The male abdominoplasty.

Men have a larger body surface area, distinguishing physical characteristics, and unique aesthetic concerns that present a different therapeutic challenge from women. The primary area of disappointment in males is the inability to alter the intra-abdominal submuscular fat compartment where fat redistributes with advancing age, resulting in enlarged abdominal girth. In general, men who have not experienced large weight fluctuations present with skin of good quality and tone and can benefit from liposuction surgery; those who have poor skin tone, with or without rectus muscle diastasis, may be candidates for a full abdominoplasty or a pannilectomy with liposuction. These procedures represent the overwhelming majority of abdominal contour operations performed in males.