Silhouette Surgery
- Home
- Interventions
- Silhouette Surgery
- Abdominoplasty
- Body lift (circular abdominoplasty)
- Thigh lift
- Arm lift
- Liposuction
- Lipostructure
Chirurgie de la silhouette - ABDOMINOPLASTIE
The abdominoplasty is an operation of silhouette surgery of the belly (abdominal wall). The goal is to tighten the skin and reduce stretch marks, sagging skin, loss of tone in the abdominal muscles, scars, etc.
Abdominal liposuction is indicated when the only problem is an excess of abdominal fat, but when the correction is important, it is necessary to resort to an abdominoplasty.
When there is an excess weight, this should be corrected as best as possible before the surgical procedure (concept of weight contract). The conditions of the intervention will be better both in terms of safety and the quality of the results.
Most often, the surgeon removes a large spindle of skin, located between the umbilicus and the pubis, in a pattern adapted to the lesions. The healthy skin, located above the umbilicus, is then lifted down, so as to reconstitute an abdominal wall with good quality skin. The umbilicus is kept and returned to the normal position, thanks to an incision made in the lowered skin.
If necessary, excess fat can be removed by liposuction and the distended muscles are re-tensioned.
The size of the scar varies according to the extent of the intervention: it is generally located at the upper edge of the pubic hair and goes up more or less far into the folds of the groin. Its length is largely predictable before the intervention and the patient will have to be very clearly warned because this scar remains one of the main disadvantages that will have to be assumed.
At the end of the intervention, a shaping dressing is made, associated with the placement of a compression stocking.
The abdominoplasty requires general anesthesia or spinal anesthesia, and the duration of hospitalization varies from 1 to 5 days. Smoking cessation is strongly recommended, at least one month before the intervention and then until scarring (generally 15 days after the intervention).
The result can only be judged from one year after the intervention. It is indeed necessary to have the patience to wait the time necessary for healing of the scar and to carry out during this period a good monitoring at the rate of a consultation every 3 months for 1 year.
Beyond the aesthetic improvement which is often appreciable sometimes even spectacular in terms of silhouette, the abdominoplasty brings as a rule to the patient a marked improvement in terms of comfort.
In addition, this functional improvement and the psychological well-being obtained help the patient in adjusting their weight balance.
Plastic and aesthetic surgery of the abdominal wall has made decisive progress which today makes it possible to offer a suitable technique and therapeutic strategy and thus to resolve, either by simple liposuction, or by mini-abdominoplasty (localized abdominoplasty), or by a more important intervention (large abdominoplasty), the main aesthetic problems posed by the abdomen.
Silhouette Surgery THE BODY LIFT
The body lift is an intervention intended to tighten the skin of the middle third of the body. At the front (abdomen) the excess skin is lowered. At the back of the body (buttocks) and on the sides (external thighs), the skin is pulled up. This results in a scar at the waist. This operation is also called: circular lipectomy.
The goal is to remove excess skin, when there is also excess fat. These are removed at the same time with a dramatic decrease in the overall volume of the body.
The body lift therefore acts effectively:
* in front, on the stomach, pubis and upper thighs
* behind, on the buttocks
* laterally, on the hips and the outer side of the thighs
This operation applies to many cases in which there is excess skin with, in order of frequency:
• first: the consequences of significant weight loss, by diet, gastric band (gastroplasty) sleeve gastrectomy or bypass;
• lower body obesity, called gynoid, which resists dieting;
• general obesity, in this case the body lift can also be considered as a surgery to reduce fat mass. These are patients who have tried everything on the diet plan and who do not want to undergo the annoying stresses of stomach or intestine surgery;
• the age and alteration of the post-menopausal skin elasticity: in the same way as you do face lifts you can do body lifts;
• the consequences of liposuction, which can leave excess skin if it has been performed under skin with low elastic capacity;
• congenital fall of the buttocks and thighs, without real cause and from puberty the person with soft skin and drooping buttocks. The abdomen can be perfect but in this case we only practice the posterior part of the intervention.
The scar that is quite long is the only residual mark of the operation. It must be explained in detail, in particular its shape and above all its future position, which can vary depending on the patient’s desire to adapt to her preferred type of clothing. Currently, the choice is most often made on a low position allowing the wearing of low waist pants. But you can perfectly choose a high position to adapt to the “Brazilian” style low-cut swimwear. The width of the final scar is variable, from “fine” to “a little distended”.
Part of the result is visible immediately because the tensioning of the skin is always spectacular. From 3 weeks, the swelling starts to go away, and the result is even more impressive. Regarding the scar, you should know that if it generally fades well over time, it cannot disappear completely.
