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Tummy Tuck or Abdominoplasty
Lots of people try to reduce excess fat around their tummy by working out for hours daily. Today surgical technique to help reducing excess fat called Abdominoplasty or Tummy Tucks is available to give you the desired result. Another alternative which is not required surgical procedure is liposuction which can remove unwanted fat deposits from abdomen and certain areas of the body. However, this technique is developed for improving body shape, not reducing weight. 
 
   
Abdominoplasty
This is a surgical procedure to remove excess skin and fat from abdomen and to tighten the abdominal muscles. Stretched abdominal muscles are a result of many causes but mostly from pregnancy or weight loss or gain. The abdomen wall consists of 3 parts; skin, fat, and muscles. Protruding abdomen may be caused by excess fat in any part. The surgical procedure applied depends on each part.
1. Removal of excess skin and fat
2. Removal of excess skin, fat and tighten
the abdominal muscles. This procedure is suitable for patient who has been pregnant. Patient will has better shape, flat tummy, and reduce lax skin. This is a more complicated surgery and requires sedation, therefore, patient has to stay in the hospital for couple days. Long scar appears across the abdomen and around the belly button.

This procedure is not appropriate for;
1. Patient who still want to get pregnant
2. Patient with psychological problem
3. Patient that can not accept the long scar
4. Patient who has horizontal scar above the belly button


Postoperation Care

- Patient must lie down in semi-lying position for 4 - 5 days and continue lying in bed for another 2 days (get out of bed only when necessary)
- Patient must wear abdominal binder for at least a month
- Sutures are generally removed in 10 - 14 days following surgery
- Patient can do all exercises in 6 weeks following surgery

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Liposuction
Removal of body fat by liposuction has been done for almost 30 years and proven to be safe. The objective of the procedure is to improve body shape, not to reduce weight. Patient's physical structure must be carefully assessed.

Principle of the liposuction is to reduce excess fat from the desired areas using high pressure vacuum, Aspiration Pump which is connected to a cannula. The physician makes a 0.50 cm.-hole in the desired area then inserts the cannula through the hole to suction out the unwanted fat cells.


The areas of the body that respond well to liposuction include the chin, neck, top of the arms, abdomen, hips, and thighs. The areas that give unsatisfied results are knees, calves, and ankles. The thickness of fat layer in the desired areas should be more than 2 - 3 cm. Liposuction normally is performed under local anesthesia so that the patient can return home right after the surgery. In some cases that large amounts of fat removed, general anesthesia and sedation are applied so that it is safer for the patient to stay overnight in the hospital


ÔLiposuction procedure

The procedure can be done using 2 types of equipment
1. Using powerful vacuum for large suction area
2. Using large syringe for small suction area

Liposuction can not permanently reduce weight. The patient must have good diet program as well. The obvious result is better body contour.

Prepare for liposuction
Ø- Stop taking all medicines for 2 weeks prior to operation especially aspirin-like products which can promote bleeding
- Keep yourself clean, have enough rest, don't be nervous, and stop smoking for 2 weeks
- Stop consuming food and drink for about 6 - 8 hours before the operation as well as have medical check-up
- Control your blood pressure as well as other health concern issues

Postoperative Care

- Patient must wear special conforming garments over the area of fat removal for at least 4 weeks and should keep on massaging the area to avoid forming waviness of sagging skin in the first couple days.
- Blood-filled pocket protection pad can be removed after 3 - 5 days. There will be some swelling and discoloration for 7 - 10 days. The discoloration subsides in 4 - 6 weeks but the swelling may take 8 - 10 weeks to subside
- Patient is allowed to take all kinds of food with appropriate amount, otherwise, you may get fat again

Infection after the surgery is less frequency than other surgeries. There may be depressions or contoured skin from too much fat removal.

Following surgery, moderate discomfort is well controlled with oral pain medication. Applying elastic bandage over the area will prevent bleeding and reduce swelling. Patient should stay home for about 4 - 5 days but should wait several weeks before resuming full exercise
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