The period of pregnancy is one of the most important in a woman’s life. During this period, there are some important changes in both the body and the psychological composition of the woman, many of which can be corrected by Plastic Surgery. Some of these are reversible, such as fluid retention or postpartum depression, and others may leave their mark on the body of the woman forever. Plastic Surgery can intervene and provide a solution to many of the imbalances that pregnancy can cause. Let us see, however, what problems are presented, in which parts of the female body, what can be corrected, and when is the right time to intervene?
The most common procedure that occurs after a pregnancy is abdominoplasty. And that’s perfectly reasonable if we think that the body of the body that receives the most pressure is the skin and the wall of the abdomen. The skin undergoes a great deal of stretching to help cover the growing belly region. Rat abdominal muscles from vertical and parallel to each other under the action of increased intra-abdominal pressure are removed from the midline and form V. In the abdominal wall, the fascia of the muscles for the same reason relaxes. All of this results in a well-known image of a woman who may otherwise have a normal body, but in the abdomen there is relaxation, excess skin, a change in the shape of the umbilicus, or even a hanging ventricle. All of these are resistant to any cream, exercise exercise or conservative treatment (massage, laser, etc). The only solution to these problems is abdominoplasty. The surgery is done through a horizontal section, which is hidden in the undergarment or swimsuit, and if the woman has a caesarean section, we use the existing incision with its extensions. Excess excess skin and fat from the navel to the pubic symphysis. The muscle size and the navel are restored, and the upper abdominal skin is advanced to cover the void left by the excision. The procedure is supplemented with local liposuction if necessary. The whole process takes about 2 ½ hours. Concomitant cystic fibrosis and abdominoplasty should be avoided. On the other hand, we need to give the time that the woman’s skin needs to “gather” as much as possible, so that the excision is significantly smaller in the end. By partnering at the time of birth and due to skin stretching, fluid retention, and deviation of the body’s relief from the normal, the limits are lost and the excision will not be appropriate.
Lastly, by doing the surgery directly, we add to the cystic and abdominal pains and put the new mother on the first and so important days of the newborn in a postoperative condition that does not allow her to deal with her baby as she likes. The best time to do abdominoplasty is 6 months after and after birth. The body has almost returned to normal and the baby is no longer a newborn. Most of the pounds of pregnancy have been lost and the woman has returned to all her daily activities. A second basic condition is that the woman has completed her family planning. There is no problem with a possible next pregnancy, it is just possible to recreate the problems that the surgery we managed to solve and need a new intervention.
And for the breasts, the same thing is true that another pregnancy should not be scheduled for surgery so we do not have to repeat it. The exception is the placement of silicone inserts with or without a straightening. This procedure does not affect dairy and its effect is not affected by another pregnancy. It is a prerequisite, however, to place the inserts under the major chest muscle and not to make the incision in the nipple. If one of these two principles is not respected, there is a possibility that the woman will not be able to lactate in the next pregnancy. Most of the time, however, the breasts after and end of lactation are shown to have lost their volume, to be downward and to have very loose skin. so simple retraction is not enough and it is necessary besides the insert to reduce the breasts. With this surgery, dairy resources can be cured and should be avoided if the woman has not completed her births. These interventions should be done at least 6 months after the end of the last lactation to get the final shape of the breast and not continue to change after surgery.
Stretch marks or streaks are a problem that, if it looks simple, is difficult. They are caused by a sudden change in weight, either upward or downward, or abrupt stretching of the skin due to increased belly circumference or fluid retention. It is clear that pregnancy is a period of ribbing. Not just preservatives such as creams and massages are not enough to deal with them but most of the time there is no solution even if we resort to surgical procedures. A solution can only exist for streach marks from the lower ribs of the abdomen. With abdominal surgery, those from the navel to the pubic symphysis are dissected with the skin and disappear. Those located above the navel extend along their length along with the skin that carries them, in order to close the gap created by the operation. This has the effect of becoming thinner and less visible. Unfortunately, the excellent results we have in the abdomen can not be achieved elsewhere.
Even the woman’s external genital organs exhibit changes in their appearance after birth. Both the dimension of the right ventricular and the dilatation of the skin and the abdominal walls cause a change in the shape and the angle of the vulva. The result is that we have a downward and aging picture of the area. Many times the condition is aggravated by a hanging abdomen, which hides the already falling vagina, which makes the condition worse. The solution here is abdominoplasty. As we can see in the picture, it is actually lifting the vulva by radically changing its shape for the better. It restores aesthetically but also functionally the external genitalia of the woman giving a youthful image. It can also be combined with a surgical lip reduction.