'Six-pack surgery' gaining popularity among men, say plastic surgeons

Move over, "Dad bod" — more men are seeking "six-pack abs" with the help of a surgical procedure called high-definition liposuction, according to plastic surgeons. 

This type of "ab-etching" technique is gaining popularity among men who can’t get rid of stubborn belly fat with exercise alone, according to members of the American Society of Plastic Surgeons (ASPS).

The method targets removal of stubborn fat much like traditional liposuction, but it also creates defined lines across the stomach muscles to create the illusion of "chiseled" abdominals.

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Dr. Josef Hadeed, MD, a board-certified plastic surgeon at the Hadeed Plastic Surgery practice in Beverly Hills, California, and Miami, Florida, described the procedure during an interview with Fox News Digital.

"It is more like creating that six-pack and creating the ‘V lines,’ and giving somebody that more athletic, toned physique that traditional liposuction can't really achieve," he said.

Traditional liposuction focuses on removing fat, volume and bulk, but doesn’t address the specifics of the "underlying anatomy," according to the surgeon.

High-definition liposuction is more detailed, Hadeed said. 

"We remove a little more fat from that vertical line above the belly button, and also those horizontal lines above the belly button," he said. 

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"We also remove a little more fat in those areas to create the illusion or appearance of somebody having a six-pack."

In some cases, fat is redistributed to other areas to help create a bulkier, more muscular abdominal appearance, the surgeon added.

There has been an uptick in men undergoing this liposuction procedure, according to members of the ASPS.

"I'm definitely seeing an increase in high-definition liposuction requests for men," ASPS member Dr. Joubin Gabbay, MD, the medical director at Gabbay Plastic Surgery in Beverly Hills, California, told Fox News Digital. 

"They are coming in with specific requests for a defined, chiseled contour."

Dr. Finny George, MD, a board-certified plastic surgeon and partner at New York Plastic Surgical Group, a division of Long Island Plastic Surgical Group, has also seen more male patients looking to improve their muscle definition.

"There is definitely a growing desire among men [for] alternate means of achieving an athletic physique for two main reasons," George told Fox News Digital.

"First, it is becoming more socially acceptable for men to have plastic surgery — and second, many have already tried and failed with conventional diet and exercise," she added.

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High-definition liposuction isn’t the only procedure growing in popularity among men.

There has been a 207% rise in total cosmetic procedures among males since 2019, according to the 2022 ASPS report.  

One reason may be that men are looking for a more youthful appearance to "maintain career vitality," the report said. 

Social media influencers and male celebrities have also created an open dialogue about male cosmetic surgery, making it more acceptable for men to seek such enhancement treatments, the ASPS also noted.

"It actually has been very common in Brazil and South America for quite some time now, and it's slowly been migrating to the United States," Hadeed told Fox News Digital.

If an individual is considering undergoing high-definition liposuction, they should examine their reasons for doing so, said Hadeed.

"They should do it for themselves, not because their spouse or partner is pressuring them to do it," he advised.

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When a person is seeking those "perfect six-pack abs," Hadeed said, the surgeon will typically look at the individual’s lifestyle behaviors, such as diet and exercise. 

For example, if someone is sedentary and eats fast food every day, "maybe this isn't for you," according to the doctor. 

Patients should have realistic expectations of what can be achieved rather than trying to look like a certain fitness model or social media influencer, Hadeed cautioned.

In some situations, he said, "we have to lower the expectations a little bit and say, ‘I can't make you look like this other person who's completely ripped and shredded, but I can help you look like a more refined version of yourself.’"

If the individual were to gain or lose a significant amount of weight after the surgery, that could affect the results, leading to the need for a revision or touch-up, Hadeed said — which is why he screens his patients to identify their lifestyle habits and make sure they can maintain the results.

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Gabbay also emphasized the importance of following a good regimen to maintain the benefits of the surgery.

"I think the treatment is certainly effective at helping many achieve the six-pack look, but it requires work and maintenance to maintain," he told Fox News Digital.

"It is important to maintain a healthy, active lifestyle and avoid major weight fluctuations after the procedure," he went on. 

"Unintended weight gain after a high-definition procedure can exaggerate the look of the six-pack, making it look a little less natural." 

