Six pack surgery in Bonn

The good news: everyone has stomach muscles. The fact that they are not as visible on some people is often not a question of muscular strength and muscle volume; instead it is largely dependent on the proportion of body fat and how it is distributed.
The ideal body fat percentage for men is between 6 and 15%, and it is between 15 and 20% for women. But even if these values are matched, a man with a 10% body fat percentage may not have a muscular six pack, as his body tends to store the fat on the stomach (the “beer belly” phenomenon, despite having a lean physique). Meanwhile, a man with a 15% body fat percentage may have a great six pack, because he is genetically predispositioned to storing body fat around the waist and hips. In general, the following applies:

The fat contained above the abdominal wall, but not that in the abdomen itself, can be addressed using plastic surgery. The procedure is known as abdominal etching.

Dr Jafar Jorjani is a specialist in abdominal etching on men and women. There are a number of ground rules that must be followed by both patients and surgeons in order to achieve a satisfactory result that meets the patient’s expectations over the long term.

Prior to the operation, a scrupulous medical body analysis must be performed in order to prepare for the surgical intervention – and an honest discussion should be held about what a realistic result could be.
What body type do you have? Where does your body tend to store fat? What is your diet like? Which types of sports do you play and how regularly do you exercise? What is your physique like and how toned are your muscles?

Ideal patients have a BMI of less than 25, a body fat percentage of between 9 and 18%, a good muscular frame, no excess skin, good connective tissue, exercise regularly, eat a healthy and balanced diet, and have defined fatty deposits above the abdominal wall. This constellation guarantees perfect results, because you can see and feel the natural gaps between the muscles and the plastic surgeon just needs to remove the local fatty deposits in order to define and highlight the natural gaps between the muscles.

Having said that, it is also possible to achieve a more athletic-looking physique in cases where not all of these criteria are met. It is important to be aware that although the shaping of the stomach muscles is based on anatomical landmarks, in some circumstances it may not fully correspond with the muscle region, as the fatty layer covers the muscle contours.
In these cases, the abdominal etching has to be done based on a case-by-case basis after consultation. For most people, defining the areas between the straight rectus abdominus muscles is sufficient to create a more athletic looking body.
The treatment comprises 3 phases, which are all of equal importance:

Depending on the physique and the pattern agreed for the definition of the abdominal muscles, marks are made on the body to identify which muscles and axis are to be treated. In order to address so-called “love handles”, it is often necessary to carry out 360° liposuction, beginning with the back and flank regions and then, after turning the patient onto their back, the abdominal wall is defined.

For men, it is important to retain the overall V-shaped body form. Furthermore, the entire abdominal muscles are often defined for men.

For women, we aim for a feminine, hourglass figure. This often just involves highlighting the gaps between the straight rectus abdominus muscles and the oblique stomach muscles.

Depending on the distribution of the lateral fat deposits in the flank region and back, we often begin the operation in the stomach area to address the lateral fat deposits (“love handles”). We then highlight the straight back muscles.

The patient is then turned onto their back. With the help of vibration-enhanced liposuction, first the deep layers of fat are removed and then, in a second stage, the surface layers of fat are suctioned away.

At the end of the operation, a special contouring cannula is used to define the straight lower oblique and upper oblique abdominal muscles and to sculpt the six-pack areas, which are ideally based on the existing shadows. If this is not possible, we base the artificial definition on an asymmetrical, natural six pack pattern, so that patients are given a natural, athletic-looking result.

You need to wear compression clothing for 6 weeks post-op. The tissue that has been operated on is at its most inflamed after around 12 days. After this the fibres begin to retract. The final results can be seen after around 4-6 months. It is very important to maintain a healthy lifestyle after the operation – i.e. to eat a healthy, balanced diet and to exercise regularly. This is the only way to retain the results of the operation.