ABDOMINOPLASTY IN MULTIPAROUS WOMEN WITH SEVERE MUSCULOAPONEUROTIC LAXITY

The results and complications of abdominoplasty in 20 consecutive mult iparous women with very severe musculoaponeurotic laxity are presented . All patients presented with an abdomen that resembled a full-term pr egnancy when the patient was in the erect posture. This very severe la xity was the end result of repeated pregnancies. All patients underwen t a standard abdominoplasty with wide longitudinal plication using siz e 1 prolene sutures. Follow-up averaged 1 year. None of the patients h ad a major complication. However, all the patients had recurrence of t he musculoaponeurotic laxity. Causes and classification of this recurr ent laxity are discussed along with possible solutions.