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Dermolipectomy is a surgical intervention aimed at excision of tissue flaps and layers of fatty tissue in the bosom area. Removal of skin and fat folds of the intimate area refers to aesthetic procedures that are most relevant in the period after childbirth, during dramatic weight loss and after hormonal treatment.
Dermolipectomy is considered a type of abdominoplasty. This type of surgery has been performed for over a hundred years. Every year, the Association of Plastic Surgeons meets and discusses new methods that improve the technique of this operation. To date, it is safe to say that modern methods of surgical intervention can significantly improve the appearance of patients, and achieve healing in the shortest possible time.
Intimate plastic surgery is necessary for women who want to improve the quality of sex life, increase their own attractiveness, get rid of discomfort, and regain self-confidence.
ANATOMY
The pubis is an anatomical structure located under the lower part of the abdominal region and consists of skin and subcutaneous fatty tissue. Its shape resembles a triangle with its apex pointing towards the genital slit. It is formed as a result of fusion of deep and superficial layers of connective tissue. In girls with an asthenic physique, the fold that delimits the abdominal and bosom zone is hardly noticeable, but in obese individuals, it becomes extremely pronounced.
Such a cosmetic defect is difficult to remove by diet or exercise, so many people turn to plastic surgeons for services. Surgical intervention makes it possible to correct the intimate area, remove fat folds and tighten sagging skin.
PRECAUTIONS
Since the correction of the pubic area refers to plastic surgery, there are no absolute indications for surgical intervention. The desire of women to have a beautiful elastic abdomen devoid of folds and other formations that can cause psycho-emotional discomfort comes to the fore. Sometimes the procedure may be necessary for persons who want to eliminate the defect after physical trauma. In most cases, the plastic surgeon’s services are sought by girls who dream of having a taut, beautiful pubic area, without folds and extra layers of fat.
The causes of aesthetic imperfections can be irrational nutrition and, as a consequence, obesity, various endocrine diseases leading to metabolic imbalance. Natural aging processes, overstretching of the skin during pregnancy, as well as sudden weight loss, are the cause for sagging and violation of elasticity of the skin. When the problem has an abdominal localization, then you can cope with just normalization of the diet and regular physical exercises involving the abs. For the bosom area, such exercises can not be selected, so the only effective way of correction is considered dermolipectomy.
FOR MEN
The male part of the population seeks the help of a plastic surgeon for a different reason. Removing fat from the pubic area can achieve a significant visual increase in the penis. Here it is necessary to note that the lengthening of the penis in fact does not occur, but with the excision of excess fat layers creates the appearance of a larger sexual organ. In terms of surgical technique, there are no differences between women and men. It is not uncommon when dermolipectomy is performed in combination with other types of abdominoplasty.
CONTRAINDICATIONS
In terms of complexity, the correction of the pubis is not too difficult surgery, however, like any other surgical intervention, has a number of contraindications, in which the risk of complications increases significantly:
- Severe somatic pathologies (insufficiency of cardiovascular, urinary and digestive systems).
- Infectious process in the stage of heat.
- Pregnancy.
- Violation of blood coagulation.
- Chronic venous insufficiency II-III stage.
- Persons under the age of majority.
SURGICAL CONSULTATION
The doctor’s examination is the starting point from which all clients of plastic clinics begin. During the consultation, the surgeon tells about the options for surgery, shows photos of former patients before and after the procedure, informs about possible consequences, and gives recommendations on preparation.
It is very important not to conceal information about the drugs taken, because it will lead to serious complications on the operating table or in the future. For example, aspirin refers to antiaggregant drugs that reduce blood clotting, and has a very negative effect during surgery, so it is canceled until the end of the recovery period. The exception is people with a clotting disorder, in which case withdrawal may lead to the development of thromboembolism.
PREOPERATIVE PERIOD
Preparation is an extremely important stage of the operation, aimed at preventing possible complications. First of all, the patient is asked to take a number of laboratory tests, which include: general urine, blood, and biochemical analysis to assess the condition of internal organs.
