and a deep leaf.

Blood supply occurs due to the four lumbar and six lower intercostal arteries. Venous outflow occurs through the veins from the superficial venous mesh. Lymph from the upper half of the abdominal wall is diverted by lymphatic vessels to the axillary lymph nodes. And from the bottom — to the inguinal lymph nodes.

Innervation occurs due to the branches of the six lower intercostal nerves and branches of the ilio-inguinal and ilio-submandibular nerves.

Middle layer
The middle layer consists of the abdominal muscles and the corresponding fascia. The abdominal musculature is formed by paired rectus abdominis muscles. The muscles are located in the fascial vagina, which is formed by straight and transverse muscles.

Deep layer
The deep layer is the transverse fascia, peritoneum and preperitoneal fiber.

Indications for abdominal plastic surgery
There are many methods and ways to get rid of the flabby skin of the abdomen, but plastic surgery has been and remains the most effective in this case.

Many women are concerned about the problem of a sagging abdomen, accumulated adipose tissue in this area, formed skin and fat folds. A sedentary lifestyle and poor nutrition only aggravate the situation, for many, flabbiness of the skin on the abdomen becomes a real problem, because with the help of creams, masks, wraps, rubbing, it is not always possible to get rid of it. Increasingly, in the question of how to remove the flabbiness of the skin on the abdomen, women are turning to plastic surgery.

If all the methods have already been tried, and the expected result still does not come, then it will be time to resort to liposuction. This operation is less traumatic, but not in every case it can have the desired effect. It is always better to discuss all these nuances with a doctor who will tell you which of the existing methods will be most appropriate in this case.

Tummy tuck is an effective operation that is performed to eliminate excess fat and skin from the lower abdomen, tightening muscles. Its main purpose is to correct the shape of the body. The result is consistently long-lasting, but due to sudden changes in weight and pregnancy, it may fluctuate.

Indications for abdominal plastic surgery will be:

the presence of excess skin and subcutaneous tissue on the anterior abdominal wall, if it was not possible to eliminate them through physical exercises and cosmetic procedures;
rough postoperative scars in the lower abdomen;
divergence of the rectus abdominis muscles, general stretching of the abdominal muscles;
skin-fat apron, ptosis of the anterior abdominal wall;
a large number of striae with excess skin;
inability to perform liposuction;
muscle bulging;
pronounced excess fat.
The most common causes of the appearance of a fat apron are childbirth, where, in addition to ptosis of the anterior abdominal wall, diastasis of the rectus abdominis muscles is also observed. At the same time, the skin on the abdomen acquires a convex shape, and when the baby is born, it does not always return to its original position.

Metabolic and hormonal disorders are also significant factors that play a role in the accumulation of fat in the abdominal area, this should also include a sedentary lifestyle and poor nutrition.

Abdominoplasty: modern methods
Abdominal plastic surgery is the most popular aesthetic surgery aimed at correcting the figure. Abdominoplasty is an operative intervention, the purpose of which is to correct the distorted proportions of the body, which were the result of overstretching of the muscles, an increase in the thickness of the fat fold of the abdomen. The essence lies in excision of excess skin, correction of muscle divergence by tightening them. Often during the procedure, the navel is moved to a new place.

Abdominoplasty is a serious test for the body and a complex surgical intervention, before it is carried out, a complete diagnosis of the state of the body is necessary. The degree of surgical intervention is determined by the surgeon taking into account the anatomical structure of the body and the individual characteristics of the patient.

Patients should not forget that abdominal plastic surgery is not a panacea for obesity. Before it is carried out, it will be necessary to lose weight and follow a diet very carefully in the future.

If in the task: how to get rid of sagging skin on the abdomen, you have tried many methods, but they did not give their result, a plastic surgeon can advise you such an operation. The doctor’s specialization and experience in such operations are very important here, you need to approach the issue of choosing a clinic and a surgeon very carefully. On our website you will find a list of clinics and medical centers that specialize in performing such operations and whose reliability there is no doubt.

Contraindications to abdominoplasty
There are also a number of contraindications for this procedure:

decompensated diabetes mellitus;
subsequent weight loss (it is necessary to lose weight before surgery);
planned pregnancy within a year (it is better to do after);
postoperative scars above the navel;
pulmonary and heart failure;
high degree of obesity.
Features of the event
In the process of abdominoplasty, the navel is transferred to a new place, since without this technique it is impossible to do a lift of the upper abdomen.

Miniabdominoplasty
There is another type of abdominoplasty — miniabdominoplasty: an excessive amount of skin from the anterior abdominal wall is removed without moving the navel. This is a minimal surgical intervention, with a small number of incisions and a short rehabilitation period. After such an abdominoplasty, a shallow scar remains along the bikini line 15-20 cm. Sometimes the procedure is combined with liposuction. This type of surgical intervention is used when muscle suturing does not need to be performed.

Extensive abdominoplasty
It is carried out in the case when it is necessary to remove stretching of the abdominal muscles and excess skin. During the surgical intervention, additional incisions may be required if it is necessary to excise the skin from nearby areas. Often this operation is combined with liposuction if there is an excess of fat deposits.

Stress-lateral abdominoplasty
Carrying out this type of operation is provided by an excessive amount of skin in the central part of the abdomen. This procedure allows you to eliminate stretch marks on different areas of the abdomen, improve lateral contours, flabbiness of tissues, eliminate muscle divergence.

Rehabilitation
The duration of abdominoplasty is 2-4 hours, the subsequent stay of the patient in the hospital for about three days will be required. The rehabilitation period involves wearing compression underwear until the surgical sutures are completely resorbed. It will take about 2-3 months. It is important to exclude any physical activity and exertion in the first days, which will accelerate the recovery period and prevent the accumulation of fluid.

The result will be noticeable immediately — the sagging skin from the abdomen will go away, but after 6-8 months it will be possible to observe the final result. Charms will remain only thin strips that will be easy to hide. And the tummy tuck itself will have a persistent and pronounced effect, but you need to monitor the weight and prevent its abrupt changes in any of the sides.

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