Abdominal etching or  ""6 pack abs surgery"" or ""liposculpture,"" is a plastic surgical procedure aimed at enhancing the appearance of the abdominal muscles by removing excess fat and sculpting the underlying musculature to create the appearance of well-defined abdominal muscles, typically resembling a six-pack. 

This procedure is often sought by individuals who have difficulty achieving a defined abdominal appearance through diet and exercise alone. During abdominal etching, a plastic surgeon strategically removes fat deposits around the abdominal area to reveal the natural contours of the underlying musculature, providing a more sculpted and toned appearance.

The process begins with an initial consultation with a board-certified plastic surgeon who specializes in body contouring procedures. This consultation can be done remote by receiving photos from side and front of your belly. During this consultation, the surgeon will evaluate the patient's anatomy, discuss their goals and expectations for surgery, and determine if they are a suitable candidate for abdominal etching.

Abdominal etching is typically performed using liposuction techniques to remove excess fat deposits and sculpt the underlying abdominal muscles to create definition and contouring. The surgeon makes small incisions in discreet locations, such as the natural creases of the abdomen or around the belly button, and inserts a thin, hollow tube called a cannula to suction out the fat. Specialized techniques are used to selectively remove fat from specific areas to create the appearance of defined muscle contours. In addition to removing fat, the surgeon may use specialized techniques to enhance muscle definition and contouring, such as creating vertical and horizontal lines to mimic the appearance of a six-pack or enhancing the appearance of the linea alba.

Once the fat removal and muscle contouring are complete, the surgeon closes the incisions using sutures or surgical adhesive and applies sterile dressings or surgical tape to protect the incision sites. Some surgeons may also use compression garments or bandages to minimize swelling and promote healing.After the surgery, the patient will be monitored in a recovery area until they are fully awake and stable. They may experience mild to moderate discomfort, swelling, and bruising in the abdomen, which can be managed with pain medication, compression garments, and cold compresses.

The usual international protocol includes 1 night in clinic and from 3 to 7 days in hotel before being discharged by the surgeon.  

Over the following weeks and months, the abdomen will gradually heal, and the final results of the abdominal etching procedure will become apparent.