The Abdomen

The “Perfect” Belly

Female

  • Smooth firm skin without stretch mark
  • No belly hair
  • Flat stomach with slightly defined abdominal muscles
  • Thin layer of fat with a small amount of fat depot below the navel (“soft belly”, female curve). clearly visible middle line (linea alba) and harmonious constriction in the umbilical funnel area
  • Harmonious transition of the body silhouette from the abdominal area to the chest area (V-shape of the “chest-belly ensemble” = upper part of the hourglass shape)
  • Thin waist as the narrowest point of the so-called “hourglass figure” with the ideal measurements 90-60-90 (chest circumference/waist circumference/hip circumference).
  • Significant waist tuck: waist-to-hip ratio < 0.85
  • Harmonious transition of the body silhouette from the abdominal area to the buttocks (buttocks) area (V-shape of the “belly/bottom ensemble” = lower part of the hourglass shape)
  • Well-defined small, round belly-button with umbilical roof (T-shape) with harmonious umbilical funnel

Male

  • Smooth firm skin without stretch mark
  • No belly hair
  • Lean abdomen with well defined straight abs (“six pack”) in front and obliques well defined in the sides
  • Thin layer of fat (body fat percentage < 12%) with a clearly visible center line (linea alba)
  • Harmonious transition of the muscle relief from the abdominal area to the chest area (V-shape of the “chest-abdominal ensemble” = upper part of the column shape)
  • Slightly indicated waist as the narrowest point of the so-called “pillar figure” with the ideal measurements 100-80-100 (chest circumference/waist circumference/hip circumference).
  • Straight transition of the muscle relief from the abdominal area to the buttocks (buttocks) area (H-shape of the “belly / buttocks ensemble” = lower part of the columnar shape)
  • Absent to slight waist tuck: waist-to-hip ratio < 1.0
  • Well-defined navel with harmonious umbilical funnel

Insufficiently defined muscle level

The abdomen includes the area above the belly button (navel) and an area below the belly buttonl and, like the waist, is one of those areas that are particularly resistant to any diet or exercise. Even very well-trained abdominal muscles do not come into their own with a thickened subcutaneous fat layer. The muscle layer only becomes clearly visible through the overlying skin when the body fat percentage is < 12%. With the help of liposuction in the abdominal area, the muscle relief (“six-pack”) can be clearly worked out and made visible.

Disturbing fat pads

A flat belly is a beauty ideal for both women and men. As part of body development, fat pads can remain, especially below the navel, which can significantly impair the appearance, especially in navel-free fashion. Fat pads are often found in the upper abdomen and flanks, which stand in the way of a slim waist, and a lifebelt, consisting of fat pads on the lower abdomen and hips, counteracts a nice bottom shape. Although the rest of the abdominal area is often very muscular, this love handle is particularly evident when wearing tight clothing and tight pants. The fabric swells over the waistband. Many people therefore prefer to wear loose shirts and sweaters. With the help of liposuction in the abdominal area, fat can be permanently sucked out of the fat layer directly under the skin. When the skin is sufficiently elastic, the overlying skin shrinks and the shape changes, which restores a defined appearance and thus improves the overall abdominal profile. The result of the treatment leads to a significant narrowing and beautification of the abdomen. After liposuction, patients who used to feel ashamed and hid their stomachs under their clothes feel noticeably better and dare to show themselves “navel-free” in public again. Of course, the clothes also fit better again. Abdominal liposuction is one of the most common aesthetic procedures in women.

The unattractive belly button

In recent years, the navel has received increasing attention due to the increasing fashion for navel-free and navel piercing, on the one hand, and as the main access route for minimally invasive abdominal procedures. Large, irregular congenital navel shapes are perceived as disturbing. Scars after abdominal surgery and after piercing can lead to a change in the shape of the navel. With the help of navel correction, the shape of the navel can be reliably changed. An additional umbilical hernia should always be treated as well.

