Slightly outdated technique which involves the removal of a large amount of skin and fat, as well as the repositioning of the navel.

The incision is made supraperitoneally from one pelvic bone to the other. Then the skin and fat break down up to a few inches below the sternum. During the preparation of the flap and when we reach the navel, we make sure to cut it with a more circular incision so that it remains on the ground of the abdominal wall. Remove all the fat and skin from the height of the navel and below and re-coat the muscle wall with the skin and fat of the upper abdomen.

I avoid using this technique as it has higher serum rates. The serum is a collection of serous fluid that encapsulates and requires its postoperative puncture by the doctor until it subsides. In addition, conventional abdominoplasty requires the use of drainage precisely because of postoperative fluid collections. Nevertheless, the percentage of serums remains high.

It is a variation of the classic abdominoplasty with the difference that the navel is not cut perimetrically but at a depth from its stem. Thus, it remains in place on the skin of the abdomen and descends lower when the flap of the upper abdomen is sutured in the supraspinatus. It is a technique that I present but never use as the navel shifts lower. This new low position of the navel seems in my opinion inelegant and is the main reason I avoid it.

It is also a variation of the classic abdominoplasty with the difference that the incisions extend to the sides of the abdomen towards the so-called buns. Extensive abdominoplasty is indicated for people who have lost weight en masse and have dramatic skin sagging. It is the technique for people with many sags and “folds” as in these cases the excess skin can not be treated otherwise.

It is the appropriate operation for someone who needs to remove excess skin from the abdomen and at the same time straighten the buttocks and thighs. It is a great operation which when performed by a properly trained Plastic Surgeon gives impressive results. The surgeon has the ability to perform liposculpture of the whole body. It is indicated when we have too much saging also on the buttocks and thighsand a strong appearance of orange peel. The result is a now formed body, in exchange for the scars that often extend to the middle of the sanctuary.

It is an operation used almost exclusively in people who have lost weight after bariatric surgery. As the name of the operation suggests, it is an abdominoplasty that extends around the perimeter. It is essentially an extensive body lift that provides effective solutions to people with loose skin around the perimeter.

The incision is just like a belt and in this way any excess is removed which incidentally creates serious infection problems under the folds. Patients undergo buttock and thigh lifts along with abdominoplasty and admittedly everyone is satisfied with their new image. To apply this technique it is required that the patient has remained at a constant desired weight for at least one year. It is the most expensive operation of its kind as it requires a lot of surgery time. The cost is also determined by the fact that these patients should be hospitalized for 2 to 3 days for follow-up.

Reverse abdominoplasty is indicated for people who have excess skin and lipodystrophy above the navel. The incisions are inserted into the submandibular folds and joined. The incisions can thus be camouflaged satisfactorily. Patients who are indicated for reverse abdominoplasty remain satisfied as epigastric lipodystrophy is a difficult problem especially in people who have tried liposuction of the area without success.

It is another variant of the classic abdominoplasty which differs in the placement of the incisions. In addition to the horizontal “hidden” incision, a vertical super-umbilical incision is made which is impossible to camouflage. Despite this disadvantage there are patients who even benefit from this option. It is suitable for people with enough excess who do not want to extend the incision laterally but vertically in the center.

Another category is patients who have previously undergone laparotomy. I could also say that this group of patients benefit from the correction of the usually deformed scars of the laparotomy.

In selected patients, liposuction or VASER liposuction significantly facilitates abdominal surgery. The acronym VASER stands for Vibration Amplification of Sound Energy at Resonance. It is essentially ultrasound-assisted liposuction that makes the tedious task of manual classical liposuction easier for the surgeon. It is important to understand that technology cannot replace a surgeon’s competence in liposuction. In fact, in the hands of someone who does not adequately understand the art of liposculpture can be a disadvantage.

The most common failures are asymmetry and deepening of the skin in places. In any case, I must emphasize that there are patients who particularly benefit from the combination of liposuction with abdominoplasty.

The technique of this abdominoplasty was developed to reduce the chance of creating a serous postoperative collection, as more lymphatics are preserved while retaining the Scarpa fascia. In addition, the perspiration of the area is better resulting in faster recovery of patients. It is a technique that I always combine with others as I have found that all patients benefit.

The concomitant contraction of the rectus abdominis muscle in many cases is the only way to do it, as many patients have muscle dimension. The beautiful shape of the abdomen is not only related to the relaxation of the skin and the presence of fat. The muscular system is especially important. The muscles of the abdomen are its natural corset. When for some reason the corset “overflows” the Plastic Surgeon is called to correct it. Either a pregnancy or chronic obesity are factors that exert forces on the abdominal wall. Constant pressure from the inside transforms the trunk from pipe to barrel.

There are tendon sutures in the abdomen. These are one vertical line in the middle and three horizontal. These look like a “six-pack” on fit thin people. Thus, it is especially important when this middle tendon suture has been extended to be folded as needed so that the body acquires the hourglass shape. The narrow waist is in demand for a sturdy beautiful body. In combination with liposuction on the sides of the abdomen, this technique gives perfect results.

When some of the above techniques are combined with this technique, patients, in addition to enjoying an amazing aesthetic result, are safe and do not suffer any particular discomfort such as pain, delayed healing and other complications.