The pinch test is used with the patient standing, lying, and sitting in order to determinde the amout of subcutaneous fat and skin excess. Then, the planned cutting lines are marked.The middle line is marked from the xiphoid to the symphysis, if necessary a diastasis recti is noted. The choice of the surgical incision (w-line, gull-wing, skinline-incision) depends on the amount of excess tissue.
(preparations)
(surgery)
(after surgery 1)
(after surgery 2)