Indications

Authors: Anne Mosebo, MD, Mie Pilegaard Bjarnesen, Med. Stud., Julie Tastesen, MD and Magnus Balslev Avnstorp, MD

The general indications and contraindications when performing MWL-surgery will be addressed in this chapter:

Indications and contraindications

Procedure specific

A criterion for MWL surgery in the Danish healthcare system is MWL characterized as second (moderate) or third (severe) degree. Regarding abdominoplasty the classifications are as follows¹: 

	Second degree (moderate)	Third degree (severe)
Characteristics	Low pannus with a skin overhang > 3 cm Mons ptosis Distinct skin issues: Moisture, maceration, wounds Limitations in daily activities	Skin overhang crossing the midaxillary line in the back Excess skin on the back
Choice of procedure	Simple procedure	Circumferential or combined procedure