Accordingly,
an S-Type Mini Abdominoplasty
was planned to remove
the redundant skin concentrated
below the umbilicus, while simultaneously
correcting the rectus diastasis.

The existing Cesarean section scar
was incorporated into the surgical design,
allowing it to be excised together
with the excess lower abdominal skin
during the skin resection process.

Because the amount of redundant skin
requiring excision was relatively extensive,
it was explained that, despite being
an S-Type Mini Abdominoplasty,
the incision length could become
somewhat longer than expected.

In addition,
rectus muscle plication restored
support to the abdominal wall,
allowing the previously weakened
and widened central abdominal line
to appear more stable and structured.

Most importantly,
the lower abdominal skin folds
and protrusion that represented
the patient’s greatest concerns
have been noticeably improved,
resulting in a smoother, flatter,
and more harmonious abdominal silhouette.

These photographs compare
the patient’s appearance
before abdominoplasty surgery
and at 3 months post-operatively.

The fine wrinkles that had developed
around the umbilical region,
along with the crinkled and irregular appearance
of the skin within the lower abdomen,
have been significantly improved.

In addition,
stretch marks located within the area
of skin excision have also been removed,
contributing to a smoother
and more refined abdominal contour.

These photographs compare
the patient’s appearance
before abdominoplasty surgery
and 3 months after the procedure.

Before surgery,
skin laxity and fine wrinkling
were evident from the periumbilical area
to the lower abdomen.

Excess skin had descended
and accumulated in the lower abdomen,
preventing the abdominal contour
from appearing smooth and well-defined.

In particular,
the lower abdomen projected forward
with an irregular and uneven appearance,
while laxity around the navel
and widening of the central abdominal line
created a weakened and unsupported contour.

The patient featured in this case
also did not have
an excessive amount of abdominal fat.

However, following
two C-section deliveries,
she was left with persistent
lower abdominal sagging,
stretch marks,
and a noticeable contour irregularity
around the C-section scar.

To address these concerns simultaneously,
the patient underwent
abdominoplasty surgery
to restore a smoother, firmer,
and more balanced abdominal contour.

Considering the extent of
skin sagging,
the degree of abdominal wall laxity,
and the location of the previous
C-section scar,
a full abdominoplasty
was recommended for this patient.

However,
whether the existing C-section scar
could be completely removed
depended on the actual amount of skin
that could be safely advanced
during surgery.

For this reason,
the patient was thoroughly informed
that scar removal would ultimately be determined
based on intraoperative findings,
and the surgical plan was established
after a detailed discussion.

In addition,
the protruding abdominal wall
and the heavy fullness
of the lower abdomen
were effectively corrected,
creating a smoother and firmer transition
from the upper abdomen
to the lower abdomen.

Although this is still considered
an early stage of recovery,
and some redness along the scar line
as well as firmness within the tissues
may still be present,

these findings are part of
the normal healing process
and are expected to gradually improve
as recovery progresses.

Based on the patient’s current degree of
abdominal skin laxity
and the extent of correction required,
the recommended procedure was explained as
L-type extended abdominoplasty.

The patient was also informed that
the incision length is determined
by the vertical amount of skin
that must be removed.
A detailed consultation was conducted
to ensure a full understanding of
the surgical plan before proceeding.

[Patient Information]
Age: 30s
Height: 158 cm
Weight: 47 kg
BMI: 19

Even with similar body conditions,
surgical results may vary
depending on individual characteristics.

[Patient Information]
Age: 40s
Height: 151 cm
Weight: 48 kg
BMI: 21

Even with similar body conditions,
surgical results may vary
depending on individual characteristics.

[Patient Information]
Age: Mid-50s
Height: 158 cm
Weight: 61 kg
BMI: 25

Even with similar body conditions,
results may vary depending on
individual characteristics.

[Patient Information]

Age: Early 40s
Height: 158 cm
Weight: 47 kg
BMI: 19

Even with similar
body conditions,
surgical methods and results
may vary between individuals.