Excess skin in the abdominal area due to weight gain

Weight gain leads to increased fat storage in the abdomen, waist and buttocks. With liposuction in the abdominal area, fat can be permanently sucked out of the fat layer directly under the skin. When the skin is sufficiently elastic, the overlying skin shrinks and the shape changes, which restores a defined appearance and thus improves the overall abdominal profile. The abdominal area can be sucked off excellently, the skin is thick and usually sufficiently elastic. The result of the treatment leads to a significant reduction in circumference and beautification of the abdominal area. Excess skin in the front abdominal area can only be reliably removed with a tummy tuck (abdomonoplasty). The combination of liposuction in the waist area and tummy tuck (abdominoplasty) can significantly reduce the length of the tummy tuck scar. The caesarean section scar can be used for a tummy tuck (abdominoplasty). Simultaneous scar correction after a caesarean section is always possible as part of a tummy tuck (abdoninoplasty).

Body Shape Restoration After Massive Weight Loss

After massive weight loss, there is a significant excess of inelastic skin in the stomach and back area and often also in the adjacent areas of the chest and buttocks (bottom). Excess skin in the abdomen and back appears on the front of the abdomen (“hanging abdomen” or “fat apron”), the lateral abdominal wall (lateral skin sacs) and the back (posterior skin sacs). Many patients feel severely limited as a result and even perceive this as an impairment of their quality of life, they no longer want to wear tight-fitting T-shirts or shirts. The sagging abdomen or fat apron can be reliably corrected by the fat apron resection, as can the lateral skin sacs with the help of body shape restoration in the lateral abdominal area and the rear skin sacs with the help of body shape restoration in the lower back area. Excess skin in the mons pubis area can be reliably removed with the help of body shape restoration in the mons pubis area. All four deformities can be reliably corrected in one operation with the help of restoring the body shape in the lower body area (“lower body lift”). Patients can be restored to a normal body shape.

Age changes in the abdominal area

Female

  • Increased skin wrinkling and stretch marks
  • Separation of the straight abdominal muscles (“rectus diastasis”) with elapse of the waist constriction
  • Loss of abdominal muscle mass
  • Increase in the thickness of the fat layer above the abdominal muscles).
  • Significant increase in circumference in the abdominal area
  • Significant fat deposits in the abdomen, waist, buttocks and thighs.
  • Loss of waist shape with the formation of lateral tissue overhangs (“love handles”) to circular bacon rings (“lifebuoys”) with loss of the “hourglass figure”
  • Enlargement of the navel with possible protrusion (umbilical hernia)

Male

  • Inrceased skin wrinkling
  • Increasing abdominal hair
  • Separation of the straight abdominal muscles (“rectus diastasis”) with elapse of the waist constriction
  • Loss of abdominal muscle mass
  • Increase in thickness of the fat layer above the abdominal muscles and especially in the abdomen itself (so-called visceral fat)
  • Loss of waist shape with the formation of lateral tissue overhangs (“love handles”) up to circular bacon rings (“lifebuoys”)
  • Significant increase in circumference in the abdominal area
  • Enlargement of the navel with possible protrusion (umbilical hernia)

Correction of the pregnancy changes in the abdominal area

The pregnancy(ies) lead to defined changes in the area of the woman’s abdomen, which do not always completely disappear even with strict postnatal training. In the skin area, a rapid increase in circumference leads to a tearing of the dermis, the so-called stretch marks. In the subcutaneous fat area, hormone-related increased storage of fat occurs. In the area of the muscular abdominal wall, the straight abdominal muscles often diverge (rectus diastasis) with bulging of the abdominal contents or even formation of an umbilical hernia (umbilical hernia) in the midline and loss of the waist on the side. All of these changes can be reliably corrected as part of a tummy tuck (abdominoplasty).

