Let’s briefly review the abdominal wall to better understand how things go wrong and how you can fix it. The abdominal wall has two major fascia layers (subcutaneous tissue) called Scarpa’s fascia and Camper’s fascia. The muscles of the abdomen are also wrapped in fascia. The major muscle groups are the rectus abdominis (six pack), internal and external obliques, and the serratus anterior up near the underarms.
The Anatomy of the Abdominal Wall
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Men are more prone to storing fat in the abdominal area, while women are more likely to store excess fat in the thighs. As we age, the distribution of fat deposits in the body changes, and fat will naturally accumulate in the midsection. Skin will also become sagging and droopy. Pregnant women, and obese older males especially are susceptible to diastisis recti.
- Belly Fat: Correlated to high levels of body weight and body fat. When it comes to muscle use it or lose it, and when it comes to calories use it or store it, so eat right and exercise.
- Diastasis Recti: Seperation of the right and left sides of the rectus abdominis at the connective tissue.
- Skin Laxity: Skin laxity can occur naturally with the joys of aging as collagen and elastin break down, or it can occur in individuals who have experienced extreme weight loss.
Abdominal slimming procedures can alter, rejuvenate, and enhance the soft tissues of the abdominal wall. There are both surgical and nonsurgical options depending on your underlying concern.
- Tummy Tuck: Get rid of the excess and tuck the rest into an aesthetically pleasing contour. Win, win!
- Liposuction: A 'fat vacuum' (so to speak) that permanently removes fat cells.
- Diastasis Recti Repair: A procedure to sew your abdomen back together after pregnancy or weight loss.
- Non-Surgical Fat Reduction: Freeze, heat, inject! These non-surgical techniques can still slim without any sharp objects.
Both surgical and non-surgical procedures to the abdominal wall will be effective and produce significant results. It is important to keep in mind, all of these procedures will be subject to changes in weight, aging, and future pregnancies. Additionally, many of the surgical procedures require patients to wear a compression garment during the recovery period.
If you’re looking to repair your separating abdominal wall in the case of diastasis recti, the ideal time to fix it is probably now. If, on the other hand, your concern is cosmetic, then the best time to pursue a procedure is when you are in generally good health, have realistic expectations, and can commit to the recovery period. Also, consider if you're at a stable weight, and, for women, the possibility of future pregnancies.
Why repair, enhance, refine, and define your abdominal wall? Here are a few reasons: to repair your damaged abdominal wall, to lose the fat without the effort, or to create your ideal abdominal contour.