A mother of 3 in her early 40’s who is bothered by a ”bump” of her stomach after pregnancy, despite diet and exercise. She is also bothered by unfavorable scarring after gallbladder surgery at the age of 21. She had had this revised by a plastic surgeon 12 months before seeing me but was still unhappy with the scar. A subcostal incision is sometimes called a “Kocher” incision and can make an abdominoplasty more challenging. Limited undermining can allow us to maintain the blood supply to the lower abdominal skin. Liposuction of the abdomen can also increase the risk of healing problems with an abdominoplasty. Sometimes a scar can be improved further by releasing and breaking up the scar tissue and fat grafting around the scar.
Lipoabdominoplasty utilizing Power assisted liposuction was used to break up the fat around the old scar using a “Becker” type cannula and judicious liposuction was performed to remove 400 cc of fat from the upper abdomen. Then an abdominplasty was performed with limited undermining to preserve the blood supply to the lower abdominal skin. Fat equalization was performed to break up and smooth the fat under the scar.
She is shown before and again, 4 years after surgery.