Flabby drooping belly

Empty and/or hanging abdominal skin – especially in the clearly visible side area – often disturbs a positive body feeling”. The choice of corrective procedure depends on the extent and location of the sagging abdominal skin (ptosis), the quality of the soft skin layer and the patient’s wishes. At the onset of sagging (ptosis), mini-abdominoplasty without relocating the navel is the treatment of choice. In women, the caesarean section scar can often be used for this purpose. In the case of advanced ptosis and, above all, associated changes in the muscular abdominal wall, an abdominoplasty with relocation of the navel/umbilical plasty, correction of the rectus diastasis (separation of the straight abdominal muscles in the middle line) and possibly correction of an existing umbilical hernia is necessary.

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Mons Pubis (Mount Of Venus)

The “Perfect Mount of Venous”

The mons pubis should connect to the lower abdomen in both men and women without wrinkling.

Too large pubic mound

The tendency to accumulate fat in the pubic area can be hereditary. It then stands out unattractively, especially under tight clothing or in the swimming pool. Like the lower abdominal area, the mons pubis belongs to those areas that are particularly resistant to any diet or physical activity. In younger patients, small amounts of excess tissue can be removed by liposuction/liposuction in the pubic area. become. With liposuction, fat can be permanently sucked out of the fat layer directly under the skin. When the skin is sufficiently elastic, the overlying skin shrinks and the shape changes, which restores a defined appearance and thus improves the intimate profile overall. The result of the treatment leads to a significant reduction in volume and beautification of the pubic mound. A small, well-formed mons pubis gives a younger appearance.

Excess skin due to weight gain

In the course of hormonal changes and weight fluctuations, there is often an unfavorable increase in the fat deposits on the upper pubic mound, so that the pubic mound particularly stands out. Larger tissue accumulations – especially with additional wrinkling at the transition between abdomen and pubic mound – can only be reliably eliminated by a pubic mound lift. A mons pubis reduction can restore new self-confidence to patients who feel that their physical well-being is impaired by their intimate area. After a reduction, patients who used to feel ashamed and hid their mons pubis under clothing feel noticeably better again and dare to show themselves in bikini bottoms in public again. Tight trousers now also fit better in the crotch.

Body shape restoration after massive weight loss

After massive weight loss, there is a significant excess of inelastic skin in the stomach and back area and often also in the adjacent areas of the chest, the pubic mound and the buttocks (bottom). Excess skin in the stomach and back area appears on the front side of the stomach (“hanging belly or fat apron), pubic area (2nd fold or fat apron), the lateral abdominal wall (lateral skin sacs) and the back (posterior skin sacs). Many patients feel severely limited as a result and even perceive this as an impairment of their quality of life, they no longer want to wear tight-fitting T-shirts or shirts. The sagging abdomen or fat apron can be reliably corrected by the fat apron resection, as can the lateral skin sacs with the help of body shape restoration in the lateral abdominal area and the rear skin sacs with the help of body shape restoration in the lower back area. Excess skin in the mons pubis area can be reliably removed with the help of body shape restoration in the mons pubis area. All four deformities can be reliably corrected in one operation with the help of restoring the body shape in the lower body area (“lower body lift”). Patients can be restored to a normal body shape.

Age changes in the area of the pubic mound

Tissue aging causes characteristic age changes in the area of the mons pubis: The age-related increase in fatty tissue in the area of the mons pubis, coupled with a loss of elasticity in the skin, and the changes in volume and shape of the bones mean that the soft tissue becomes larger than the content.

Flabby drooping mons pubis

The enlarged pubic mound often disturbs a positive body feeling”. In the case of sagging aged skin, liposuction alone in the mons pubis area is usually not successful. The excess tissue can be reliably removed with the help of a mons pubis lift. The caesarean section scar can often be used for this in women.

