If liposuction considerably improves abdominal contours, notably in the infraumbilical area, the results are reduced, or imperfect, for stretched abdomens, or with older persons, whose derma contains less elastic fibers. In this last case, a tightening by cutaneous and adipose suprapubic resections is most usually necessary. This tightening becomes possible due to fixation to the pubis of the fibrous and fibrous vasculars tracts connecting the fascia to the superficial fat. After initial proportional liposuction, shift expansion of the upper half of the superficial dermoadipose level of the infraumbilical abdomen and retraction of its lower half result in a harmonious, strengthened, and tightened abdominal surface, without remaining visible scars.
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