During the preoperative period, patients are examined by an anesthesiologist. This specialist, evaluating the results of the obtained tests, makes a conclusion about the necessary method of anesthesia and the way of medication administration.
It is very important to carry out manipulations at a corrected weight. If after dermolipectomy the patient plans to lose weight, then such an operation is postponed until the girl reaches the desired weight. When the patient does not comply with this condition, skin folds return, and remove them will only be possible with the help of repeated surgical intervention.
Smokers need to give up their bad habit for at least two weeks. Increased nicotine content in the body leads to impaired blood circulation of small skin vessels.
OPERATION
Correction of the pubic area involves resection of «excess» skin and subcutaneous fatty tissue. The procedure can be performed alone or in conjunction with other types of abdominoplasty. Standard surgery includes skin tightening, liposuction, and lipofilling.
As a rule, pubic correction is performed under local anesthesia. This means that the patient is given local anesthesia, and under its influence the removal of excess fat layers is carried out. Excision of fatty tissue is performed through an incision in the skin. To achieve a better cosmetic effect, excess skin is removed and the bosom area is «tightened».
To dissect out the fatty tissue, the surgeon makes an incision in the skin. If a lift is not advisable, the procedure is simplified to a puncture in the anterior abdominal wall, followed by liposuction. In the first case, to hide the surgical defect, the surgeon applies cosmetic sutures to minimize visualization of the incision. In the simplified procedure, the puncture is so small that it does not require special suturing techniques.
Previously, booster liposuction via vibrating catheter was used; however, the traumatic nature of this technique necessitated finding a safer way to remove fat. It was proposed to use ultrasound vibrations to soften the fat tissue and create a suction cavity. Ultrasound allows for a gentler and gentler operation, as well as reducing trauma and pain for the patient.
In some pathological processes atrophic defects may form on the skin of the bosom area. Lipofilling has the greatest effect in combating these changes. Lipofilling is a surgical intervention aimed at correcting the shape and size of problem areas of the body with the help of autotransplantation of adipose tissue. It is used both separately and in combination with other techniques, including dermolipectomy. Fat harvesting can be performed in a variety of locations, but typically the buttocks, thighs, or abdomen. By injecting fat into atrophic areas, the effects of trauma can be smoothed out and natural body proportions can be achieved.
POSTOPERATIVE PERIOD
Due to the low invasiveness and simplicity of the technique, the postoperative period is quite fast and painless. If we take the average figures, the full recovery takes 13-15 days. By the end of the second week, it is necessary to consult with the surgeon who operated to remove the sutures and assess the quality of wound healing.
During the postoperative period, it is recommended to refrain from sexual intercourse and excessive physical exertion. It is also necessary to wear special tightening underwear. All of the above measures are aimed at reducing the risk of complications and accelerating recovery.
REABILITATION
The recovery period is of great importance for the outcome of the surgery. The quality of the work done depends on how accurately the patient follows the doctor’s recommendations. Therefore, before the operation, it is necessary to free your schedule for at least two weeks, so that nothing distracts and does not disturb the peace.
Take a vacation at work, this will protect you from intense stress and emotional strain. The rehabilitation period is best spent at home. During the recovery period, it is required to exclude shaving the pubic area, as well as suspend any sports activity. It should be remembered that visual healing of the wound and correction of the pubic area to the desired shape, is not an indicator of full recovery after surgery.
Planned trips to southern countries should be canceled or postponed for at least a month. In addition, activities with increased heat stress on the body are contraindicated. This can include: taking a hot bath, going to the sauna, sauna, sauna and physical procedures. The formation of the scar takes up to 6 months, until this time you need to take extra care of the intimate area.
Important to know!
The effect of any aesthetic surgery always depends directly on the qualifications and experience of the plastic surgeon. Our specialists of aesthetic medicine are of the highest class and all with extensive experience. The head of our center «Clinics of Germany» Maxim Sergeevich Rykov, possessing insider information, ensures that each patient is treated by a highly qualified doctor with a really high rating based on the results of operations performed.