The Waist

The “Perfect Waist”

Female

  • Harmonious transition of the body silhouette from the abdominal area to the chest area (V-shape of the “chest-belly ensemble” = upper part of the hourglass shape)
  • Thin waist as the narrowest point of the so-called “hourglass figure” with the ideal measurements 90-60-90 (chest circumference/waist circumference/hip circumference).
  • Significant waist tuck: waist-to-hip ratio < 0.85

Male

  • Harmonious transition of the muscle relief from the abdominal area to the chest area (V-shape of the “chest-abdominal ensemble” = upper part of the column shape)
  • Slightly indicated waist as the narrowest point of the so-called “pillar figure” with the ideal measurements 100-80-100 (chest circumference/waist circumference/hip circumference).
  • Straight transition of the muscle relief from the abdominal area to the buttocks (buttocks) area (H-shape of the “belly / buttocks ensemble” = lower part of the columnar shape)
  • Absent to slight waist tuck: waist-to-hip ratio < 1.0

Insufficiently defined waist

An underdefined waist can be congenital (constitutional) or acquired through weight gain (see below). The waist, like the stomach, is one of the areas that are particularly resistant to any diet or exercise. In women, the waist is important for the appearance of the buttocks (bottom). Fat pads are often found in the upper abdomen and flanks, which stand in the way of a slim waist, and a lifebelt, consisting of fat pads on the lower abdomen and hips, counteracts a nice bottom shape. If the bulges only form in the side waist area, this deformity is also called `love handles`. If a pad of fat forms a little further down at the level of the iliac crest, this is referred to as “hip gold”. Although the rest of the abdominal area is often very muscular, these love handles are particularly evident when wearing tight clothing and tight pants. The fabric swells over the waistband. Many people therefore prefer to wear loose shirts and sweaters. With liposuction in the waist area, fat can be permanently sucked out of the fat layer directly under the skin. When the skin is sufficiently elastic, the overlying skin shrinks and the shape changes, which restores a defined appearance and thus improves the overall waist profile. The hips and flanks can be sucked off excellently, the skin is thick and usually sufficiently elastic. The result of the treatment leads to a significant narrowing and beautification of the waist. Liposuction in the waist area is one of the most common aesthetic procedures in men.

Excess skin in the waist area due to weight gain

Weight gain leads to increased fat storage in the abdomen, waist and buttocks. If the bulges only form in the lateral hip area, this deformity is also known as ‘love handles’. Although the rest of the abdominal area is often very muscular, these love handles are particularly evident when wearing tight clothing and tight pants. The fabric swells over the waistband. Many people therefore prefer to wear loose shirts and sweaters. With liposuction in the waist area, fat can be permanently sucked out of the fat layer directly under the skin. When the skin is sufficiently elastic, the overlying skin shrinks and the shape changes, which restores a defined appearance and thus improves the overall waist profile. The hips and flanks can be sucked off excellently, the skin is thick and usually sufficiently elastic. The result of the treatment leads to a significant narrowing and beautification of the waist. Excess skin in the front abdominal area can only be reliably removed by a tummy tuck (abdomonoplasty). The combination of liposuction in the waist area and tummy tuck (abdominoplasty) can significantly reduce the length of the tummy tuck scar.

Body shape restoration after massive weight loss

After massive weight loss, there is a significant excess of inelastic skin in the stomach and back area and often also in the adjacent areas of the chest and buttocks (bottom). Excess skin in the abdomen and back appears on the front of the abdomen (“hanging abdomen” or “fat apron”), the lateral abdominal wall (lateral skin sacs) and the back (posterior skin sacs). Many patients feel severely limited as a result and even perceive this as an impairment of their quality of life, they no longer want to wear tight-fitting T-shirts or shirts. The male sagging abdomen or fat apron can be reliably corrected by the fat apron resection, as well as the lateral skin sacs with the help of body shape restoration in the lateral abdominal area and the rear skin sacs with the help of body shape restoration in the lower back area. Excess skin in the mons pubis area can be reliably removed with the help of body shape restoration in the mons pubis area. All four deformities can be reliably corrected in one operation with the help of restoring the body shape in the lower body area (“lower body lift”). Patients can be restored to normal body shape.

