hi, this is dr. hourglass, and welcome toanother video in our channel star bodies. today we are going to discuss wound healingproblems after a tummy tuck in obese patients. in this channel, we discuss everything you need to know to get that star body that you want. welcome back. we have previously discussed how the riskof surgical complications increases steadily with a body mass index (bmi) above 35. it is very important to be within a normal weight prior to surgery to help prevent complications like seroma, infection, and slow wound healing,among other things. when a tummy tuck is performed, a lower abdominalincision is done and then dissection
is continued toward the midline; the abdominal wall istightened, the excess skin is removed, and the incision is closed with multiple-layer sutures. what is the importance of losing weight beforethis surgery? well, when the lower abdominal incision isperformed, the blood supply to the abdomen comes from the top. before surgery, there is a dual blood supply coming from the bottom and the top, but after the incision is performed, the blood supply that comes from the bottom part is essentially compromised. when patients are overweight, perfusion isdiminished. this is why an overweight patient who has a tummy tuck has a higher chance of slow wound healing.
another consideration is the belly button. when somebody has gained weight, the bellybutton is elongated; because it is attached to the abdominal wall, it actually gets longer the more fat you have in your abdomen. this can cause problems with wound healing. if you look at this diagram, the cylinder is the belly button, which extends from the level of the skin to the level of the abdominal wall. if you gain weight, the belly button getsmuch longer. when a tummy tuck is performed and the bellybutton is detached, the longer the belly button, the less blood will reach the end of the belly button.
this is why there is a higher risk of losing the belly button and having wound healing problems around it when you are overweight. as you can see in this picture, this patienthas a wound around the belly button. the important thing to understand is that because the belly button itself is a scar from birth, wounds around it are not going to heal very well. the bottom line is that before any cosmeticsurgery, you need to understand that having a weight within the normal range is important to avoid wound healing problems around the belly button or in any area where an incision is made. in this video we discussed how being overweight can increase the complication rate during a tummy tuck.
next week, we will discuss antibiotics andcosmetic surgery. remember to comment below, share this video,like this video, and subscribe to our channel for more information, here at the star bodies channel, only on youtube. also, you can log on to our website, for more information about your procedure and to see amazing surgical results. remember to log on to our hourglass tv for more information about your surgical procedures. on monday we have bootyman for everything related to buttock enhancement procedures. tuesdays: wonder breasts where we discuss topics related to cosmetic breast surgery.
wednesdays we have star bodies. if you want to have a star body log on to our hourglass tv. thursdays: hourglass or you’re going to see me doing live surgeries with before and after pictures. also shoddy where we discuss cases that require cosmetic surgical revision. and friday superhourglass for topics related to have that hourglass figure that you want. and finally live broadcast surgeries every day of the week on facebook live, periscope and snapchat. all these and more in the hourglass tv!
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