There are generally two configurations used by Dr. Gerzenshtein when performing an abdominoplasty; the straight cut and the V-cut. Both incisions are planned according to patient preference. A patient who prefers to wear a V-cut swimsuit will do better with an incision to match. The same holds true for a straight-cut bikini. Although a W incision has been advocated for various reasons, Dr. Gerzenshtein does not favor this approach owing to its appearance in and out of clothes, and would use it under special circumstances only. As a general rule, all incisions should ride low so as to be concealed. In cases where there is not enough skin present to reach the lower edge of the incision from above the umbilicus, it is far better to accept a small vertical component to the incision than to have an unsightly high-riding scar.
Jacob Gerzenshtein, MD, FACS,
A Board Certified Plastic Surgeon