Age changes in the waist area

Female

  • Separation of the rectus abdominal muscles (“rectus diastasis”) with elapse of the waist retraction
  • Loss of abdominal muscle mass
  • Significant fat deposits in the abdomen, waist, buttocks and thighs.
  • Loss of waist shape with the formation of lateral tissue overhangs (“love handles”) to circular bacon rings (“lifebuoys”) with loss of the “hourglass figure

Male

  • Separation of the straight abdominal muscles (“rectus diastasis”) with elapse of the waist constriction
  • Loss of abdominal muscle mass
  • Loss of waist shape with the formation of lateral tissue overhangs (“love handles”) up to circular bacon rings (“lifebuoys”)

Correction of the pregnancy changes in the waist area

Pregnancy, in particular, results in an excess of inelastic skin (“pregnancy tummy”) due to the lack of complete regression of the pregnancy-related changes in the skin area (stretch marks). This excess skin can be reliably corrected as part of a tummy tuck (abdominoplasty).

Flabby drooping belly

Empty and/or hanging abdominal skin – especially in the clearly visible side area – often disturbs a positive body feeling”. The choice of corrective procedure depends on the extent and location of the sagging abdominal skin (ptosis), the quality of the soft skin layer and the patient’s wishes. At the onset of sagging (ptosis), mini-abdominoplasty without relocating the navel is the treatment of choice. In women, the caesarean section scar can often be used for this purpose. In the case of advanced ptosis and, above all, associated changes in the muscular abdominal wall, an abdominoplasty with relocation of the navel/umbilical plasty, correction of the rectus diastasis (separation of the straight abdominal muscles in the middle line) and possibly correction of an existing umbilical hernia is necessary.

The Lower Back

Generall informations

A clearly visible back relief is an ideal beauty for both women and men.

From an aesthetic point of view, the back is divided into an upper part and a lower part. The boundary between the two proportions is generally the smallest waist size.

  • Upper& Middle Back: The upper part of the back corresponds to the expansion of the M. latissimus dorsi, which decisively shapes the back relief here.
  • Lower Back: The lower part of the back corresponds to the rear waist region. The rear waist region has a decisive influence on the appearance of the buttocks (bottom).

The lower back corresponds to the rear waist region. The waist area includes the flank and hips. An accumulation of fat in both regions is popularly referred to as a “lifebelt”. The waist, like the abdomen, is one of the areas that are particularly resistant to any diet or exercise. If the bulges only form in the lateral hip area, this deformity is also called `love handles`. Although the rest of the abdominal area is often very muscular, these love handles are particularly evident when wearing tight clothing and tight pants. The fabric swells over the waistband. Many people therefore prefer to wear loose shirts and sweaters.

The woman’s“hourglass figure”is technically defined as a figure in which the measurements of the chest and hip circumference are at least twenty-five centimeters wider than the waist circumference – creating the famous hourglass shape.

The“column figure”of the man is technically defined as a figure in which the waist and hip circumference are roughly the same but the chest circumference is significantly larger – which creates the shape of a Greek column.

Weight gain leads to increased fat storage in the abdominal, waist and buttocks area. In the back there are areas on the back that preferentially store fat. These fat rolls can appear in  the waist area („love handles“) and hip area (hip roll): Often there are fat pads in the upper abdomen and flanks that stand in the way of a slim waist, and a lifebuoy, consisting of fat pads on the lower abdomen and hips, counteracts a beautiful buttocks shape. Although the rest of the back area is often very muscular, these love handles are particularly evident when wearing tight clothing and tight T-shirts and blouses.

The rear waist region has a decisive influence on the appearance of the buttocks (buttocks).

