Shaping Abdominoplasty Surface Contour to Simulate Muscular Anatomy

A modification of traditional abdominoplasty is described in this article that attempts to contour skin surface anatomy in order to simulate a well-developed rectus abdominis muscle. A combination of limited goal-directed undermining, wide rectus abdominis plication, and selective lipectomy from the deep surface of the abdominoplasty flap are incorporated. Flap advancement is individually designed to amplify the desired contour. The resulting appearance is more lean and fit than conventional abdominoplasty without added risk.