Body contouring
An abdomen can appear aesthetically displeasing for various reasons:
Excessive abdominal fat with taut skin
Excessive abdominal fat with moderately loose skin
Excessive abdominal fat with very loose skin
Significant abdominal fat excess with very loose skin
Excess skin
Prominent abdomen due to abdominal wall sagging alone
Prominent abdomen due to simultaneous excess fat and sagging of the abdominal wall
Excess skin above the navel
The treatments vary depending on the different cases
Excess abdominal fat with firm skin
The recommended treatment is superficial liposuction: it is a specific liposuction technique where suction occurs from the more superficial layers towards the depth, unlike traditional liposuction. The technique allows for reducing fat thickness while respecting skin tone.Excess abdominal fat with moderately loose skin
The recommended treatment is superficial liposuction combined with mini abdominoplasty. The incision in this case is limited to the suprapubic area, and the length of the scar is slightly larger than that of a cesarean section. The purpose of the procedure is twofold: to remove excess adipose tissue and eliminate excessively loose skin.Excess abdominal fat with very loose skin
The presence of a significant accumulation of abdominal fat along with very loose skin
Almost always, two separate surgical stages are required: first, liposuction to reduce the volume of abdominal fat, and then, at least 2 months later, abdominoplasty or mini-abdominoplasty is performed to remove excess skin.
Excess skin
It is a rare condition, almost always linked to the effect of weight loss. In such cases, the recommended procedure is abdominoplasty or mini-abdominoplasty.
Prominent abdomen due to the sole sagging of the abdominal wall: The sagging of the abdominal wall is due to the weakening of the rectus abdominis muscles and the fibrous fascia covering them. The causes can be various:
Pregnancy: Uterine volume pushes the muscular wall outward and weakens it. The result is the separation of the abdominal muscles and, in some cases, the appearance of an umbilical hernia.
Excessive volume of intra-abdominal adipose tissue can play a similar role. This condition is not correctable except through diet. Surgery is not yet able to safely remove mesenteric fat. In such cases, it is necessary to reconnect the rectus abdominis muscles so that the abdominal wall returns to a flat state. In some cases, it may be necessary to strengthen the abdominal wall with a surgical mesh (such as Goretex, Mersilene, Prolene, etc.)
Prominent abdomen due to concurrent excess adipose tissue and sagging of the abdominal wall
The technique varies depending on the case: two-stage procedure (liposuction followed by abdominoplasty and reinforcement of the abdominal wall) or single-stage procedure (abdominoplasty with reinforcement of the wall). The postoperative course differs depending on the various procedures: rapid in the case of pure liposuction and mini-abdominoplasty without plastic surgery of the abdominal wall, while it is longer if the abdominal wall needs reinforcement.
Excess skin above the navel
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