The abdominal region is seriously affected by the factors such as rapid weight gain and loss, pregnancy, age, constipation and can be deformed. The most effective way to prevent all this deterioration is proper nutrition and proper exercise. In the cases where the deterioration cannot be prevented, the Aesthetic Surgery comes into play. The surgeries that can be performed vary according to the amount of adipose in the abdominal region, excess skin and looseness in the abdominal muscles. There is more than one surgery in the hands of the Aesthetic Surgery for the abdominal region. Only liposuction is sufficient for the patients having a small amount of lipoidosis, no excess skin and no looseness in the abdominal muscles. The mini-abdominoplasty (mini-tummy tuck) operation is performed in the patients having adipose in the lower abdomen, a small amount of excess skin, but no looseness in the abdominal muscles. The abdominoplasty (tummy tuck) surgery is performed in the patients having adipose in the entire abdomen, excess skin and loosening of the abdominal muscles. A rare group of the patients is those having loose abdominal muscles without adipose and excess skin. In this group, the endoscopic tummy tuck is performed. The purpose is to obtain a young and taut looking abdomen, where the aesthetic lines are preserved. It is possible to reach to the goal by choosing the right surgery in the suitable patients.
The abdominal region aesthetic take the lead of the most common misconceptions about the plastic surgery. It is thought that it is aimed to lose weight with the operations performed on the abdominal region, and therefore many obese patients seek help from us in this regard. Unfortunately, there are also surgeons who approach this patient group commercially and perform wrong operations and cannot achieve the desired results. The obese patients should be absolutely informed that body shaping is performed with the aesthetic surgery and weight loss surgery is not performed. It will be the best advice to direct the patient to a dietitian and sports center who will arrange a diet suitable for the body structure in order to get rid of the excess weight before a possible abdominal aesthetic. The morbidly obese patients should be referred to the general surgeons who can perform the laparoscopic sleeve gastrectomy known as true weight loss surgery. Since the skin quality is very good in some of the obese patients, no sagging occurs even when the serious weight is lost. However, in most of the patients, it is not enough to lose weight alone and the excess skin and subcutaneous tissue that cannot be tightened and sagging should be removed by plastic surgery for the abdominal region.