
ABDOMINOPLASTY
ABDOMINAL DERMOLIPECTOMY
Pre-Op
Abdominoplasty (Tummy Tuck) refers to a surgery in the abdominal region performed on both men and women. It involves the excision (removal) of excess skin from the abdominal area, along with the surgical reconstruction of the belly button and correction of the muscle-aponeurotic layer. It is indicated for excess skin, stretch marks, flaccidity, retractions, diastasis, and hernias.
Physiotherapy plays a key role as a co-participant in any surgical process. In the preoperative phase, the patient will be assessed, guided, and prepared for surgery, based on their current limitations and the specific surgical procedure they will undergo.
For the preoperative phase of abdominoplasty, it is generally necessary to prepare the abdominal and lumbar muscles, as well as stretch them, for post-surgery postural positions. Ideally, muscle strengthening should begin 3 months before surgery, and stretching of the anterior and posterior chains should be done 15 days before.
Regarding posture, a good recording of images and postural analysis is essential to inform and document any compensations or existing bone, muscle, and vascular patterns.
Another aspect is respiratory preparation, necessary to ensure proper mechanical respiratory reeducation, promoting a positive response in the postoperative phase.
Important: Stop smoking at least 30 days before and after surgery.
Dermatofunctional treatments are excellent for improving the skin quality of the abdominal region, such as the use of moisturizers, exfoliants, facial releases, electrotherapy equipment, and drainage.
Proper nutritional guidance is also recommended to support digestive health and prepare cellular nutrition.
Post Op
The main characteristic of this procedure is the care of the infraumbilical region and the belly button.
The patient will have more restricted trunk movements for 15 days, unable to fully elevate the trunk when getting up, and must lie in the supine position (on the back) for 3 weeks.
Postoperative care should begin on the third or fourth day after surgery, counting the surgery day.
The patient will be assessed and documented on the first day of care, and their physiotherapy diagnosis will be based on this day.
10 sessions of care are recommended within a 3 to 4-week interval, though this number may vary depending on the physiotherapeutic evaluation on the first day and the patient’s progress day by day.
Respiratory physiotherapy is part of the treatment and should start on the first day of care.
Guidance and demonstrations of positioning, posture, and movements are essential for both the patient and their companions.
Care for dressings and hygiene will be provided as needed and upon the physician’s request.
Manual lymphatic drainage will be performed in every session. We use various techniques (Leduc - Godoy - Vodder) with international training, and we conduct ongoing training with the team to maintain the quality and excellence of the care.
Electrotherapy generally starts 7 to 10 days after surgery, varying based on the physiotherapeutic assessment and the patient’s scar needs at the time of treatment, with ongoing evaluation since the beginning of the rehabilitation process. We provide several resources for use: laser, ultrasound, endermotherapy, high-frequency ozone, carboxytherapy, and radiofrequency.
Personalized application of the Towel Bandage method for each patient.
Application of kinesiology taping techniques when necessary.