Ageing, pregnancy, weight fluctuations, previous surgery, and deposits of fat in the previous and inferior part to the abdomen and other
influences can distend and weaken the abdominal wall., which appears overabundant and flabby In more serious cases this woven can
refold on the groin assuming the characteristic shape to "apron".

Pre-operative evaluation

Patients usually apply for abdomenplasty both for hygienic-funcional and aesthetic reasons, the elimination of skin in excess makes them feel more agile and often it represents a psychological push for an ulterior loss of weight. For other patients the motivations are exclusively of aesthetic order, such as women who after one or more pregnancies show a flabby abdomen furrowed from stretch marks and wrinkles and wish to have a smoother and tightened abdomen.

Operation

The technique of the surgery is similar in all the cases: The technique of the operation is similar in all cases: through a cross-sectional incision above the pubis, the skin is unglued from the muscular wall till the height of the costal arch and pulled down so as to remove the part in excess. The tommy button that as a result of this maneuvre would find itself too low can be transposed upper. While the present stretch marks in the low part of the abdomen are in great part eliminated, those situated in the upper part cannot be eliminated, but the good turning out cutaneous tension render them very less evident. Sometimes is necessary the consolidation of the deep abdominal wall by means of the synthesis of reptum muscles of the abdomen. The result of the operation will be a long but very thin overpubic scar, easily hidden by a normal swimsuit.

Postoperative course

Abdomenplasty operation is carried out in general anaesthesia, with an hospitalization of 2-4 days. Sutures will be removed within 10-12 days during checking controls. Post-operative course is not painful. The use of an elastic girdle for approximately 20-30 days will be advised. In some cases it is necessary a plastic review of the scar that can be performed in ambulatory way in order to render it less visible.