The “Perfect Lower Back”

Female

  • The woman’s “hourglass figure” is technically defined as a figure where the bust and hip measurements are at least eight inches wider than the waist—creating the famous hourglass shape
  • Smooth, firm skin without skin imperfections
  • Well-formed back with slightly defined back muscles (M. trapezius and M. latissimsu dorsi)
  • Thin layer of fat
  • Clearly visible center line
  • Harmonic retractions in the loin area (“lumbar dimples”).- harmonious transition of the body silhouette from the abdominal area to the buttocks (buttocks) area (V-shape of the “belly/bottom ensemble” = lower part of the hourglass shape)
  • Well-defined small, round navel with umbilical roof (T-shape) with harmonious umbilical funnel

Male

  • The male/female “pillar figure” is technically defined as a figure where. The measurements of the waist and hips are roughly equal, but the chest measurement is significantly larger – creating the shape of a Greek column
  • Loss of abdominal muscle mass
  • Smooth, firm skin without skin imperfections
  • Well-formed back with strongly defined back muscles (M. trapezius and M. latissimsu dorsi)
  • Thin layer of fat
  • Clearly visible center line- absent to slight waist tuck: waist-to-hip ratio < 1.0
  • Well-defined navel with harmonious umbilical funnel

Insufficiently defined muscle level (in men)

Like the waist, the back is one of those areas that are particularly resistant to any type of diet or exercise. Even very well trained back muscles do not come into their own with a thickened layer of subcutaneous fat. The muscle layer only becomes clearly visible through the overlying skin when the body fat percentage is < 12%. With the help of liposuction in the abdominal area, the muscle relief (“tendon mirror of the M. trapezius and M. Latissimus dorsi) can be clearly worked out and made visible.

Lover handles

Weight gain leads to increased fat storage in the abdominal, waist and buttocks area. In the back there are areas on the back that preferentially store fat. These fat rolls can appear in  the waist area („love handles“) and hip area (hip roll): Often there are fat pads in the upper abdomen and flanks that stand in the way of a slim waist, and a lifebuoy, consisting of fat pads on the lower abdomen and hips, counteracts a beautiful buttocks shape. Although the rest of the back area is often very muscular, these love handles are particularly evident when wearing tight clothing and tight T-shirts and blouses.

Excess skin in the lower back area due to weight gain

Weight gain leads to increased fat storage in the abdomen, waist and buttocks. With liposuction in the waist area, fat can be permanently sucked out of the fat layer directly under the skin. When the skin is sufficiently elastic, the overlying skin shrinks and the shape changes, which restores a defined appearance and thus improves the profile of the back and buttocks (buttocks) overall. The back area can be sucked off excellently, the skin is thick and usually sufficiently elastic. The result of the treatment leads to a significant reduction in circumference and beautification of the back area. Excess skin in the upper back area can only be reliably removed with a back lift.

Lover handles

Weight gain leads to increased fat storage in the abdominal, waist and buttocks area. In the back there are areas on the back that preferentially store fat. These fat rolls can appear in  the waist area („love handles“) and hip area (hip roll): Often there are fat pads in the upper abdomen and flanks that stand in the way of a slim waist, and a lifebuoy, consisting of fat pads on the lower abdomen and hips, counteracts a beautiful buttocks shape. Although the rest of the back area is often very muscular, these love handles are particularly evident when wearing tight clothing and tight T-shirts and blouses.

Age changes in the lower back area

In the context of tissue aging, characteristic age changes appear in the back area. Due to the loss of muscle mass, the V-shape in the upper back is lost. The storage of fat in the waist area leads to the formation of a “fat ring, which allows the woman’s hourglass shape and the man’s columnar shape to disappear.

Flabby drooping lower back

Empty and/or hanging back skin – especially in the clearly visible side area – often disturbs a positive body feeling”. The choice of corrective procedure depends on the extent and localization of the sagging skin on the back (ptosis), the quality of the soft skin layer and the wishes of the patient. In the upper trunk area, mini-dorsoplasty is the treatment of choice when sagging (ptosis) begins. In the case of advanced ptosis, an upper back lift (dorsoplasty) is necessary. In the lower trunk area, a lower back lift (dorsoplasty) can be performed alone or in combination with a tummy tuck (abdominoplasty) in the sense of restoring the body shape in the lower body area (“lower body lift”).