Pregnancy and childbirth are factors that deform the natural and beautiful shape and structure of women’s abdomen. Loosening, cracking, and sagging of the abdominal wall skin as well as receding of abdominal muscles from each other (diastasis recti) occur after childbirth. Women are generally unhappy with the situation. To address this defect, an operation can be performed based on patients’ conditions, including light to very large surgeries.

In addition to reasonable expectations of the patient, a successful operation depends on factors such as skin quality, weight, adverse conditions (such as diabetes), sports and so on.

Surgical choice varies based on the specific conditions of each patient. For example, a patient who has fat accumulation only in the lower abdomen can undergo different methods of liposuction. These methods include conventional liposuction, laser assisted liposuction, liposuction + ultrasound, or mechanical liposuctions such as lipomatic or water assisted liposuction like water jet, all of which have the same property and no advantage over one another. Contrary to common advertising, each accessory added to liposuction not only does not lower the complications of liposuction, but also adds more side effects such as mechanical hits in lipomatic or laser effects in LAL, and these complications are totally more in liposuction only.

In the majority of cases, these patients require open surgery which is always combined with liposuction and lipoabdominoplasty is now a prominent technique in the field and gets better results and fewer side effects.

The majority of abdominal surgery patients are referring with overweight and a BMI of higher than 25 or 30. These patients need exercise and weight loss with the help of nutrition and diet or even bariatric surgery. Abdominoplasty then is done after weight loss proportionate to the patient needs.

Generally, open abdominal surgeries are done when the patients are not willing to become pregnancy or childbirth.