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Skin and fatty apron

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Skin and fatty deformation of a stomach (skin and fatty apron - "panniculus") is characterized by fatty and skin surpluses of a forward belly wall and their expressed ptozy, having an appearance of the big hanging-down fold. The skin and fatty apron can fall to inguinal area and hips, causing development of an intertrigo pleated skin, an itch, irritation, an unpleasant smell. The stomach disfigured by a skin and fatty apron cannot be hidden carefully picked up toilets, it is a hindrance in daily affairs, complicates intimate life, results in uncertainty and complex.

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Skin and fatty apron

Skin and fatty deformation of a stomach (skin and fatty apron - "panniculus") is characterized by fatty and skin surpluses of a forward belly wall and their expressed ptozy, having an appearance of the big hanging-down fold. The skin and fatty apron can fall to inguinal area and hips, causing development of an intertrigo pleated skin, an itch, irritation, an unpleasant smell. The stomach disfigured by a skin and fatty apron cannot be hidden carefully picked up toilets, it is a hindrance in daily affairs, complicates intimate life, results in uncertainty and complex.

Both women, and the men more often having obesity or who recently dumped many kilograms of weight face skin and fatty deformation of a stomach. Formation of a skin and fatty apron can be caused in women by pregnancy from which omission of a forward belly wall and a divergence of direct muscles of a stomach resulted. After an operational rodorazresheniye by Cesarean section there is an overhang of a skin and fatty fold over a seam. 

The trained, well tightened belt has the dense side surface of a trunk with the expressed bend in a waist; softly convex podchrevny and softly concave nadchrevny areas, flat not intense center of a stomach; accurately outlined edges of direct muscles.

Stomach walls well of a rastyazhima, and their weakness, especially after frequent fluctuations of weight or pregnancy, leads to education, a so-called skin and fatty apron from skin and hypodermic and fatty cellulose. If it happened, then even the most strict diets or wearisome sports activities will not help to get rid of a skin and fatty apron. It is possible to eliminate skin and fatty deformations and to return to a stomach a flat form today by means of carrying out an abdominoplastika and its various options.

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Classification of skin and fatty deformation of a stomach

Expressiveness of skin and fatty deformation of a stomach is estimated by the plastic surgeon by the size of a skin and fatty apron. The more the skin and fatty apron, the is technically more difficult the forthcoming operation and the probability of complications is higher. 

At the first extent of deformation of a stomach the fold of a skin and fatty apron goes down to a pubis, at the second - to genitals. The third degree is characterized by lowering of a skin and fatty apron to the top third of a hip, the fourth – to the middle of a hip. To the fifth degree there corresponds achievement by a skin and fatty apron of level of knees.

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Plastic correction of skin and fatty deformation of a stomach

Before deciding on such difficult and traumatic operation as an abdominoplastika, it is necessary to weigh everything pros and cons. If the patient decided to leave once and for all a skin and fatty apron, then it is important to it to know that after stomach operation there will be long and well noticeable hem.

The choice of a method of correction of skin and fatty deformation of a stomach remains for the operating surgeon. The pannikulektomiya (dermatolipektomiya) – operation on removal of surpluses of skin and fat is usually applied to removal of a skin and fatty apron. Pannikulektomiya depending on indications can be conducted independently or in a combination from abdominoplastiky. If at liposuction only excessive fat is removed, and at plasticity of a stomach it is produced both removal of excess skin and fat, and lifting of muscles, then the pannikulektomiya consists in excision of a skin and fatty fold in the bottom of a stomach. Carrying out a pannikulektomiya can be combined with a gryzhesecheniye or a hysterectomy

As the indication to plastic correction of deformation of tissues of stomach serves existence of a skin and fatty apron of different degree of expressiveness, usually at the patients having obesity or who transferred massive loss of weight. Before carrying out operation the weight of the patient has to be stable within at least one year, the dietotherapy and performance of special gymnastics is recommended. If the patient underwent an operation on reduction of volume of a stomach, he should refrain from plasticity of a stomach within a year. 

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Methods of removal of a skin and fatty apron

Operation of a pannikulektomiya is carried out in a hospital and carried out under the general anesthesia. Its duration makes several hours. After operation finding of the patient in office on average within one week is required.

At a pannikulektomiya two operational sections are made: vertical – from the lower part of a breast to a lonny bone and horizontal – in lonny area where excess fatty tissue and skin is removed. Then skin rags are sewed, in a wound the catching drainage tube is located, the aseptic bandage is applied a postoperative seam.

In the postoperative period regular change of a bandage is carried out, if necessary the anesthetizing drugs are injected. Constant carrying the supporting bandage within two months is recommended to the patient and heavy lifting weighing more than 4 kg is forbidden.

In need of lifting of muscles of a stomach to the patient with a skin and fatty apron the abdominoplastika as separately, and in addition with liposuction of a stomach for improvement of a relief of a body is carried out. Small hypodermic and fatty deposits can be removed by means of a miniabdominoplastika which leaves behind a smaller postoperative hem. Sometimes for the purpose of reduction of volume of a stomach there is enough performing liposuction. 

Abdominoplastika in the presence of a skin and fatty apron is carried out under the general anesthesia on a preliminary marking from access in the lower part of a stomach. Abdominoplastika duration usually makes 2-3 hours, miniabdominoplastik – 1-2 hours.

During operation on a forward belly wall the skin and fatty rag is formed, the divergence of muscles is eliminated, surpluses of skin and subcutaneous fat are defined and excised. Before an ushivaniye of an operational wound silicone drainages are established thin (3-4 mm). The wound is taken in layer-by-layer with imposing of a continuous intracutaneous seam.

After operation wearing compression linen or a bandage will be required about 2 months. Seams independently resolve in two weeks.

Approximately in half a year the postoperative hem turns pale, becomes soft and is compared to skin. The operational seam at an abdominoplastika the long, connecting crests of podvzdoshny bones is higher than a bosom. Miniabdominoplastika leaves a seam only over lonny area. Scars after an abdominoplastika easily disappear under underwear or a bathing suit.

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Complications of plastic correction of deformation of a stomach

Any of methods of plastic correction of skin and fatty deformation of a stomach can be complicated by infection of a postoperative wound, bleeding, formation of a seroma (an osumkovanny congestion of transparent liquid in a wound), formation of not esthetic hem, temporary loss of sensitivity in the field of an operational section.

Removal of a skin and fatty apron by surgical methods yields excellent results and in most cases keeps long effect on condition of observance of the balanced diet.

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Skin and fatty apron - treatment should be carried out only under the supervision of a doctor. Self-treatment is unacceptable!!!

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