Abdominoplasty with rectus diastasis repair and pelvic fat transfer in Gangnam – How much body contour change is possible? | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
40s |
48kg |
162cm |
18 |
Surgical site
Abdomen, Thighs, Hip Joint, S-Type Abdominoplasty, Rectus Plication, Umbilical Correction & Floating
2,100cc
RT : 230cc, LT : 210cc
After childbirth, many women struggle
with a waistline that does not return
to its pre-pregnancy shape.
When the skin repeatedly folds and the connection
between the waistline and pelvis becomes irregular,
diet and exercise often reach their limit.
This may indicate that structural changes
in the abdomen have occurred.
Regardless of weight, if there is
rectus diastasis or reduced skin elasticity,
the abdominal center collapses,
creating wrinkles along the waistline
and further imbalance.
In addition, if the hip line lacks volume,
the curve flowing from the waist to the pelvis
appears disconnected. This makes
the silhouette look flat and plain,
reducing overall femininity.
In this post, we will explain in detail
how surgical correction was performed
for a patient experiencing these
combined structural changes,
and what kind of transformation
was achieved through treatment.
This patient is in her 40s,
with two natural childbirths,
and has consistently maintained
a stable body weight.
However, in the central abdomen,
skin folding downward was observed,
and from the front view,
the waistline appeared uneven,
extending irregularly into the pelvic line,
giving a sunken and unbalanced impression.
The hip dip area also affected
the buttock line, causing dissatisfaction
with clothing fit and overall silhouette.
From the side view, the lower abdomen
showed more visible skin laxity,
which could not be resolved through
exercise or dieting alone.
For these reasons, the patient considered
a combined approach of abdominoplasty
and hip fat transfer
to address both sagging and proportion.
Before rectus diastasis repair and
abdominoplasty, the patient’s abdomen
did not show excessive fat overall.
However, below the navel, the skin
was sagging and folding clearly,
making the lower belly look projected.
Especially when bending forward,
the lower abdominal skin folded into
multiple layers, creating a compressed look.
Although there was little fat,
the skin laxity itself created unwanted
volume, disrupting the waistline contour.
In addition, rectus diastasis was present,
pushing the abdominal center slightly outward,
with a noticeable difference in elasticity
between the upper and lower abdomen.
The waistline was not clearly defined,
and the pelvic line appeared sunken,
making the connection from waist to pelvis
unnatural and the silhouette
irregular and flat overall.
To address these issues,
the following surgical plan was designed:
1.S-type Abdominoplasty
Tightening sagging skin of the lower abdomen
and correcting rectus diastasis to restore
a firm abdominal center.
Additionally, umbilical floating technique
was applied to correct upper rectus diastasis.
2.Abdominal and Thigh Liposuction
Fat was harvested from the abdomen,
inner thighs, and saddlebags to refine
the waistline and secure graftable fat.
3.Hip Fat Transfer (Hip Dip)
Part of the harvested fat was transferred
to the sunken pelvic area, restoring a natural,
feminine curve from waist to hips.
We will now review the changes
and recovery process 2 months after surgery.
Before rectus diastasis repair
and abdominoplasty, the patient
did not have much abdominal fat,
but the skin below the navel folded,
elasticity was reduced, and the
abdominal center collapsed.
In addition, the waistline was not slim,
and the pelvis showed a noticeable
hip dip, creating an overall
flat and monotonous shape.
After abdominoplasty, the sagging
abdominal skin was tightened,
the upper rectus diastasis was corrected,
and the abdominal center became firm.
As a result, the curve flowing
from the waist to the pelvis
improved into a smoother,
more three-dimensional contour.
From the oblique view before
rectus diastasis repair, the abdomen
appeared sagging downward
with a slightly separated form,
and the waistline was not smooth.
After rectus diastasis correction,
the abdominal wall was firmly tightened,
and the sagging lower abdominal skin
was lifted through abdominoplasty,
enhancing the definition of
the waistline curve.
In particular, the curve flowing
from the abdomen to the pelvis
was refined into a softer,
more natural connection.
From the side view, this improvement
appeared even more noticeable
than from the front.
When comparing the bent-forward posture,
before abdominoplasty, the lower abdominal skin
folded into two or more layers,
clearly sagging downward due to gravity.
After surgery, as the sagging skin
and rectus diastasis were corrected,
all of these issues were resolved.
This patient had rectus diastasis
extending to the upper abdomen,
with the lower abdomen folding and collapsing,
and a lack of pelvic volume
that created an overall imbalance
in the upper body line.
Through abdominoplasty,
rectus muscle repair, abdominal liposuction,
and hip fat transfer,
we were able not only to correct
the structural problems but also
to restore proportional body balance.
The recovery process has been stable so far,
with the scar blending naturally
into the skin tone,
and the abdominal tissues gradually
softening and settling into place.
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