In the treatment of aesthetic deformities of the abdomen there are thr
ee points we should analyze: the skin, the fat tissue, and the muscles
. Based on these points we can classify it into six groups. Midiabdomi
noplasty is indicated in the correction of deformities of groups 2, 3,
and 4. A small fusiform resection of skin is done in the lower abdome
n, undermining of the skin up to the umbilicus (or to the xiphoid appe
ndix if necessary to treat diastasis of the rectus muscles in the supr
ambilical region), and desinsertion of the umbilicus, with no external
scar, are the main points in this technique. The main complication wa
s the formation of seroma. No necrosis of the flap or unsightly scars
were observed. The results were good, with the patients satisfied with
their new abdomens.