Crease line on stomach? (Photo)

Question

I'm an 18-year-old female who is about 5' 3" and 125 pounds. Over the years I've developed a really unattractive line on my stomach from sitting. Part of it does have to do with my posture, but my body fat doesn't help things either. This line bugs me to no end. What is the best way for me to deal with this?

Otto Joseph Placik, MD · Answer

These creases are natural folds caused by skin attachments to the underlying muscle that are made worse by postural changes and or fatty deposits above and below. Once the crease is established, it is nearly impossible to eliminate but it can be improved via alterations in your posture and weight loss. Surgery is not recommended as the first line of attack.

Harry T. Haramis, MD, FACS · Answer

That is a natural skin crease which cannot be totally removed. It can be made less apparent with liposuction above and below (full abdomen).An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.

Kenneth Hughes, MD · Answer

I would recommend more standard pictures standing up so that you can have better evaluation.

Kenneth Hughes, MD

Los Angeles, CA

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question.  The best advice you can
receive is from an in-person consultation.  You may be a candidate for liposuction.  Make sure
you specifically look at before and after pictures of real patients who
have had this surgery performed by your surgeon and evaluate their results.
 The most important aspect is to find a surgeon you are comfortable with.
I recommend that you seek consultation with a qualified board-certified plastic
surgeon who can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Tom J. Pousti, MD · Answer

Thank you for the question. I think that you have answered your question yourself; best to address postural concerns and achieve your long-term stable weight (through diet and exercise).  Doing so, it is likely that you will not need the services of a plastic surgeon.   Best wishes.

Peter E. Johnson, MD · Answer

The first things to change is your posture as you might prevent back problems down the road. Your photos  show more abdominal fat than we would expect with your height and weight. Exercise and abdominal strengthening are the next steps to take.

Kouros Azar, MD · Answer

Your first plan of attack should be working on your posture and exercise. I think it you strengthen your core, this line will disappear. Next, if it still bothers you after taking up an exercise regime, try something non-surgical such as CoolSculpt. I always think it best to begin with the least invasive options.Kindly,Kouros Azar

Ali Mosharrafa, MD · Answer

At 18 years of age, the two reasonable options are either to leave well enough alone, or to undergo a liposuction procedure to try to even out the contour above and below the line.

Hope this helps.

Dr. Ali Mosharrafa

Steven Wallach, MD · Answer

An abdominal creases are normal.  Liposuction may help flatten the area but the crease will stay.  Best of luck.

Jon A. Perlman, MD (retired) · Answer

The amount of subcutaneous fat padding present suggests to me that you do need to lose weight or if unsuccessful consider liposuction to reduce the prominent fat both above and below the crease line.  This will not alleviate the crease but will at least diminish its prominence and visibility.  If this is of interest to you after attempted weight loss meet with an ABPS board-certified plastic surgeon to discuss your options.  Good luck and best wishes,Jon A Perlman M.D., FACSDiplomate, American Board of Plastic SurgeryMember, American Society for Aesthetic Plastic Surgery (ASAPS)ABC-TV Extreme Makeover SurgeonBeverly Hills, California

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