Swedish 
English Bukplastik (Abdominoplastik)
Preoperativ fas med Dr. Tolga Aksan
Konsultation och Utvärdering:
- Medicinsk Historik och Fysisk Undersökning: Dr. Aksan reviews the patient’s overall health, including any previous abdominal surgeries, current medications, and lifestyle factors such as diet and exercise.
- Discussion of Goals: The patient’s goals for a tummy tuck, including addressing excess skin, stretch marks, and weakened abdominal muscles, are thoroughly discussed.
- Physical Assessment: Examination of the abdomen to assess the amount of excess fat and skin and the condition of the abdominal muscles.
Preoperative Tests:
- Complete Blood Count (CBC): To check for anemia, infection, and other blood-related issues.
- Coagulation Profile: Including PT (Prothrombin Time) and aPTT (Activated Partial Thromboplastin Time) to assess blood clotting.
- Electrolyte Panel: To check the balance of sodium, potassium, chloride, and bicarbonate in your body.
- Blood Urea Nitrogen (BUN) and Creatinine: To assess kidney function.
- Liver Function Tests: To evaluate the health of your liver.
- Fasting Blood Sugar: To check for diabetes or pre-diabetes conditions.
- Lipid Profile: To assess cholesterol levels.
- Urine Analysis: To detect any urinary tract infections or kidney issues.
- Pregnancy Test (if applicable): To rule out pregnancy before the surgery.
- EKG (Electrocardiogram): Especially for patients over 40 years or with cardiac risk factors, to check heart function.
- Chest X-Ray: To evaluate lung health and rule out respiratory issues.
- Hemoglobin A1C: For patients with diabetes, to assess blood sugar control over the last three months.
- HIV and Hepatitis Panel: Depending on the clinic’s policy and patient’s risk factors.
- COVID-19 Test: Depending on current health guidelines and policies.
Planning and Marking:
- Dr. Aksan marks the abdomen while the patient is standing, indicating the areas of skin excision and the new position for the navel.
Surgical Procedure by Dr. Tolga Aksan
Anesthesia:
- Abdominoplasty is generally performed under general anesthesia.
Incision:
- A horizontal incision is made just above the pubic area, extending from hip to hip. The length and shape of the incision are determined by the amount of excess skin.
- In full abdominoplasty, an additional incision is made around the navel.
Repairing the Abdominal Muscles:
- The abdominal muscles are pulled together and stitched into place, creating a firmer abdominal wall and a narrower waistline.
Removing Excess Skin and Fat:
- Excess skin and fat are removed from the lower abdominal region. Liposuction may be used to contour the abdomen and flanks.
Repositioning the Navel:
- The navel is repositioned to a natural location if it was displaced due to the removal of skin.
Closing the Incisions:
- The incisions are closed with sutures, and surgical drains may be placed to remove excess fluid.
Postoperative Care by Dr. Tolga Aksan's Team
Immediate Recovery:
- Postoperative pain, swelling, and bruising are managed with medication. Compression garments are often used to reduce swelling and support the new abdominal contour.
Postoperative Instructions:
- Instructions on caring for the surgical site, medications, and when to resume normal activities.
- Guidance on diet and movement to facilitate healing.
Follow-up Visits:
- Regular appointments with Dr. Aksan for drain removal, check-up of the incision sites, and monitoring of the healing process.
Long-Term Care and Results:
- The final results of a tummy tuck can take several months to become fully visible as swelling subsides and the body adjusts to its new contours.
- Scars will fade over time but may not disappear completely.
Key Considerations
- Patient Selection: Ideal candidates are those in good health with excess abdominal skin and weakened muscles, often due to pregnancy or significant weight loss.
- Recovery Period: Full recovery can take several weeks, and patients are usually advised to avoid strenuous activities during this time.
- Risks and Safety: Dr. Aksan discusses potential risks such as scarring, infection, and changes in skin sensation.
Dr. Aksan ensures that each tummy tuck procedure is tailored to the patient’s specific needs and goals, with a focus on achieving a smoother, firmer abdominal profile. He provides comprehensive care and support throughout the entire process, from the preoperative phase to full recovery.