Can A Side Skin Excision Be Done For Waistline Narrowing?

Q: Dr. Eppley, For my potential side of my waistline reduction the line I have drawn on the first picture indicates how my skin sits when I’m not wearing any clothes (or pulling on it) this part of skin hangs over when i’m wearing basically anything that sits fitted on my waist, for example leggings, gym shorts, jeans, bodycon skirts etc.

The other photo is the approximate markings of where the loose skin starts and finishes when being pinched and ideally would not like any more taken off in height.

I am also assuming that upon the rib removal and partial muscle removal there will be additional space there to remove more skin, due to the rib no longer sitting in that space any more? please let me know if this is correct or not. Thank you

A:Thank you for sending your illustrated pictures. I have marked on them the pattern of excision taste upon your markings as well as the length of the resultant scar line that would result from doing so. Given it’s comparatively shorter lengths come compared to vertical back lift I can certainly see why this is a consideration. This also provides excellent exposure for maximum rib and muscle removal. You’re also correct even though this is an excisional area in which the closure is always under sound tension the removal of the underlying tissues helps alleviate some of the tension on the closure which is favorable for a long term scar appearance. However, like all body lift procedures you hope for the best scar result but you mentally plan that you may need a secondary scar revision for optimal appearance.

Dr. Barry Eppley

World-Renowned Plastic Surgeon