Rectus muscle plication is a critical surgical technique in abdominoplasty, aiming to restore abdominal muscle integrity, correct diastasis recti, and improve both functional and aesthetic outcomes. This procedure, which repositions the rectus abdominis muscles, has implications for abdominal strength, respiratory function, and post-operative recovery. This review synthesizes the current literature regarding the role of rectus muscle plication in abdominoplasty, evaluating its impact on abdominal strength, aesthetic results, and respiratory function. We also discuss complications, long-term outcomes, and considerations for patient care.
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