Abdominoplasty

Abdominoplasty, in general terms, is the surgical removal of excess skin and fat from
the anterior abdominal wall. When patients present (typically after multiple pregnancies),
it is important to assess their individual problem(s) systematically:
• excess fat
• excess skin
• divarication of the muscles of the abdominal wall
• abdominal striae and scars.
The ideal patient would be within the weight limits for their height with only a moderate
abdominal fullness and would not be considering future pregnancies.
Abdominal fat is arranged in layers:
• a superficial layer that is uniformly compact with many dense fibrous septa
• a deep layer that is less organized with fewer septa and is primarily responsible for
the abdominal contour.