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How Realistic to Expect Oblique Muscles Plication During Abdominoplasty? Why Is This Only Done Overseas?

asked 7 months ago by Tony99 in Philadelphia, PA
Latest answer by E. Ronald Finger, MD
Question viewed 354 times
Tags: options, plication, recovery, technique

Dear Docs, I'm considering secondary TT, and while researching options, I found that Brazil and Russian surgeons can do oblique muscles plication in addition to rectus plication to accentuate waist during TT surgery. I wonder if such an option is accessible in USA? And if not, I wonder why? - are there any downsides to it besides prolonged recovery? Thank you.

16 answers to How Realistic to Expect Oblique Muscles Plication During Abdominoplasty? Why Is This Only Done Overseas?

+3

Oblique plication during abdominoplasty

Hi Tony, Thank you for the question. In addition to plicating the lateral oblique muscle/fascia, I routinely attach a large piece of mesh for support. This technique allows for a longer lasting repair of the abdominal wall. And it acts like an 'internal girdle' of sorts to permanently ensure a flat tummy. Patients describe a tight feeling across their abdomen. This often translates to immediate weigt loss due to inability to overeat. Best wishes, Dr. H more
Gary M. Horndeski, MD

Houston Plastic Surgeon
+2

Tummy tuck with oblique muscle plication

It is realistic to expect oblique muscle plication if you request it and you are a candidate for it. Oblique muscle plication is not limited to overseas plastic surgeons. It is done here in the United States. Some plastic surgeons routinely do it on all of their tummy tucks, and others do it on a case-by-case basis. Oblique muscle plication can contribute to increased discomfort after surgery. Ask your plastic surgeon. If he/she has never done it or is unwilling to do it, you can... more
J. Jason Wendel, MD

Nashville Plastic Surgeon
+2

Abdominoplasty and techniques of muscle tightening (plication)

There are many ways to tighten the abdominal muscles vertically , or straight up and down permanent or dissolving sutures rectangle repair oblique repair lower abdominal repair i use these methods in combination or alone as needed
Jed H. Horowitz, MD

Orange County Plastic Surgeon
+2

Waist Definition Can be Improved with Oblique Plication

Hi tony99: in most abdominoplasty patients, tightening of the oblique muscles is not necessary for an excellent improvement in waistline definition. i am very aggressive in plicating the abdominal muscles in my patient population and in addition to the rectus plication, i also evaluate the obliques and plicate when necessary. you do not need to leave the country to have this procedure. if you have a straight waistline before abdominoplasty, due to a very short... more
Mary C. Herte, MD

Las Vegas Plastic Surgeon
+2

Oblique Muscle Plication at Tummy Tuck

I routinely plicate the obligue muscles in a tummy tuck when it is indicated. It is indicated in womem with a "pot belly" , especially with a sway back ( lumbar lordosis). I make this decision during surgery. Not many women have this body type. You do not need to be in a foreign setting for your plastic surgeon to think about this finrsse point in a tummy tuck.
Mary Lee Peters, MD

Seattle Plastic Surgeon
+2

Oblique muscles can be tightened as part of an abdominoplasty

This is an interesting question. I think that you are an example of the "modern" patient who is doing extensive research about the procedure that really was not possible before the Internet facilitated access to information. When you learn of something "new" or "unique" it is best to ask your Plastic Surgeon and in most cases you will learn that they have an educated opinion and often personal experience with something you thought was only available elsewhere... more
Mathew C. Mosher, MD

Vancouver Plastic Surgeon

www.drmosher.com

+2

Oblique Muscles Plication During Abdominoplasty?

