There are three types of Abdominal Walls. All Three types may be viewed with subsequent before and after photographs in the Case Studies section of our website.
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The Pendulous type is recognised by fat accumulation in the lower abdominal wall and around the navel (umbilicus). The weight of the subcutaneous fat causes it and the skin to sag down, folding the skin over the pubis.
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The second type is the globus or round abdominal wall. It has the characteristics of generalised distention and a variable thickness of subcutaneous tissue. The chief complaint here is a thick unaesthetic waistline
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The third group has a flaccid abdominal wall, usually with little fat but with excessive and wrinkled skin around the navel.
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Striae (or stretch marks) are often present. They can be considered as “scars” that show up during a pregnancy or because of excessive fat accumulation. The most common sites are around the navel. Patients with striae have skin with a thin dermis and some what scarce elastic fibres that are more susceptible to dermal tearing. Widening of the scars or hypertrophic (raised) scars are common in the post operative period. This is not always the case, as seen in one of the post operative photographs.
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