Evidence-Based Abdominoplasty Review with Body Contouring Algorithm.

Abdominal contour deformities are an aesthetic challenge to the plastic surgeon. Patients present with diverse clinical histories, multiple co-morbidities, and unique aesthetic demands. Weight loss, previous pregnancy, and aging are three principal indications for abdominoplasty. Bariatric surgery has increased demand for body contouring procedures. This heterogeneous patient cohort means a "one size fits all" abdominoplasty is not appropriate. Precise evaluation, evidence-based decision-making, and artistic acumen are required, while balancing patient goals with safe, realistic, and long-lasting aesthetic outcomes. This article reviews surgical options abdominal body contouring, providing an evidence-based treatment algorithm for selecting the appropriate procedure for each patient, to maximize clinical and patient reported outcomes.