What Causes the Center Crease in Abs After Tummy Tuck?

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2 Doctor Answers | Asked by BaBegrl in Chattanooga,TN

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I am assuming you are talking about the vertical crease

I personally try to create a vertical groove in the upper abdominal midline by dissecting the tissues with my finger which creates a separation of the fat and brings the skin closer to the muscles making a more muscular look. I also use a specific dressing for the first week to accentuate the groove. You can see this effect in my tummy tuck photos at:

Abdominal creases

Are you talking about the vertical crease or the horizontal crease. The vertical crease is typically due to a natural thinner layer of fat beneath the skin. Insetting the umbilicus in a tightly repaired abdomen will oftentimes accentuate this vertical crease. Occasionally during surgery, patients have an excessively thick layer and a thin strip of fat is removed to create this crease. This is similar to abdominal etching. The horizontal creases are due to natural creases in the rectus... more