Objectives the study aims to evaluate the efficacy and safety of preservation of scarpa's fascia in abdominoplasty and compare it with conventional abdominoplasty in terms of surgical site infection, seroma, drain volumes, time of drain removal and hospital stay. Patients and methods The current study was carried on 40 female cases seeking for truncal body contouring. Their ages ranged between 20 and 65 years, and BMI ranged from 25 to 35. BMI above 35, previous abdominal surgery, any associated hernias, postbariatric surgery, smokers, and comorbid diseases such as diabetes, chronic obstructive airway disease, and autoimmune, liver, and renal diseases were excluded. Results With Scarpa's fascia preservation, the mean total drain output with scarpa's preservation (161 ± 39.99) was much lesser than the classic abdominoplasty (554.5 ± 200.9); moreover, drains were removed earlier with Scarpa's fascia preservation (2.95 ± 0.22 days) in comparison with classical abdominoplasty (5.55 ± 1.10 days). All patients passed without seroma formation in Scarpa's fascia preservation in group A; however, 2 cases presented with wound dehiscence (10%). In traditional abdominoplasty (group B), seroma was detected in a two cases (10%), umbilical ischemia in a single case (5%) and a single case (5%) presented with full-thickness infraumbilical necrosis in zone I. Conclusion Preservation of Scarpa's fascia during scarpa's preservation abdominoplasty reduces patient recovery in the form of reducing total drain output, time for drain removal, and hospital stays in comparison with traditional abdominoplasty. Its disadvantages include longer operative time.