During the operation we treat two alterations causing aesthetic and functional problems. Dermolipectomy removes the excess skin and fat by removing the skin and the fat under the skin defined by the incisions which are made above the navel and 3 inches above the mons pubis and which meet near the hipbone, after an incision has been made around the navel. A new hole is cut for the navel on the tightened skin. A drain is temporarily inserted in the surgical area so that the discharge accumulated can be derived. It can be removed in a few days. The wounds are closed with a glover’s suture using cosmetic stitches, thus no ladder stitch marks will be left on the skin. The looseness of the muscles of the abdominal wall is corrected by sewing the straight muscles together. Abdominoplasty is always performed in narcosis. A flexible belly-band is recommended to be used after the operation.
