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Abdominal etching in Paris

Abdominal etching is a very precise plastic surgery procedure that increases the visibility and definition of the abdominal and pectoral muscles.

During abdominal etching, fat is left above the abdominal muscles and removed between each muscle to create the natural appearance of abdominal muscles (chocolate bars). This is a good option for people who have not been able to achieve the desired muscle definition despite their training and practice of fitness or bodybuilding. Abdominal sculpting requires a surgeon who is skilled in both assisted liposuction (micropolar PAL) or VASER liposuction and the etching technique, which requires a high level of precision to create realistic results. 

During VASER liposuction, the surgeon injects a mixture of anesthetic and saline into the treatment area and uses ultrasound probes to separate the fat before aspirating it with a thin tube called a cannula. Abdominal etching adds two additional steps. Before liposuction begins, the surgeon precisely outlines the abdominal muscles on the abdominal skin.

This fact sheet was written by Dr. Ralph ABBOU who is a plastic surgeon in Paris. Dr. Abbou frequently performs abdominal etching.

For any inquiry please send us an email : [email protected] or telephone +33 1 53 81 44 45

Before and after pictures of Abdominal Etching in Paris

Abdominal etching is used to draw the “chocolate bars” or six-pack.

This cosmetic surgery technique differs from liposuction in that small amounts of fat are left in specific areas to amplify the muscle volume and increase the muscle relief.

The procedure selectively removes a small amount of fat around the patient’s muscle contours or sculpts the abdomen to create a more athletic contour.

We use Vaser liposuction technology (ultrasound liposuction) for high definition liposuction procedures.

This procedure is designed for people who already have a healthy diet, regular exercise program and developed muscles.

This cosmetic tummy tuck and liposculpture technique removes excess fat from the abdominal area to improve abdominal muscle definition that is difficult to achieve through diet and exercise alone.

Who are the good candidates for abdominal etching ?

Patients seeking abdominal etching are usually athletic patients who are not able to achieve sufficient results despite regular training and proper nutrition.

Patients who come to us want to increase the definition of their abdominal muscles, have a more athletic appearance, eliminate stubborn belly fat, and have visible and well-defined abdominal muscles.

Abdominal etching is a body sculpting procedure, not a weight loss procedure, and healthy people with a BMI under 30 and good skin elasticity will have the best results. Young, nonsmoking patients tend to have the best elasticity. “Skin elasticity is determined by the amount of elastin in your skin.” (Elastin is a protein that allows the skin to tighten after being stretched). “We start losing elastin after age 40, and it’s completely gone by age 45,” he adds. Those with good skin elasticity will see skin tightening, once the fat is removed. If your skin has loosened with age or “if you’ve lost a lot of weight, you can still expect high-definition results, but you’ll need a simultaneous skin-tightening procedure.”

A radiofrequency protocol is routinely offered after this procedure to optimize your results and speed up the post-operative period.

This procedure is ideal for men and women who are looking for a more athletic appearance and better muscle definition. Athletic trainers often consult us for this procedure.

Athletic patients of normal weight may desire greater visibility of their abdominal muscles beyond what they are able to achieve with diet and exercise alone.

Abdominal Etching refers to a specialized liposuction technique that improves the appearance of the abdominal musculature by increasing muscle definition using a liposuction cannula coupled with ultrasound.

It is important to understand the underlying anatomy of an individual’s abdominal muscle in order to improve it and give it a natural appearance.

  • The procedure is suitable for patients who are already in good shape and have a thin layer of fat around the belly and for very athletic patients who wish to improve their muscle definition.
  • High definition liposuction is not suitable for patients with significant accumulations of abdominal fat, those seeking to significantly reduce the size of their belly, and those seeking significant weight reductions because the amount of fat removed is relatively small.

In these cases, we will recommend liposuction of the abdomen and or pectoral muscles.

How is high definition liposuction of the stomach performed ?

  • Two cosmetic surgery consultations to analyze your figure and define the surgical strategy adapted to your case.
  • A consultation with the anesthesiologist and a pre-operative blood test are part of the procedure before the abdominal etching.

Before the procedure and the operation, the surgeon makes detailed markings of the abdominal and pectoral muscles.

The procedure takes place in the operating room under general anesthesia.

During liposculpture, the cosmetic surgeon removes the fat to reveal the patient’s muscle structure. Through small incisions, the surgeon removes fat in certain areas, thins other areas, and redistributes the fat by lipofilling (fat re-injection) to accentuate the muscles of the abdomen and the white line.

After surgery, there will be some swelling and bruising of the abdomen. Most patients are able to return to normal work after one week. Resumption of sports takes place after one month.

Final results will become visible within six months after the procedure after the body has completely eliminated the swelling.

Since results may vary depending on individual considerations, you should have realistic expectations. People who are naturally lean and on a low-fat diet have an advantage over others in terms of results.

The results of the procedure appear quickly if the patient has low body fat and high muscle mass.

The longevity of the surgical results depends on maintaining a healthy lifestyle with proper nutrition and sufficient physical activity.

Abdominal etching price Paris

The fee depends on the complexity of your case and the number of areas to be treated.

Surgical interventionPrice
High definition abdominal etching

From 6000 €


What are the advantages and disadvantages of abdominal etching?


The results are permanent, if you maintain a stable weight. Fat that has been removed can be transferred to the breasts, buttocks or face in a process called fat grafting.  Liposculpture can be combined with a strategic skin excision, such as a mini-abdominoplasty to remove excess skin.

  • More precise treatment than traditional liposuction 
  • Reduced treatment time and recovery time
  • Less pain than traditional liposuction
  • Quicker recovery time
  • Larger volume of lipospired fat


  • You will need to take about a week off for your surgery and initial recovery – perhaps more, if you have multiple sculpted areas
  • It takes about a month for most of your swelling to subside and up to a year to see your final results.

Are the scars from abdominal etching visible?

They are very discreet. After a few months, the scars after liposuction are almost invisible.

What is the difference between abdominal etching and abdominal liposuction?

Abdominal etching is used to enhance the muscles of a slim and athletic person, while abdominal liposuction is used to reduce excess fat on the abdomen, regardless of your profile.

While liposuction removes unwanted fat and slims the body in one or more areas, liposculpture aims for a more dramatic transformation by strategically removing and leaving fat behind to create the illusion of muscle tone and help you look firmer and more fit. 

Will I have better results when I exercise after surgery?

If the abdominal engraving was successful, the contour of your abdominal muscles should be more visible and will be further enhanced by your workouts after the surgery.

Can I have an abdominal etching if I have excess skin on my abdomen?

It all depends on the amount of excess skin. For moderate skin excess, VASER liposuction can tighten the skin during your surgery. However, if the excess skin is too large, we recommend a tummy tuck combined with abdominal etching.

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