Body lift or circular abdominoplasty

Body lift is a procedure which aims to re-tighten the skin around the abdominal area by removing excess skin and fat, after significant weight-loss. During this operation, often the abdominal rectus muscles are sutured at the same time, in order to tighten up the abdominal wall (cure for diastasis) and sometimes also liposuction is carried out for a more harmonious body shape. This operation can be done on men or women.

WHO IS IT FOR?
  • You have lost a lot of weight and have excess skin in your tummy, side and buttocks area
  • You suffer from irritation of the skin in the fold above the pubis due to chafing
  • You are embarrassed to practice physical activity
  • You have a complex about the stretch-marks in your abdominal area

To consider having a body lift in the best possible conditions, it is important that your weight be stable. In fact, variations in weight can alter the result of the surgery, as well as excess weight increases the risk of post-operative complications. It is important to understand that this procedure is not a solution to deal with excess weight, but rather with the after-effects when a person has lost weight and their skin has become loose. It is also in this situation that the best aesthetic results are obtained.
Of course, each situation should be discussed with your surgeon, who can best advise you.
In some rare cases, health insurance may cover your procedure. This requires a prior request to the surgeon, who will send a letter with your photos to the organisation.
Bien sûr, chaque situation est à discuter avec votre chirurgien qui pourra vous conseiller au mieux.

Dans de rares cas, l’assurance-maladie peut prendre en charge votre intervention. Cela nécessite une demande préalable de votre chirurgien qui enverra un courrier ainsi que vos photos.

SCARS POSITION

The surgeon makes a horizontal incision along the pubic area. The scar extends on the sides to midway down the back (hence the name, circular abdominoplasty). Your surgeon will advise you in order to ascertain what treatment is most appropriate in your case.

BEFORE SURGERY

The first consultation with Dr Thomet will allow you to get to know your surgeon, talk about your personal situation and present your expectations. In order to complete your medical record, she will ask about your medical history, previous operations you may have had, and the list of medicines and allergies. A physical examination will be carried out with measurements and sometimes photos that will remain confidential and only used for your medical file. At the end of the consultation, Dr Thomet will make a diagnosis and tell you if you are a good candidate for surgery. She will explain to you the contemplated surgical procedure, scar positions, the recovery time and the risks of complications. After you have had time to think it overa cooling-off period, a second consultation will be scheduled to answer your questions and set a surgery date.

After you have had time to think it over, a second consultation will be scheduled, in order to perform the treatment.

An ultrasound examination may be necessary in the case of suspicion of abdominal weakness (diastasis, umbilical hernia, inguinal hernia). In complex cases, it is recommended to consult a visceral surgeon (digestive system) to assess the need for repairing the abdominal wall during the same procedure.

INSURANCE

In special cases, such as weight loss or an abdominal wall problem associated with weight loss, the surgery is partially or fully covered by health insurance. This requires a prior request to the surgeon, who will send a letter with your photos to the organisation. Otherwise, a cost estimate will be forwarded to you after the first consultation.

Type of anaesthesia

Body lift surgery requires general anaesthesia. A preoperative consultation with an anaesthesiologist will take place before surgery.

Hospitalisation

Body lift usually requires hospitalisation for 5-6 nights. This allows to better manage the pain medication and monitor you closely. Drains (small plastic tubes attached to a bottle) will be placed during the surgery. These will be removed without causing pain before your discharge from the clinic.

Postoperative period

When leaving the clinic, you will just have dressings which will be changed the following week for the first time at the practice. You are allowed to shower around 5-7 days after surgery. You will wear a wide compression belt day and night for 8 weeks.

Convalescence

It is not recommended to drive and carry weight (more than 2-3 kilos) when leaving the clinic. Activity resumption may be considered after 3-4 weeks depending on the type of activity. It is necessary to wait 8 to 12 weeks before doing sports.
If the surgery is covered by health insurance, Dr Thomet will issue you with a medical certificate for the duration of your incapacity for work.

Coronavirus COVID-19
Following the recommendations of the Federal Council and the State Council, the office can welcome you while respecting the barrier gestures. Consultations and interventions under local anaesthesia in the practice will be maintained. Concerning the interventions in the clinic, a point is carried out each week in view of the evolution of the sanitary situation. In order to continue to treat you in the best conditions, we put the emphasis on the strict respect of the health instructions: -Respect of distances, washing of hands and wearing of the mask is mandatory. -Arrive on time for your appointment. In case of early arrival, please wait outside the office. -Only come with someone else when strictly necessary. In case of symptoms: fever, cough, loss of smell and taste, please keep us informed by calling 022 342 35 32 or contact@drthomet.com. More information is available at https://check.ofsp-coronavirus.ch/screening. Take care of yourself and your loved ones. We look forward to continuing to treat you as well as possible during this difficult time. Elia and Dr Céline Thomet
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