• Liposuction, particularly suction-assisted liposuction (SAL), can be used to
remove fat in patients without significant excess skin or as an adjunct to surgical
procedures. It is used most often on the flanks; when combined with an abdominoplasty,
it is particularly important to avoid damaging the blood vessels through
excessive liposuction as this would jeopardize the skin flaps.
• Plication of the recti may be required if there is severe divarication. Plication
around the umbilicus itself is avoided to prevent strangulation. Plication of the
external oblique muscle has also been advocated. The procedure has a long lasting
effect as demonstrated by postoperative CT scans (at six months) in some studies.
Pregnancy after plication may cause potential problems.
• A fleur-de-lis-shaped incision (or inverted T) can deal with lower central abdominal
fullness. It can be used to tighten the waist at the expense of an additional vertical
scar.
remove fat in patients without significant excess skin or as an adjunct to surgical
procedures. It is used most often on the flanks; when combined with an abdominoplasty,
it is particularly important to avoid damaging the blood vessels through
excessive liposuction as this would jeopardize the skin flaps.
• Plication of the recti may be required if there is severe divarication. Plication
around the umbilicus itself is avoided to prevent strangulation. Plication of the
external oblique muscle has also been advocated. The procedure has a long lasting
effect as demonstrated by postoperative CT scans (at six months) in some studies.
Pregnancy after plication may cause potential problems.
• A fleur-de-lis-shaped incision (or inverted T) can deal with lower central abdominal
fullness. It can be used to tighten the waist at the expense of an additional vertical
scar.
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