Abdominoplasty in Korea – Why abdominal wrinkles and sagging cannot be solved with diet | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
40s |
52kg |
158cm |
21 |
Surgical site
Abdomen, S-Type, abdominal wall plication, belly floating
1,900cc
Signs of aging in body shape
often appear in the abdomen
earlier than in other areas.
As skin elasticity decreases
and the muscle layer loosens,
the abdominal center may protrude forward
or the lower belly may sag,
disrupting body balance.
Even without significant weight gain,
rectus diastasis or skin laxity
can distort the connection
between the waist and pelvis,
making the abdomen appear more prominent.
When facing such structural issues
inside and outside the abdomen,
abdominoplasty or
rectus muscle correction
may become necessary solutions.
Today’s case analysis features
a patient in her 40s
who had experienced two childbirths.
Although she managed her weight well
after delivery, she struggled with
abdominal sagging,
loss of skin elasticity, and
visible wrinkles in the central abdomen,
along with concerns about changes
to her waistline.
She had attempted to strengthen
abdominal muscles through exercise,
but the wrinkles above the navel
did not improve, and the central
abdominal bulge (abdominal wall protrusion)
remained unresolved.
As a result, the abdomen became
especially prominent in her overall figure,
which caused significant stress
about her body balance and appearance.
Before abdominoplasty, the patient’s abdomen
already showed sagging and loss of elasticity
starting from the central abdominal area.
Because the skin was thin and loose,
when bending forward, the front abdomen
folded into two visible creases.
Slightly above the navel, palpation revealed
that the rectus muscles were weak
and separated, failing to support
the protruding abdominal wall,
creating a slight forward bulge.
There was also a clear difference
in skin elasticity between the
upper and lower abdomen,
highlighting the imbalance.
These combined issues of sagging skin,
wrinkles, and rectus diastasis not only
disturbed the external contour,
but also contributed to functional
discomfort in daily life.
Thus, the surgical plan was made
to correct these problems as follows:
1.S-Type Abdominoplasty
To improve central abdominal sagging
and rectus diastasis,
we planned an S-Type abdominoplasty.
For upper abdominal correction,
the navel floating technique was applied,
and the incision was designed to follow
the patient’s previous C-section scar line.
2.Abdominal Liposuction
To refine the overall contour,
comprehensive abdominal liposuction
was also planned to create
a slimmer, smoother abdominal line.
Next, we review the 3-month results
and recovery process after surgery.
Before surgery, the central abdominal skin
sagged downward, causing folds below
the navel and breaking the smooth
connection between the waist and pelvis.
At 3 months after surgery, the previously
loose abdominal skin was neatly tightened,
and the rectus muscles were reinforced,
creating a firm, lifted abdominal line.
Most notably, the curve from waist to pelvis
became smoother and more natural,
transforming the bodyline into a
younger and more refined silhouette,
far beyond what is typical in the 40s.
From the oblique view comparison,
the lower abdomen before surgery
was sagging downward, while the
abdominal center protruded forward,
creating a heavy and unstable impression.
At 3 months after surgery, the previously
sagging and wrinkled abdomen was lifted,
and the waistline tightened inward,
resulting in a more three-dimensional
and refined overall body shape.
Changes also became clear
when the patient bent forward.
Before surgery, the lower abdominal skin
sagged, and each time she leaned forward,
deep wrinkles appeared, making the abdomen
look heavy and uncomfortable.
After the abdominoplasty, the skin was
firmly lifted, so even when bending,
the abdominal line stayed smooth
and stable without folds.
In particular, with the corrected
rectus muscles, the abdominal wall
no longer bulged forward, and the silhouette
remained slim and firm, free from sagging
or uneven volume.
From the side view before abdominoplasty,
loosened skin and a bulging abdominal wall
made the central abdomen protrude unevenly.
The lower abdominal skin wrinkled and sagged,
giving the overall silhouette a heavy, dull look.
After the abdominoplasty with
rectus diastasis repair,
the abdominal center became firm,
and the sagging skin was lifted.
As a result, a flat contour was well maintained
even from the side view.
In this patient’s case, weakened abdominal muscles
and loss of skin elasticity were the main causes
of imbalance, and during hyperextension
she also experienced functional discomfort
from rectus diastasis, which led her decision
for surgery.
Therefore, surgical correction was essential
not only for visible improvement
but also for complete structural restoration,
resolving both aesthetic and functional issues
in daily life.
Fortunately, the patient followed her post-op
care plan very well, quickly entered
the stable recovery phase, and has been
diligent with self-care in her daily routine.
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