Abdominoplasty: regaining a flat stomach after pregnancy

Dr Arie Azuelos' blog in Paris

After pregnancy, many women find that their tummy does not regain its original appearance despite exercise and a balanced diet. The skin may remain distended, marked by stretch marks, or bear the marks of a Caesarean section scar. Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure that restores the aesthetic appearance of the tummy and creates a more harmonious silhouette.

What is abdominoplasty?

Abdominoplasty is a surgical procedure designed to remove excess skin and fat from the abdomen and restore tone to the abdominal muscles. This operation is particularly beneficial for women who have undergone several pregnancies, resulting in stretching of the skin and muscles that does not return to normal naturally.

The aesthetic and functional benefits of abdominoplasty

Aesthetically, this operation removes the ‘abdominal apron’ – the excess skin that hangs over the pubic area. The result is a flatter stomach and a more defined waistline, which significantly improves the appearance under clothes and boosts self-confidence. Functionally, abdominoplasty can also reduce irritation and infection under the skin folds and make physical activity easier.

Who can have an abdominoplasty?

Prerequisites

To be a candidate for abdominoplasty, it is advisable to have a stable weight and a Body Mass Index (BMI) of less than 30. This not only guarantees the best aesthetic result but also reduces the risk of postoperative complications.

Calculate your BMI on the Assurance Maladie website

Preoperative consultations

The process begins with two to three consultations, during which Dr Arié Azuelos will assess your needs and discuss the options available. These meetings help to establish a personalised surgical plan and ensure that all your questions and concerns are addressed.

Course of the abdominoplasty procedure

Surgical technique

The operation is performed under general anaesthetic and lasts approximately one to two hours, depending on the type of procedure: abdominoplasty alone or in combination with other procedures such as liposuction or correction of diastasis (widening of the abdominal muscles). A horizontal scar is usually placed just above the pubis, extending from hip to hip, but designed to be concealed under underwear.

Post-operative care and recovery

Post-operative follow-up is crucial to a good result. Regular visits are scheduled to ensure that healing is proceeding as planned. It is imperative to wear an abdominal girdle for approximately four weeks after the operation to support the healing process, limit oedema and help the tissues adapt to their new configuration.

Results and maintenance

Although the results of abdominoplasty are visible immediately after the operation, the final shape of the abdomen can only be appreciated after about a year. This period is necessary to allow the oedema to diminish and the scars to mature. To optimise and maintain long-term results, it is crucial to follow a number of essential recommendations.

Tips for a healthy post-abdominoplasty lifestyle

Nutrition
Eating a balanced diet is essential for maintaining your ideal weight and promoting good healing. Favour foods rich in protein, vitamins and minerals to support tissue repair. Limit refined sugars and saturated fats, which can contribute to fat accumulation and inflammation.
Stay hydrated
Drinking enough water is vital to aid healing and maintain skin elasticity. Hydration also helps to eliminate toxins from the body, which is crucial after surgery.
Physical exercise
Once Dr Arié Azuelos has given you the go-ahead, gradually incorporate physical exercise into your daily routine. Start with light walks and increase the intensity of activities as you recover.
Scar care
Scrupulously follow the scar care instructions provided by Dr Arié Azuelos, such as using dressings, applying specific creams and protecting the scar from prolonged exposure to the sun.
Medical follow-up
Attend all scheduled post-operative consultations with Dr Arié Azuelos. These appointments allow us to monitor your progress and ensure that your recovery is going well. They also provide an opportunity to discuss any concerns or questions you may have about your recovery or post-operative care.

By following this advice, you can not only improve your results after abdominoplasty, but also adopt lifestyle habits that will benefit your overall health in the long term.