Abdominoplasty: Both vertical and horizontal plication required or is vertical plication enough for an extremely active person?

Dear Weddingplanner1234,From the description of your body, I would not recommend anything other than a vertical muscle plication. You don't say whether you have had multiple pregnancies, nor massive weight loss.The vertical plication repairs the split in the muscles caused by pregnancy or excessive intra abdominal fat (that has been lost). It is simply repairing or reconstructing the muscle to correct the defect. There is no defect in the horizontal plane that needs correcting. In my 27 years of experience I have not found the need to do a horizontal plication in a patient requiring an abdominoplasty, including any of my patients, some of who are super fit athletes.I hope this information is helpful.

Dear Weddingplanner1234
Thanks for sharing your question. Usually for majority of women who only had changes associated with pregnancy , usually the vertical midline placating is enough. Some women who have lost some of their muscle tightness, they can have -location in other directions usually oblique or L shaped which can further tighten the muscles or make the waist line more defined.I usually ask about patients preferences but final decision would be made during operation when I tighten the midline and assess the laxity of abdominal wall. You will need a clinical examination to determine the level of muscle laxity.I hope you find this answer useful.

An examination and photos can determine which would be best. Without an exam and photos, I would overall recommend the vertical repair only because of your type of exercising.