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

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 always get another opinion.

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

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. 

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

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.