Abdominoplasty or lipoabdominoplasty is a procedure we perform for patients with various conditions requiring improvement in their body contour, such as excess skin in the anterior abdomen associated with skin laxity; patients with diastasis recti (separated rectus abdominis muscles); patients with scarring or multiple stretch marks in the abdominal region; and finally, patients who may or may not have fatty deposits in the abdomen or the rest of the body contour. Depending on each patient’s case, different surgical techniques are feasible. For example, we can perform a traditional full abdominoplasty when the amount of tissue allows it, or a mini abdominoplasty when the infraumbilical flap (tissue below the navel) is not sufficient to be resected using a traditional technique. There are even other techniques described, such as circumferential abdominoplasty, which is indicated for patients with severe skin laxity and excess tissue not only in the anterior portion of the abdomen but also in the posterior region. Using this technique, we manage to remove this excess tissue, creating a harmonious appearance around the patient’s entire circumference. It is typically performed in patients with massive weight loss. On the other hand, we perform the Tuluá technique on patients with significant infraumbilical diastasis. The final choice of how we perform the procedure will depend directly on the patient’s underlying condition.

When we talk about traditional lipoabdominoplasty, we are referring to a surgery with different objectives. The first is to remove excess skin from the anterior abdomen, from the navel down; the second is to repair diastasis recti, and finally, we can combine the procedure with liposculpture and gluteal lipotransfer to improve the overall body contour.

At Majestic Plastic Surgery, we believe that the final result is largely determined by the surgeon’s concept of beauty. At Majestic, the blending of two concepts—feminine and masculine—and the presence of two surgeons in the same procedure guarantees a much greater view of body harmony, resulting in a shorter surgical time and wonderful support, thus achieving unparalleled results.

When indicated:

This procedure is indicated for patients with:

• Fatty deposits in the back, arms, abdomen, waist, thighs, double chin, hips, and/or knees.

• Excess skin in the anterior abdomen.

• Diastasis recti (separated abdominal muscles).

• Previous pregnancies.

• Weakness of the abdominal wall.

• Scarring on the abdomen.

• Numerous stretch marks on the abdomen.

• Massive weight loss and significant abdominal skin apron.

• Desire for a slimmer, more stylized, and harmonious figure.

• Desire to increase the volume of their buttocks, pectorals, or arms with their own fat.

Cómo se realiza:

Realizamos una incisión en la región del pubis, se realiza una disección por planos, disecamos hasta el apéndice xifoideo. Se cauterizan vasos sangrantes, se realiza la plicatura de rectos abdominales en doble plano, se tracciona el colgajo de piel y se retira el tejido sobrante, habitualmente lo que corresponde al tejido ubicado en el área infraumbilical. Posteriormente, se exterioriza el ombligo. Se pueden colocar puntos de Baroudi, se cierra por planos. Antes o después de realizar el procedimiento, se puede realizar una liposucción en espalda, flancos y eventualmente, dependiendo la técnica, en el abdomen anterior. De igual forma, de ser necesario o requerido, se realizará también la lipotransferencia glútea, armonizando el contorno corporal completamente. Dejamos siempre un sistema de drenaje que permita la evacuación efectiva del líquido posterior al procedimiento; este drenaje se retirará 8-10 días después de la cirugía, según la evolución del paciente.