Answer:
The reverse abdominoplasty incision involves making an incision in the inframammary fold and meeting in the midline to form an inverted V. This is usually used in conjuction with breast reduction or augmentation. A midabdominoplasty is used to remove excess skin isolated to the periumbilical area. The transverse incision in the visible midportion of the abdomen makes this not a popular incision. The vest over pants technique involves making the upper incision first. Then as the flap is pulled over the lower abdomen the lower incision is made. The advantage is easier exposure without having to work under a large skin flap. Also the patient is not exposed for a long time thus limiting fluid loss. The fleur-de-lis combines a lower abdominal transverse incision with a midline vertical incision. It is good for removing a lot of excess skin and tightening the waist. The disadvantage is the vertical component of the incision.