Managing Supra-Umbilical Scars in Abdominoplasty

It is typically said that supra-umbilical scars or "scars above the belly-button" can impair healing in abdominoplasty incisions. I have found that often this problem can be circumvented by excising the abdominal scar completely. Often the midline scar can be revised and/or excised and closed, which is a technique often used in body contouring to remove excess skin from the trunk in the vertical direction in addition to the horizontal direction.

It is common after abdominoplasty for patient to experience "early satiety" after meals as there is less abdominal domain. Typically, patients get full during their meals much more quickly. Because of this, patients tend to lose a significant amount of weight post-operatively following their meals. I encourage patients to consume at least 1.5 grams of protein per kilogram of body weight following surgery.

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Abdominoplasty & Abdominal Muscle Plication

Abdominoplasty procedures are common operations. Plication of the abdominal muscles is important to improve the contour of the abdomen and restore the abdominal domain to its original dimensions. The psychological impact of this physical change can be quite powerful. Frequently the patient returns to exercise with greater energy and zeal, the diet improves significantly, and often reminders of past eating behaviors are placed in the "rear view mirror". It is not uncommon for the patient to develop extremely healthy habits and continue to have significant improvement in health and well being.

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