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Abdominoplasty For Men
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Question: I have some wonders about removing intra-abdominal fat using laparoscopy.
Females get very good reductions in tummy size from liposuction,
because all of their tummy fat is sub-dermal.
Guys have most of their belly fat inside the abdominal cavity.
Could it be removed by laparoscopic techniques?
Anyone doing that?
Answer: No and no. The only removeable fat in the abdominal cavity would be the
greater omentum, and that would only represent a small percentage of the
total. The rest is located in the space between the peritoneum and muscle
wall, as well as in the intestinal mesentery -- ie. not removeable.
Liposuction is cosmetic body contouring. The preperitoneal fat, being
underneath the abdominal muscles, doesn't really affect the body contour and
there is no practical mean yet available to remove that fat. Nor is anyone
likely to try since there's no good reason to do it.
The apple-shaped, beer-belly body habitus seen on many overweight men is due
primarily to fat in the greater omentum and intestinal mesentery. Yes, the
greater omentum could be excised at the time of a laparoscopic gastric
banding, but it adds unnecessary risk and potential complication, and I
don't know anyone who would do it. The point of the banding is weight loss,
so that intraabdominal fat will go away anyway.
Abdominoplasty is removal of skin and subcutaneous tissue only. That
procedure doesn't affect the muscles of the abdominal wall.
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