The Course of Treatment
At the beginning of each treatment there is a detailed consultation. Once everything has been discussed and clarified, blood samples are taken, possibly an ECG, photographs taken and a conversation with the anesthetist, then surgery is performed.
Tissue tightening takes place under anesthesia. Skin and excess fat are removed from the muscle layer, i.e. the muscular abdominal wall or the muscles of the arms and legs, the excess is removed and the tissue is tightened with strong internal sutures.
The operations take 2 – 5 hours, depending on the extent of the work being carried out, we often combine the operation with liposuction.
Afterwards our patients stay 1 – 3 days in our clinic and are cared for competently, carefully and lovingly.
If it concerns the upper arms and the changes are moderate, the intervention can take place under local anesthesia on an outpatient basis.
Scars remain after skin and tissue tightening. We place them in places where they are as inconspicuous as possible: For the abdomen in the bikini zone, for the thigh lift in the groin and the crotch, for the upper arms either in the armpit or (in case of strong change) on the back surface of the arm.
Tightening can also be performed on other parts of the body if necessary: the chest, buttocks, back. A breast lift is of course also possible.
A note on the pain, towards the end of the operation, our patients receive a painkiller via the vein meaning they wake up without pain. Then a pain scheme takes effect: They automatically receive pain drops or pain tablets every two hours automatically, this prevents pain from occurring in the first place and throughout your recovery.
The operated body parts must be rested for 2 (upper arms) – 6 (abdomen and thighs) weeks.
This means that they may only be moved and little, this is because the tightened tissue is sewn together under proper tension. These rules must be observed so that the seams do not tear open and the skin remains smooth and tight.
After the operation, a compression girdle must be worn for six weeks, on the upper arms, stomach or thighs. It brings the inner wound surfaces together so that they can heal better and reduces the formation of wound water (seroma), bruising (haematoma) and swelling (edema).
Outpatient follow-up checks take place regularly: After two days, one week, two, six and twelve weeks.
First of all, there are the risks as with any other procedure: postoperative bleeding, wound healing disorder, infection, if the surgery is done correctly this is rare.
The tightened skin that is under tension can open, this complication is minimized with deep relief sutures in several layers. The previously damaged, tightened skin can give way again. Then the skin must be tightened.