What Procedure Can I Look Into To Define My Waist?

Question

I have a very square shape. Moderate hips, DDD, 38 ribs, 36 waist, 38 hips. 5'10. 165lbs. What procedure can I look into? Ribs removed?

Gary M. Horndeski, MD · Answer

The best procedures to define a waist is an abdominoplasty with mesh reinforcement and liposuction.  Abdominoplasty uses sutures to tighten the fascia in the midline.  However, you can also tighten the fascia on both flanks and reinforce the repair with the mesh to create a belt like constriction.  This will reduce your waist.  If you desire more than that then the area can be liposucted for maximum definition.

	Best of Luck,

	Gary Horndeski, M.D.

Shlomo Widder, MD · Answer

Rib removal is too extreme. Two reasonable options are liposuction or tummy tuck. See a board certified plastic surgeon.

Michael Law, MD · Answer

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 &ndash; the medical term for which is diastasis. The midline tightening sutures correct the diastasis and bring the rectus muscles back into a 'side-by-side' configuration, flattening the abdominal wall in the process.

	Although this midline tightening dramatically enhances the abdominal profile, it often does adequately address the fact that pregnancy can also wreak havoc on the waist, turning what was formerly an 'hourglass' figure into something that is more cylindrical in shape. For several years now I have been using permanent 'internal corset' sutures, placed laterally in the abdominal wall, that draw the waist inward and restore some of the hourglass effect of abdominal concavity at the waistline in frontal view. The addition of these sutures to midline tightening, and in some cases in place of midline tightening, has allowed me to achieve even more impressive postoperative results.

Nick Masri, MD, FACS · Answer

There are a few procedures that plastic surgeons typically use to address the waisline. Tummy tucks, tummy tucks with liposuction, and lowerbodylifts are examples of these. In some cases your waistline may be accentuated by doing a procedure to enhance another part of your body to complement the waistline. For examplle a breast augmentation or a gluteal augmentation are procedures that may increase the size of one area of the body subsequently iredifining the waistline.

The Miami Mermaidlift is one such procedure

The Miami Mermaidlift is one such procedure

Michael C. Fasching, MD · Answer

The simplest means to adding contour to your waist is liposuction for those patients that have a waist affected with lipodystrophy. For those patients that have a diastasis recti, redundant skin and lipodystrophy, abdominoplasty is the most effective way to perform this.

Steven Wallach, MD · Answer

Without an exam, it is difficult to say what could define the waist best for you. Diet and exercise may help along with liposuction in some cases. If you have a lot of loose skin, surgical skin excsion procedures may help.

What Procedure Can I Look Into To Define My Waist?

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