It is common following the birth of children for the muscles in the central part of the abdomen to separate, to have excess skin which may hang over the pubis and the presence of stretchmarks.
An abdominal reduction constitutes excision of an elliptical piece of skin between the umbilicus and the pubis which hopefully will excise the excess and the stretchmarks and will allow the surgeon to close the separation between the vertically orientated muscles of the abdominal wall. The skin between the umbilicus and the pubis can then be closed directly and a new umbilicus formed. It is generally not a painful procedure but commonly the patient would prefer to be in hospital for two nights. The sutures are removed after two weeks and return to normal activities is achieved over the course of three to six weeks. Lateral liposuction of the abdominam is commonly carried out at the same time.
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C J Mitchell, Journalist, London