The method of further tightening the abdominal muscles you are referring to is NOT new and is sometimes referred to as a Psillakis Corset Abdominoplasty. While the external oblique muscles can be tightened on either side for greater flattening of the tummy and accentuation of the waist. In the original operation, the insertion of the Ext. Oblique muscles on the lateral side of the Rectus Abdominis Muscle are cut on both sides and the muscles are undermined from the Int. Oblique muscles and... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Oblique muscle plication during an abdominoplasty

Oblique muscle plication during an abdominoplasty is done in the US all the time when indicated. In virtually every case the rectus muschle is plicated, and if the patient has a large waist, the obliue muscle plication can help. If the abdominal content is excessive, plication sutures will not help much. It's best to lose down to the weight that is practical for you to maintain before such a procedure. This will also allow the oblique muscles to tighten with plication. E. Ronald... more
E. Ronald Finger, MD

Savannah Plastic Surgeon
+1

Its not really a muscle problem

Hello, Muscles are designed to contract and expand--your arm and legs muscles do it thousands of times a day and they do not become "lax". When the abdominal wall becomes lax after pregnancy it is not the muscle that has changed but the connective tissue the abdominal muscles are enveloped in. When muscles are tightened during a tummy tuck its really the connectve tissue that is tightened--muscles are not good at holding sutures anyways. The main area for... more
Remus Repta, MD

Phoenix Plastic Surgeon
+1

How Realistic to Expect Oblique Muscles Plication During Abdominoplasty? Why Is This Only Done Overseas?

You can see your research has not allowed you to find the many US PSs that offer lateral plication of some form. It is done as each case dictates its need. Why travel overseas for an extended recovery and risks is what I wonder?
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Tightening of the Oblique Muscles During Tummy Tuck is Possible

Hi there- As many of my colleagues have stated, the technique you are asking about is not new, and most experienced, Board Certified Plastic Surgeons would be able to add this technical detail. The bigger question is whether or not it would benefit you as an individual.
Armando Soto, MD

Orlando Plastic Surgeon

www.DrArmandoSoto.com

+1

External oblique muscle tightening during tummy tuck

External oblique tightening is always an option during tummy tucks. I will occaisionally use it when it appears that midline plication is not giving the shape I want. Together with aggressive liposuction in the flanks can give impressive reults for the waistline.
Ronald Schuster, MD

Baltimore Plastic Surgeon

www.drschuster.com

+1

Tummy tuck (abdominoplasty)

Tightening of the abdomnal muscles, being Rectus,Oblque or both could be an integral part of transpositional abdominoplasties. Plication of oblique muscles is seldom done if significant trethering of oblique muscles are encountored during performina abdominoplasties or if more flank contouring is desired. It prolongs the recovery time for additional days and increases hip roll tenderness during recovery time. These procedures Are done inland as well as in overseas. more
Fereydoon S. Mahjouri, MD

Minneapolis Plastic Surgeon
+1

Tummy Tucks and Muscle Plication

When the abdominal muscles are lax, like after pregnancy or weight loss, the rectus muscle is plicated (tightened). The plication tightens the case that contains the muscles, but this case does not stop at the border of the rectus muscle. This tough casing, called fascia, is continuous around the abdominal wall. So, whenever the rectus fascia is tightened, the external oblique fascia is also tightened, and the potential for improving the waist line exists. If the external oblique... more
Joseph Mele, MD

Walnut Creek Plastic Surgeon
+1

Oblique Plication Usually Not Needed

Surgeons in the US certainly do oblique plication when necessary. Usually, the tummy is tight enough with rectus tightening, however if there is persistent lateral laxity the obliques can certainly be tightened. Downside is increased discomfort and a bit longer recovery.
Brian Klink, MD

Sacramento Plastic Surgeon

www.solanoplasticsurgery.com

+1

Plication of Oblique Muscles during Tummy Tuck?

Thank you for the question. Plication of the external oblique muscles can be done for patients who would benefit from this technique; is not limited to “overseas surgeons”. The majority of patients I have taken care of have not required this additional step to achieve the accentuated waistline they wish to achieve. Occasionally, it is a useful addition to the procedure. I do not know of any significant downsides to this additional plication. I was just... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

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