The body lift requires general anesthesia, and the length of hospital stay varies from 4 to 6 days. Smoking cessation is strongly recommended, at least one month before the intervention and then 2 months after the intervention.
Beyond the aesthetic improvement which is often appreciable, the body lift brings in general a very clear improvement as regards comfort. In addition, this functional improvement and psychological well-being help the patient to adjust their weight balance.
Silhouette Surgery THIGH LIFTING
The skin on the inner thighs is thin and its elastic fibers are fragile. It is therefore rapidly degraded by natural aging or by weight variations. This deterioration is often so important and the demand for repair is therefore strong. The problem of excess skin is often associated with the problem of excess fat located at this level. The increase in its volume can become embarrassing when walking due to friction.
When there is a sagging skin on the inner side of the thighs, isolated liposuction is not enough and only a re-tensioning of this skin is likely to correct this defect by lifting from the inner side of the thigh.
The intervention then aims to reduce fatty infiltration by liposuction, but also to remove excess skin and securely suspend the remaining skin in order to tighten it effectively.
From the skin examination follows 3 types of operation:
Pure horizontal technique: It is used when excess length is predominant. It is treated by pulling the skin up “like you put on your pants”. The scar starts from the crease of the groin. It then extends into the groove between the perineum and the top of the inner side of the thigh, and continues behind until the gluteal fold where it ends. In this technique, the traction is vertical. To prevent the scar from coming back down, the surgeon must fix deep skin to the ligament located at the top of the inner side of the thigh.
Pure vertical technique: The excess in width is predominant and is treated and excess removed. The vertical scar is located along the inside of the thigh. It is more or less long (and therefore more or less visible) depending on the amount of excess skin. It can therefore be limited to the upper third of the thigh and in this case it is very discreet. When the excess is significant, like after a massive weight loss for example, it can go down to the knee. There is no need to attach the skin to the ligament because the traction is horizontal.
Mixed technique: the two techniques are often combined when there is the presence of two excess skin. This gives an inverted L or T scar.
At the end of the intervention, a bandage is made using sticky elastic bands or a liposuction stocking is put on.
Silhouette Surgery ARM LIFTING
The skin of the inner side of the arms, very thin, is highly “stressed” by movements and in the event of significant or repetitive variations in weight. This explains why, associated or not with fatty enlargement, sagging skin is frequently observed in this region.
When there is a loosening of the skin at this level, an isolated liposuction cannot suffice, and only a re-tensioning of this excess skin is capable of correcting the defect: it is the arm lift or brachioplasty or lift internal arm.
The intervention consists, when the fatty infiltration is surplus to correct it by a liposuction and the excess of skin is then removed, leaving a scar whose location and length depend on the extent of the skin distension and the type intervention.
The incision can be:
* longitudinal, along the inside of the arm
A first liposuction is carried out each time there is a fatty infiltration of the region. The excess skin is then removed on demand from a longitudinal incision along the inside of the arm.
* horizontal in the armpit
From a single, horizontal incision, hidden in one of the armpit folds and after a first liposuction has been performed if necessary, the excess skin is removed from the upper part of the inner side of the arm. The suture in the hollow of the armpit makes it possible to recover and tighten the residual skin upwards and in the axillary region.
* Mixed technique or combined technique
It is a synthesis of the two previous methods of which it achieves a compromise as regards the advantages as the disadvantages in particular for the ransom scar. This technique associates a horizontal incision in the hollow of the armpit and a short vertical scar less than 10 cm on the inside of the arm.
In all cases, at the end of the intervention, a bandage is made using sticky elastic bands or else a compression stocking is put in place.
Silhouette Surgery LIPOASPIRATION
Liposuction makes it possible to radically and definitively remove the fat overloads located by small incisions of 3 or 4 millimeters, discreet and most often hidden in a natural fold.
The amount of fat extracted must be adapted to the quality of the overlying skin, which is one of the determining factors for the quality of the result. There will be as many incisions as there are sites to vacuum.
Liposuction can be applied to a large number of body regions: hips, abdomen, thighs, knees, calves, ankles, arms, back and double chin.
At the end of the intervention, a compression stocking is put on, aimed at limiting postoperative edema.It is only after 3 weeks, and after the swelling has subsided, that the results will start to appear. The skin will take approximately 3 to 6 months to fully retract on the new curves and readjust to the new silhouette.
Contact
Schedule an appointment now and get the appearance you desire at our medical clinic.