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

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.