Best candidates are patients with large abdominal skin folds that are unsightly and resistant to other forms of treatment. Operation is done under local or general anesthesia and takes 2-3 hours. Incisions are made in the lower abdomen near pubic region, and extended to the hip bones. A second incision is made around the naval. The abdominal skin is lifted and pulled down with the excess skin and fat excised. The muscles may be tightened if necessary. Fat suction of the waist is usually done to optimize the result. A special garment is worn for two week. Walking is encouraged the day of the surgery, but full activity is not begun until one week. Pain is controlled with medication. Complications are rare but are fully discussed in consultation.
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