Abdominoplasty in Seoul – 1 year postoperative progress after postpartum body changes | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
30s |
53kg |
160cm |
21 |
Surgical site
Abdomen, arms, hip dips, S-type, rectus plication
4,300cc
Hip dip (Right: 120cc / Left: 140cc)
Postpartum changes in the abdomen
are often complex and multifaceted,
involving skin laxity and muscle relaxation.
Even without significant weight gain,
many women experience a protruding abdominal center,
a blurred waistline, and a loss of body balance,
making the upper and lower body appear less defined.
Such structural changes can be difficult to correct
through diet or simple non-surgical treatments alone,
as those familiar with our Lesarts tummy tuck cases
may already know.
Tummy tuck surgery addresses the root causes
of these postpartum body changes,
helping patients restore abdominal firmness and balance.
If you’re considering body restoration after childbirth,
a personalized diagnosis and consultation
can help determine the most suitable approach for recovery.
The tummy tuck case I’ll introduce today involves
a female patient in her late 30s
who had previously undergone a Cesarean section.
After childbirth, she experienced abdominal sagging
and rectus diastasis, which caused
significant stress over her body contour changes.
In her case, the issue wasn’t limited to fat accumulation.
She also had abdominal wall protrusion
and skin laxity, creating a complex condition
that could not be sufficiently improved
through diet or injection treatments alone.
To address these concerns,
she spent a long time researching tummy tuck surgery,
visiting multiple clinics for consultation,
and carefully gathering information before deciding.
Eventually, she visited Lesarts Plastic Surgery
for one final consultation —
the place where she ultimately decided
to proceed with her abdominoplasty.
The patient’s abdominal assessment during consultation
revealed abdominal wall protrusion above the navel
accompanied by lower-abdominal skin laxity
occurring together rather than as isolated issues.
From the side view, the weakened abdominal wall
couldn’t properly withstand intra-abdominal pressure,
so it protruded forward, while the waistline spread laterally,
giving the upper body a longer, heavier impression.
In the lower abdomen, skin sagging created a bumpy look,
and fat accumulation extended to the flanks and back line,
indicating the need for a combined surgical approach
rather than a single, limited procedure.
Additionally, the patient had keloid-prone skin,
with uneven tone and persistent hyperpigmentation tendencies.
To keep the scar as inconspicuous as possible,
we planned a low-abdominal incision
and detailed scar-care protocols throughout recovery.
1.Mini (S-type) tummy tuck
We planned rectus plication (internal muscle tightening)
to support the lax abdominal wall,
and designed skin excision within a range
that does not relocate the navel.
The incision was set below the lower abdomen
to completely remove the thick, raised C-section scar,
leaving a thinner, smoother abdominoplasty scar.
2.Abdominal liposuction (360°)
To create a defined waistline and enhance synergy
with skin and rectus laxity correction,
we planned circumferential abdominal liposuction
for comprehensive contour refinement.
3.Hip dip fat transfer
Even with a refined waistline, insufficient lateral pelvic volume
can blur upper–lower body separation.
We therefore planned hip dip fat transfer
to harmonize contour flow and volume together.
We will review the 1-year postoperative course
in detail through progress photos after surgery.
When comparing before-and-after photos from the front view,
the abdominal center protrusion has clearly disappeared,
and the sagging, uneven lower abdominal skin
has been tightened and smoothed,
creating an overall sleeker abdominal contour.
As the skin below the navel was lifted,
both the waistline and navel position
became more naturally aligned and refined.
This transformation involved more than just volume reduction —
thanks to the combination of liposuction and rectus muscle repair,
the patient’s postpartum body imbalance was corrected,
resulting in a clearer, more defined silhouette.
For a long time after childbirth,
the patient struggled with a protruding abdomen,
where the waistline was barely visible,
and the lower abdominal skin sagged loosely,
making the overall silhouette appear heavy.
After the tummy tuck surgery,
the central abdomen was tightened inward,
the waist curve was restored,
and the loosened lower belly skin was smoothed,
creating a natural and balanced body flow.
As time passed, residual swelling and scarring
continued to stabilize, enhancing the results.
The waistline and skin elasticity settled naturally,
allowing the body to appear slimmer and more proportionate
from every angle.
Before surgery, gravity pulled both skin and fat downward,
causing the entire abdomen to sag heavily
and appear as if it were spilling out.
After the tummy tuck surgery,
the previously loose skin tightened firmly,
and the abdominal silhouette looked
as if it were toned through core training.
The waistline curved inward naturally,
reducing the upper body heaviness,
while abdominal firmness returned,
creating a lighter, more comfortable feel
when wearing daily clothing.
Currently, the patient is about
1 year and 6 months post-surgery,
after tummy tuck, liposuction,
and hip fat transfer procedures.
Before the operation, she wore
loose clothes to hide her belly,
but now, with a flat abdomen
and smooth pelvic curve,
she feels much more confident
in fitted outfits.
Since surgery, she has maintained
healthy eating and regular exercise,
making the new body shape natural
as part of her daily lifestyle.
Her surgical scars healed smoothly
with steady care, and with sunblock,
moisturizing, and laser treatments,
the result is expected to remain
healthy and long-lasting.
Beyond simple body correction,
this surgery helped her restore confidence
and reclaim her rhythm in life,
marking a meaningful new beginning
after childbirth and motherhood.
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