Tighten abdominal skin, reduce redundant tissue below the umbilicus, and repair rectus diastasis when present — for a flatter, firmer midline.
Abdominoplasty removes excess lower abdominal skin and fat, often repositions the umbilicus, and may include plication of the rectus abdominis fascia to improve bulging from diastasis recti.
Mini vs full techniques depend on how much skin must be resected and whether the umbilicus needs transposition. Liposuction may complement safely in selected areas.
Patients with hanging lower abdominal skin, stretch marks confined to the resection zone, or midline muscle separation after pregnancy may be candidates. Future pregnancy can alter results — timing is discussed openly.
Patients planning major weight loss are generally advised to reach a stable plateau first.
Smoother lower abdominal contour when skin excess is the main issue
Potential improvement in core support with fascial repair
Low transverse scar typically concealed in underwear lines
May be combined with liposuction of flanks when appropriate
Planning & markings
Skin pinch, vector design, and discussion of scar length and belly button shape.
Muscle repair (if indicated)
Midline plication to reduce diastasis-related bulge.
Skin resection & closure
Redundant tissue removal with layered closure and drains if used.
Recovery milestones
Flexed posture early, binder use, and gradual mobilisation guidance.
Expect tightness and a flexed walking posture initially. Avoid heavy lifting and core straining until fascia healing is confirmed.
Monitor for signs of clot formation in the legs; follow mobilisation and hydration advice. Scar care begins after incision maturity — sun protection is important.
Next step
Arrange a confidential consultation to review options, alternatives, and a personalised plan with Dr. Manandhar.
