Options for Waistline Tightening and Contouring?

The permanent sutures that are used to flatten and tighten the abdominal wall are typically placed in the midline. The rectus abdominis muscles, prior to pregnancy, are lined up immediately side-by-side. Expansion of the abdominal wall during pregnancy allows the muscles to stretch apart, leaving a weak layer of fascia (connective tissue) spanning the gap between the two muscles - the medical term for which is diastasis. The midline tightening sutures correct the diastasis and bring the... more

Without seeing a picture of you I can't say for sure but at the very least you should explore having liposuction done. This is very effective in the flanks and generally the skin out there is thick and elastic and shrinks quite well. As far as the front of your abdomen goes, it depends on whether you have extra skin or not. If you do, you might need a tummy tuck to get the flattest tightest abdomen possible for your body. If the skin is not in excess and is of good elasticity, you... more

A combination of treatments will be needed. Excess skin will require a tummy tuck. Plication of the muscle during this procedure will accentuate your waist line as well.The excess fat in your flank area could be liposuctioned.

In any situation, analyzing your body and the best solution requires a review of your skeleton, muscle condition, fatty deposits, and skin elasticity. The degree to which each of these factors are effected determines the best solution for you. For example Localized fat, but good skin, muscle, skeleton---> Liposuction Bad muscle (diastasis) but good skin, fat, skeleton--> Endo muscle repair Bad skin but good muscle, skin, skeleton---------> Skin only tummy tuck Pregnancy can... more