Aesthetic Reconstruction of Body Contour After Pregnancy

• DOI: https://doi.org/10.22533/at.ed.1595122524022

• Palavras-chave: Postpartum body contouring; Abdominoplasty; Liposuction; Non-invasive aesthetic procedures; Patient satisfaction.

• Keywords: Postpartum body contouring; Abdominoplasty; Liposuction; Non-invasive aesthetic procedures; Patient satisfaction.

• Abstract: INTRODUCTION Postpartum body contouring techniques, including abdominoplasty, liposuction, and mastopexy, aim to address persistent anatomical changes following pregnancy. Non-invasive modalities, such as cryolipolysis and radiofrequency, offer alternative solutions for patients seeking less downtime. The selection of procedures depends on patient-specific factors, including skin laxity, muscle separation, and aesthetic goals.  OBJETIVE To evaluate the effectiveness, outcomes, and patient satisfaction associated with various surgical and non-surgical techniques for postpartum body contouring.  METHODS This is a narrative review which included studies in the MEDLINE – PubMed (National Library of Medicine, National Institutes of Health), COCHRANE, EMBASE and Google Scholar databases, using as descriptors: “Postpartum body contouring” OR “Abdominoplasty” OR “Liposuction” OR ”Non-invasive aesthetic procedures” OR “Patient satisfaction” in the last  years. RESULTS AND DISCUSSION Outcomes indicate that abdominoplasty is highly effective for correcting diastasis recti and improving body image, especially when combined with liposuction for contour refinement. Non-invasive techniques provide moderate improvements but are most effective for mild to moderate skin laxity. Patient satisfaction rates are highest following surgical interventions, though postoperative complications, such as seromas and delayed healing, are more common in combined procedures. Psychological benefits, including enhanced self-esteem, are reported across all methods, particularly when realistic expectations are established through preoperative counseling.  CONCLUSION The findings highlight the importance of individualized treatment plans based on patient anatomy and goals. Surgical approaches yield the most significant results, while non-invasive methods are valuable adjuncts or alternatives for patients not suitable for surgery. The integration of physical therapy and scar management into postoperative care further enhances patient outcomes. Continued research on minimally invasive techniques and combination therapies may broaden future treatment options for postpartum body contouring.