The Tummy Tuck (Abdominoplasty)
Reduce the size of the abdomen
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The tummy tuck is a procedure to reduce the size of the abdomen by removing excess fat and tightening stomach muscles. Ideal candidates for the procedure are healthy individuals who want to tackle areas of fat or muscle that are not responding to exercise.
Combined with diet and exercise the effects of the procedure can be long lasting.
A full abdominoplasty lasts between two and five hours with a partial abdominoplasty taking one to two hours.
The operation is usually carried out under general anaesthetic. In a full abdominoplasty an incision is made following a semi-circle from hip to hip, just above the pubic area, a second incision frees the navel. Excess fat is removed and muscles are tightened by the use of stitches. A partial abdominoplasty involves a smaller initial incision with work being carried out between the incision and the navel.
Recovery periods are different for each patient and can be affected by a number of factors such as a patient’s general physical condition and postoperative exercise. All stitches should be removed within two to three weeks at which stage some patients will be able to return to normal activity, others taking a few weeks longer. Temporary bruising and swelling as well as discomfort can all be part of the recovery process and again vary from patient to patient. Scarring will result from the incisions, the appearance of which may grow more noticeable in the first few months before fading over time.
Procedures may, in rare cases, result in abnormal clotting or infection. Scarring resulting from the procedure can require an additional operation to meet the desired appearance.
Cosmetic Surgery in Poland
A guide to plastic surgery regulations in Poland
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Organizations
The Ministry of Health holds overall responsiblitiy for the management of healthcare within Poland.
Doctors are registered with the Polish Chamber of Physicians and Dentists. This is an independant body responsible for overseeing the profession in Poland. It is divided into 24 regional chambers with activities co-ordinated by the Supreme Medical Council.
The Polish Society of Plastic, Reconstructive & Aesthetic Surgeons is the main professional body representing plastic surgeons in Poland. Plastic surgeons specialising in head and neck surgery may also be members of The Polish Society of Otorhinolaryngologists, Head and Neck Surgeons.
Education
The basic medical degree takes 6 years. Graduates are awarded the title Lekarz and following this doctors either complete a compulsory 1 year internship or apply for training in one of the basic specialties: internal medicine, emergency medicine or family medicine.
Plastic surgeons hold a Specialist Diploma with the title "Chirurgia plastyczna" representing addtional specialist training of 5 years - This is commonly refered to as the "second-level specialization degree in plastic surgery".
Poland operates a mandatory system of compulsory continuing education with all doctors required to amass 250 continuing education points in a 5 year period. Continuing education points are only valid for accreditited courses and failure to gain the required number of points results in the suspension of the right to practice. Professional organizations such as the Polish Society of Plastic, Reconstructive & Aesthetic Surgeons help organize training and seminars specific to their specialties.
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Complaints
A Screener for Professional Liability (SPL) investigates any complaint against a medical professional. Their findings are adjudicated by a regional medical court. Appeals are sent to the supreme medical court. Full details are available on the site of the Polish Chamber of Physicians and Dentists in the reference section below.
Storage and Access to Medical Records
Polish doctors are bound by both ethical and legal constraints to respect patient confidentiality and ensure the security of their data.
Information must be stored in paper form but may be backed up by electronic means. The Act on Access to Public Information (6th September 2001) mandates an individuals right to access information stored about them and includes sections on access to medical data. As an E.U member Poland has an additional requirement to comply with the E.U's laws on data protection and access.
Resources
Polish Chamber of Physicians and Dentists
tel: (22) 559-13-00
00-764 Warszawa, ul. Sobieskiego 110
e-mail: ekretariat@hipokrates.org
website: http://www.nil.org.pl
register of doctors: http://www.nil.org.pl/xml/nil/rejlek/hurtd
Complaints
Complaint mechanisms may be found at
http://www.nil.org.pl/xml/nil/wladze/str_sad/odpzawoden