Abstract

The main candidates for correction of anterior abdominal wall are women in postpartum period with laxity of skin flap and diastasis of rectus abdominis muscles. At the same time, they often do not require extensive abdominoplasty. The authors present correction of anterior abdominal wall in patients with body mass index <28 kg/m2 who underwent mini-abdominoplasty, modified abdominoplasty and extended liposuction in addition to traditional abdominoplasty. The studies demonstrate the possibility of correction of anterior abdominal wall without significant detachment of skin-fat flap. Cross-tunneling of loose connective tissue makes it possible to mobilize the skin-fat flap and perform correction of «borderline» abnormalities when there are no indications for traditional abdominoplasty with navel transposition and concomitant skin laxity and muscle diastasis make liposuction ineffective. Preservation of perforator vessels and suturing with progressive tension reduce the incidence of seromas and shortens rehabilitation period.

Keywords. abdominoplasty, body mass index, correction, anterior abdominal wall