María’s before and after
Dermolipectomy · 48 years old

María’s case

María is 48 years old and works in public administration. Her professional life involves many hours of sitting, with little physical activity and a diet that, over the years, has ceased to be a priority. This sedentary lifestyle has led to a clearly visible excess of volume in the abdomen and waist.

Additionally, María had a prior abdominal surgery that conditioned both the expected aesthetic outcome and the pre-operative planning, since it required a more detailed assessment of the abdominal wall before defining the surgical approach.

Reason for consultation

María came to NATURAL FIT® Body Contouring primarily because of the excess volume in her abdomen and waist. She felt heavy, shapeless and had difficulty feeling comfortable in her clothes. Beyond aesthetics, she was looking for a lasting change that would also serve as a starting point for improving her general health habits.

Pre-operative assessment

On examination, María presented a globose abdomen with localised excess weight. Given her profile, the presence of rectus diastasis was considered likely, as is common in these cases.

An abdominal wall ultrasound was recommended in order to:

• Precisely measure the width of the diastasis
• Rule out hernias or other abdominal wall abnormalities
• Assess the influence of the prior abdominal surgery

The team also evaluated from the outset the possibility of an abdominoplasty as part of the approach, given the degree of skin and muscle laxity.

Surgical plan

The goal was clear: to redefine María’s silhouette, slim the waist and improve the abdominal contour in a lasting way. After the full assessment, an abdominal dermolipectomy (abdominoplasty) was planned, which included:

• Full liposuction of the abdomen, flanks and back
• Rectus muscle plication to achieve a more defined, firmer waist
• Removal of the excess skin flap

The procedure

The surgery took place in two complementary phases. First, thorough liposuction of the abdomen, flanks and back was performed, achieving volume reduction and 360° trunk slimming. Next, the abdominoplasty proper was carried out: the excess skin flap was removed and both rectus muscles were sutured to reinforce the abdominal wall and define the waist.

• Two surgical drains placed during the procedure (typically maintained for 3 to 5 days)
• Low abdominal scar, hidden beneath underwear

Post-op and aftercare

María’s post-operative care included:

• Medium compression garment, essential for controlling swelling and supporting correct tissue adaptation
• Regular medical follow-up with the NATURAL FIT® Body Contouring team
• Imaging checks when necessary, including abdominal wall ultrasound to ensure the safety of the procedure

Habit change and result

Once the recovery month was complete, María began a process of re-education in healthy eating habits and a structured exercise programme guided by the clinic’s personal trainers.

She was so pleased with the NATURAL FIT® Body Contouring method that she decided to continue at one of the post-surgical training centres, integrating regular physical activity into her routine: a minimum of three sessions per week, something especially important after the age of 40 to maintain muscle mass and an active metabolism.

Over time, María has not only maintained her surgical result but has enhanced it through her new nutritional habits and the physical activity routine she has incorporated in a sustained way.