The procedure of choice for correction of excess protrusion of the lower abdominal wall that is frequently associated with an excess of skin and abdominal wall fat is the abdominoplasty.
Several factors contribute to the change in the abdominal wall laxity so commonly seen as we age. The childbearing years contribute to the stretch of the abdominal muscles that frequently is non-responsive to weight loss or exercise training. Marked weight loss, abdominal surgery, and aging in general may all contribute to this abdominal wall protrusion.
An abdominoplasty corrects the muscle laxity by actually placating the muscles together, eliminating the separation of the rectus muscles that allows the protrusion of the abdominal wall. The excess skin remaining is removed at the same time. This procedure, i.e. correcting full abdominal wall laxity and excess skin, is frequently called a "Classic" abdominoplasty.
A procedure that is used in selected cases, the mini-abdominoplasty, is used to just correct problems with protrusion of the lower half of the abdomen. Some patients qualify for this procedure if only the lower muscles need tightening and the amount of skin removed is localized to this area.
My abdominoplasty procedure tightens the muscles with select additional placation of the recti muscles that results in more of an "in" tightening of the waist... similar to an internal corset effect. Patients are extremely happy with this new waistline in addition to the correction of the protruding abdomen.
The classic procedure requires a general anesthetic and an overnight admission. The mini-tummy tuck can usually be performed on an outpatient basis.