Abdominoplasty in Gangnam – Improving lower belly sagging after C-section | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
40s |
56kg |
155cm |
23 |
Surgical site
Abdomen, hip dips, M-Type abdominoplasty
4,800cc
RT : 180cc, LT : 160cc
After pregnancy and childbirth,
many women feel stressed
because their abdomen does not
return to its pre-pregnancy shape.
In particular, fat accumulation below the navel
and reduced skin elasticity
not only make the belly bulky,
but also cause folds and sagging.
As those who follow our posts know,
these body changes are difficult to fix
through weight loss or exercise alone.
When the problem persists, it impacts clothing fit,
posture, and creates emotional stress.
To resolve postpartum abdominal sagging surgically,
it is essential to consider
multiple factors such as skin elasticity,
fat distribution, and abdominal muscle relaxation.
These elements must be carefully evaluated
to achieve effective and long-lasting improvement.
Today’s patient is a woman in her 40s
who struggled for a long time
with body management difficulties,
as her abdomen did not return
to its natural shape after childbirth.
After a cesarean delivery,
fat accumulated in the lower abdomen,
and skin folds developed,
making her entire abdomen appear heavier
compared to other body areas.
Because of the sagging in the lower belly,
her navel dropped downward,
and her waistline also shifted lower,
causing the overall abdominal line
to look unbalanced
and greatly affecting her confidence.
She judged that it would be difficult
to reverse this problem of abdominal sagging
through dieting alone,
and therefore visited our clinic
in search of a more fundamental solution.
During the preoperative consultation,
the patient’s abdominal condition was evaluated,
and it was confirmed that there was excess volume
and skin sagging in the lower abdomen,
causing visible folding and wrinkling.
In addition, sagging that began from the upper abdomen
pulled the navel downward and distorted the waistline.
Because of this, simple liposuction
or a mini abdominoplasty alone
would not have provided sufficient correction.
Therefore, we explained a surgical plan designed
to fundamentally improve abdominal sagging
and correct line imbalance.
1.M-Type Abdominoplasty
Since sagging extended across the entire abdomen,
we planned M-type abdominoplasty
to lift skin from the upper abdomen downward.
At the same time, the rectus diastasis
was corrected to pull the abdominal line inward
and restore firmness.
2.Abdominal Liposuction
Although the overall fat volume was not large,
abdominal liposuction was combined
to smooth surface irregularities
and refine the waistline contour
for a more natural balance.
3.Hip Fat Transfer
Part of the fat harvested from the abdomen
was grafted into the hip dip area
to enhance three-dimensional body proportion
and create a smooth transition
from waist to hips.
Now, let’s review the comparison photos
taken 2 months after abdominoplasty,
to observe the changes in the waistline contour.
Before abdominoplasty,
the entire abdomen showed severe sagging,
with skin pulled downward by gravity
and accumulating in the lower abdomen,
creating folds and giving a heavy impression.
The sagging also caused the navel’s shape and position
to shift downward, while the waistline lost definition,
making the torso appear bulky and unbalanced.
At 2 months after abdominoplasty
combined with abdominal liposuction,
the sagging from the upper to lower abdomen
was corrected, and the navel was stably repositioned
at the center.
As a result, the overall waistline
was refined into a smoother, firmer,
and more proportionate silhouette.
From the oblique view before abdominoplasty,
the lower abdomen appeared protruded forward,
with excess fat and sagging skin
concentrated in the lower belly.
This created a heavier impression
compared to other areas.
At 2 months after abdominoplasty,
the entire abdominal front
was firmly lifted and refined.
The surgical scar was positioned naturally
inside the underwear line,
making it invisible in daily life.
As a result, the abdomen transformed
into a more natural, sleek,
and well-defined contour.
Before abdominoplasty,
every time the patient bent forward,
the lower abdominal skin sagged downward,
emphasizing a heavy, drooping appearance.
This caused significant discomfort
even in daily movements.
At 2 months post-op,
the previously sagging abdominal skin
was firmly lifted and tightened,
allowing the abdomen to maintain
a slim and smooth shape
even when bending forward.
In this position as well,
the surgical incision remains hidden
naturally inside the underwear line,
minimizing scar visibility.
Overall, the patient shows
a stable and well-balanced recovery result.
It is important to remember that
abdominoplasty often involves a wide surgical range,
and in many cases is combined with liposuction,
so the recovery process must be monitored carefully
to check for potential variables.
The patient was advised that with proper
scar care at each stage and treatments tailored
to the pace of recovery, the surgical site
would gradually stabilize.
We emphasized the importance of following
scheduled visits rather than feeling rushed.
In particular, hidden complications such as
seroma or skin irritation may not appear visibly.
For these, timely management is critical, and details
such as proper compression garment use
and the timing of injection treatments
can significantly affect the results.
By maintaining active follow-ups
and consistent self-care,
the patient can expect more stable recovery
and achieve the best possible final outcome.
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