Pregnancy, weight changes, and aging can result in excess fat and skin around the abdomen. Occasionally this causes rashes and discomfort in the folds beneath excess skin. Generally effective weight loss and exercise do not tighten or remove the skin, and surgery can improve the appearance for you.
The ideal patient for abdominoplasty has a body mass index under 30, has excess skin alone, and is healthy and fit. The placement and design of the abdominal incisions vary depending on the looseness and condition of the skin, the amount of fat to be removed, and prior scars. Often there is laxity of the abdominal wall muscles which can also be addressed by tightening this “internal corset” of fascia during the abdominoplasty.
The scar runs from hip to hip in the lower abdomen, and one around the umbilicus. Drains are sometimes used, and a compression garment should be worn for 4 weeks after the surgery. Sometimes liposuction is recommended to optimize your result.
For those where the sagging skin is mainly in the lower abdomen the mini-abdominoplasty may be an option. This procedure is not as extensive due to a smaller incision that is easily hidden under a two-piece bathing suit. This procedure offers a more rapid recovery and avoid the use of drains.
Temporary swelling, bruising, numbness, some pain
Pain, hematoma, seroma, adverse scarring, persistent numbness, healing delay, infection
Self-care activities: 1 week; Strenuous activities: 4 weeks
Permanent with stable weight