Abdominoplasty in Gangnam – Correcting rectus diastasis and sagging skin together | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
30s |
58kg |
164cm |
21 |
Surgical site
Abdomen, inner thighs, hip dips, M-Type abdominoplasty, rectus plication, navel correction
3,500cc
RT : 130cc, LT : 190cc
After childbirth, loss of abdominal skin elasticity
and sagging are common changes, but these visible
signs alone do not fully reflect the actual condition.
This is because issues such as rectus diastasis
are often present, adding functional problems
alongside cosmetic concerns.
To achieve improvement through surgery,
a precise diagnosis and surgical plan
are absolutely required.
Some patients think sagging can be resolved
by simply removing part of the lower abdominal skin.
However, without correcting the separated rectus muscles
and restoring the collapsed core structure,
the results will remain incomplete.
Therefore, in many cases, a comprehensive approach
is necessary—lifting the abdominal skin,
suturing the rectus muscles firmly together,
and removing unnecessary fat simultaneously.
This combined method of abdominoplasty ensures
both aesthetic refinement and functional stability.
This case features a woman in her 30s
who delivered twins via cesarean section.
Through a combined surgical plan, we corrected
her abdominal core and body balance using
M-type abdominoplasty.
After childbirth, she was diagnosed with
rectus diastasis, and as abdominal elasticity declined,
the skin shifted downward, creating folds.
When bending forward, the abdominal skin
creased visibly, while from the front,
the area below the navel appeared prominent,
distorting the waistline into an uneven shape.
To address these complex issues and refine the line
from the waist to the hips, we planned a surgery
combining M-type abdominoplasty,
abdominal liposuction, and
hip fat transfer.
When reviewing the patient’s abdomen
before M-type abdominoplasty,
the central abdominal skin was sagging downward,
forming deep folds that were easily irritated
during daily movement.
The rectus diastasis pushed the abdominal center outward,
blurring overall body balance.
There was also a significant difference in skin elasticity
between the upper and lower abdomen,
while the waist-to-hip transition lacked definition,
making the midsection appear heavier.
To resolve these issues,
the following surgical plan was established:
1.M-type abdominoplasty –
Designed to correct wide-range abdominal sagging,
reconstruct the collapsed center,
and lift the overlapping lower belly folds.
2.Abdominal liposuction –
Focused on the abdomen and flanks
to refine accumulated fat and restore proportion.
3.Hip fat transfer –
Fat harvested from the abdomen was grafted
into the hip dip area, creating a more feminine
and three-dimensional waist-to-hip curve.
This combined approach was planned not only
for external contour improvement,
but also for restoring core balance and function.
Below, we review the before-and-after results
of abdominoplasty with rectus plication,
umbilical correction, liposuction,
and hip fat transfer,
along with the recovery process at 5 months.
Before abdominoplasty and liposuction,
the patient’s lower abdomen showed deep folds
and heavy sagging skin, disrupting overall balance.
At 8 months after abdominoplasty,
the sagging skin was lifted, and fat was suctioned
from the abdomen and flanks, resulting in
a lighter, firmer, and more defined contour.
When comparing the forward-bending position,
before abdominoplasty and rectus muscle plication,
the abdominal skin and weakened abdominal wall
sagged downward due to gravity.
This created overlapping folds, while the upper abdomen
also projected forward, showing a clear loss of firmness.
After abdominoplasty and rectus repair,
the sagging skin was lifted and the abdominal wall corrected,
allowing the center to stay firmly supported.
Even when bending forward, the abdomen now maintains
a smooth and stable contour without drooping or folding.
From the oblique and side views before abdominoplasty,
the lower abdomen appeared saggy and projected outward,
while the line from waist to hips was disconnected,
making body balance appear disrupted.
After abdominoplasty, rectus muscle plication,
abdominal liposuction, and hip fat transfer,
the sagging was corrected and the waist-to-hip curve
was refined into a smoother, three-dimensional flow,
improving overall body proportions.
This transformation was possible not only by removing
sagging skin but also by addressing the abdominal muscles,
fat distribution, and the natural flow of the body.
To maximize the outcome of tummy tuck surgery,
accurate diagnosis, surgical planning, and recovery care
must all be seamlessly connected.
In this patient’s case, although lower abdominal folds
were the most visible concern, skin laxity and rectus diastasis
extended into the upper abdomen, and the navel was positioned high.
Therefore, a mini tummy tuck alone would not
have resolved the problem effectively.
By performing M-type abdominoplasty, liposuction,
and hip fat transfer tailored to her condition and goals,
we improved not only the central abdomen
but also the waist and hip lines,
creating a more harmonious silhouette overall.
Recovery has been stable, and at 8 months post-op,
a firm contour is maintained while the incision site
shows visible stabilization of the skin.
Scar care will continue with regular follow-ups.
It’s important to remember that the lifting range
and incision length of abdominoplasty
should be planned according to the degree of sagging
and correction required.
Only then can patients expect safer procedures
and more satisfying results.
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