Live Surgery: What is an Abdominoplasty (Tummy Tuck) and Rectus Plication: Muscle Tightening
This is a surgical video in which I show a surgical example of a Abdominoplasty and Rectus Plication. So what is an abdominoplasty? Its the surgical removal of excess skin and fat from the lower abdomen. Removing this skin and fat is important for improving the abdominal appearance. However just as important is performing the rectus plication. What is a Rectus Plication? It is tightening / eliminating the space between the muscles. By placing sutures the abdominal wall tightens on the inside and greatly improves the contour of the abdominal wall. I prefer to use interrupted sutures in case one of the sutures breaks or pulls through the fascia. Many surgeons use a running stitch from top to bottom however if the knot breaks or unwinds then the entire plication may come apart. When this happens the patient can have bleeding or end up with abdominal bulge that they were hoping to eliminate. Individual suturing takes significantly more time (30min) however may result in a more stable plication until healing occurs.
See my abdominoplasty page for additional information: