Abdominoplasty, widely known as “tummy tuck surgery,” is an early fat removal procedure that addresses the problem of sagging skin and fat accumulation on the abdominal wall through surgical excision. This method can significantly improve the appearance of an enlarged abdomen. Whether complete abdominoplasty or partial abdominoplasty, it can improve the physique of men and women with sagging abdominal wall muscles and excess skin. The best candidates for abdominoplasty are men or women who want to have the perfect body, but are bothered by having a large amount of fat or a puffy belly that is difficult to improve through diet or exercise. The typical abdominoplasty patient is mostly a woman (but increasingly, men are also seeking treatment) who has lost the contours of a youthful, tight abdominal wall after one or more full-term pregnancies. Most have tried exercise and dieting, but are unable to regain their former graceful shape. During the weight gain and subsequent weight loss during pregnancy, the abdominal skin is stretched. This usually manifests itself in the form of dermal breakage – stretch marks. The surgeon will decide which procedure to choose based on the quality of the lower abdominal skin and the state of the deep fascia and abdominal wall muscles. Commonly used surgical methods Transverse “W” incision total abdominoplasty Advantages: the incision is hidden, the direction of the incision is in line with the transverse skin line, which reduces the proliferation factor of the scar and allows the removal of large pieces of loose skin and subcutaneous tissue below the umbilicus. Disadvantages: Not ideal for improving the curve of the waist. Inverted “T” incision total abdominoplasty Advantages: It can remove not only the loose skin of the abdominal wall, but also the loose skin of the lateral waist, so that the abdominal wall and waist can be shaped at the same time. Disadvantages: the lower abdominal wall is left with a median longitudinal scar. Indications: 1, abdominal fat accumulation, with abdominal wall skin sagging; 2, abdominal fat accumulation or laxity caused by pulling down discomfort, mobility; 3, abdominal original surgical incision or other reasons caused by the limited scar of obese patients, that is, require fat removal, but also require the removal of scar; 4, in the abdomen at the same time as other surgery, require the removal of excess skin and fat. Contraindications: 1, psychological disorders or unrealistic requirements; 2, hypertension, diabetes and other systemic chronic diseases have not been controlled; 3, local acute and chronic infections; 4, still have a desire for pregnancy; 5, scar body; 6, the abdominal wall of the original transverse surgical incisions affect the distal blood flow of the abdominal wall flap. Usually abdominoplasty, need to be completed together with abdominal liposuction; incision also has a variety of options, mainly hidden incision, according to the specific circumstances of the patient to adjust; the initial postoperative lap band pressure bandage, beach chair recuperation; in the six months after the removal of stitches, the abdominal scar may be very obvious, which is a normal physiological process, generally need 9 months to 1 year of time abdominal scar will gradually become This is a normal physiological process. Finally, the results of abdominoplasty can be maintained for a long time by insisting on exercise and diet control after surgery.