Hadeed, who also serves as chair of the Patient Safety Committee for the ASPS, said it is important for patients to understand the risks involved with the procedure.

"Having elective surgery is a very major decision, and not something that people should take lightly," he said.

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Hadeed agreed that while the surgery is typically safe, there are risks involved. 

"In particular, there could be skin necrosis, where some of the skin dies," he warned. "There could also be fat necrosis, where some of the fatty tissue that’s left behind dies."

Other potential complications may include blood clots and intestinal perforation.

It is also important to research the credentials of the plastic surgeon who will perform the procedure and make sure they are certified by the American Board of Plastic Surgery, Hadeed said.

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The doctor warned, "There are a lot of physicians out there who are not plastic surgeons who are doing these procedures."

House Dems issue response to GOP report on Biden's withdrawal from Afghanistan

The House Democrats on the Foreign Affairs Committee released their own memo on President Biden's chaotic 2021 withdrawal from Afghanistan after committee Republicans released a report criticizing the president for what went down at the time.

Texas Rep. Mike McCaul, the Republican chair of the committee, released a GOP-led report disputing Biden's claims that his hands were tied to the agreement former President Trump had made with the Taliban establishing a deadline for U.S. withdrawal for the summer of 2021. It also said State Department officials had no plan for helping Americans and allies out while there were still troops in the region to protect them.

McCaul's report also noted the failure to adequately respond to terror threats ahead of the ISIS-K bombing at Abbey Gate at the Kabul airport that killed 13 U.S. service members and more than 150 Afghan civilians, and that the Taliban likely had access after the withdrawal to $7 billion in abandoned U.S. weapons and up to $57 million in U.S. funds that were initially given to the Afghan government.

But New York Rep. Gregory Meeks, the Democrat ranking member of the committee, released a dueling report in response to the GOP-led report, accusing Republicans of criticizing the Biden administration for the withdrawal for political purposes and failing to offer feasible alternatives.

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Meeks also said Republicans did not involve Democrat members in their report and stressed that plans for withdrawing from Afghanistan began under the Trump administration.

He said in the memo's summary that Republicans sought to avoid facts involving Trump, including "his committing the United States to a full, date-specific withdrawal in a deal he negotiated with the Taliban that excluded the Afghan government or any reference to the rights of Afghan women and girls."

The ranking member also knocked Trump's "unilateral announcements to withdraw troops, often a surprise to many of his own senior officials, which undercut U.S. leverage because those announcements were divorced from Taliban compliance with the deal; and his forcing the Afghan government to release 5,000 Taliban fighters back to the battlefield before a final Taliban offensive ultimately took Kabul."

"When former President Trump took office, there were approximately 14,000 American troops in Afghanistan," Meeks wrote. "Days before leaving office, the former President ordered a further reduction to 2,500. President Trump initiated a withdrawal that was irreversible without sending significantly more American troops to Afghanistan to face renewed combat with the Taliban."

"All witnesses who testified on this issue agreed that the United States would have faced renewed combat with the Taliban had we not continued the withdrawal," he added. "Rather than send more Americans to fight a war in Afghanistan, President Biden decided to end it."

Addressing the Abbey Gate bombing. Meeks said Republicans "knew for months that the attack was not preventable and that, even though a witness told our Committee he thought he had the ISIS-K bomber in his sights, he did not."

Republicans, Meeks said, made partisan attempts to garner headlines rather than acknowledge the full facts and substance of their investigation during the height of the election cycle. He also said Republicans attempted to tie Vice President Kamala Harris, now the Democrats' presidential nominee, to the withdrawal even though she is referenced only three times in 3,288 pages of the committee's interview transcripts.

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"American taxpayers have funded this Committee’s oversight, and the American people deserve the truth," Meeks said. "We owe it to them to highlight the facts elicited in this investigation without undue spin and with respect for the seriousness of the subject and the witnesses who have voluntarily testified to us about it."

"It strikes me now as it did during that hearing that many of those critical of the withdrawal effort simply have a fundamental objection to President Biden fulfilling his pledge to be the last Commander-in-Chief to preside over the war in Afghanistan," he added. "They are masking their displeasure with criticisms but have failed to offer feasible alternatives. We must continue to wrestle with these matters not to rewrite the past or assign partisan blame, but to identify lessons that can help us better fight and end wars in the future."

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