Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Experiences of Abdominoplasty without Undermining

박리없는 복부성형술의 경험

  • Received : 2005.12.19
  • Published : 2006.05.10
Download PDF
⟨ Previous Next ⟩

Abstract

No one technique provides an optimal outcome for all body contouring patients. There are many surgical options for abdominoplasty. Among these, this abdominoplasty without undermining consists of liposuction around abdominal subcutaneous fatty tissue, excision of lower abdominal flap. The procedure allows aggressive thinning and sculpting of abdominal flap. This operation minimizes the dead space, which often leads to postoperative complications, and preserves neurovascular supply to the abdominal skin. From 1999 to 2004, 18 patients underwent the abdominoplasty without undermining, resulting in high satisfaction rates with no significant complications, such as, pulmonary embolism and deep vein thrombosis. Patients could return to normal activity within a week. This abdominoplasty without undermining is an effective and safe alternative with low complication rate and enhances aesthetic results compared to traditional abdominal surgery.

Keywords

References

  1. Lockwood T: High-lateral-tension abdominoplasty with superficial fascial system suspension. Plast Reconstr Surg 96: 603, 1995 https://doi.org/10.1097/00006534-199509000-00012
  2. van Uchelen JH, Werker PMN, Kon M: Complications of abdominoplasty in 86 patients. Plast Reconst Surg 107: 1869, 2001 https://doi.org/10.1097/00006534-200106000-00037
  3. Matarasso A: Liposuction as an adjunct to a full abdominoplasty revisited. Plast Reconstr Surg 106: 1197, 2000 https://doi.org/10.1097/00006534-200010000-00035
  4. Teimourian B, Rogers WB 3rd: A national survey of complications associated with suction lipectomy: a comparative study. Plast Reconstr Surg 84: 628, 1989 https://doi.org/10.1097/00006534-198984040-00012
  5. Hester TR Jr, Baird W, Bostwick J 3rd, Nahai F, Cukic J: Abdominoplasty combined with other major surgical procedures: safe or sorry- Plast Reconstr Surg 83: 997, 1989 https://doi.org/10.1097/00006534-198906000-00012
  6. Brauman D: Liposuction abdominoplasty: An evolving concept. Plast Reconstr Surg 112: 288, 2003 https://doi.org/10.1097/01.PRS.0000066371.34978.F0
  7. Wilkinson TS, Swartz BE: Individual modifications in body contour surgery: the 'limited' abdominoplasty. Plast Reconstr Surg 77: 779, 1986 https://doi.org/10.1097/00006534-198605000-00015
  8. Greminger RF: The mini-abdominoplasty. Plast Reconstr Surg 79: 356, 1987 https://doi.org/10.1097/00006534-198703000-00006
  9. Zukowski ML, Ash K, Spencer D, Malanoski M, Moore, G: Endoscopic intra corporal abdominoplasty: A review of 85 cases. Plast Reconstr Surg 102: 516, 1998 https://doi.org/10.1097/00006534-199808000-00037
  10. Shestak KC, Walgenbach KJ, Azari K: 'Marriage' abdominoplasty: a short scar technique. Aesthetic Surg J 22: 294, 2002 https://doi.org/10.1067/maj.2002.124710
  11. Yoon SY: Immediate umbilical reconstruction after removal of umbilicus due to urachal cancer: defatting, anchoring and purse-string suture. J Korean Soc Aesth Plast Surg 11: 116, 2005
  12. Yoon SY: Improved umbilicoplasty at abdominoplasty: throughout suture and anchoring suture. J Korean Soc Aesth Plast Surg 11: 191, 2005
  13. Avelar JM: Abdominoplasty without panniculus undermining and resection: Analysis and 3-year follow-up of 97 consecutive cases. Aesthetic Surg J 22: 16, 2002 https://doi.org/10.1067/maj.2002.121961
  14. Saldanha OR, de Souza Pinto EB, Matos WN Jr, Lucon RL, Magalhaes F, Bello EML: Lipoabdominoplasty without undermining. Aesthetic Surg J 21: 518, 2001 https://doi.org/10.1067/maj.2001.121243
  15. Dabb RW, Hall WW, Baroody M, Saba AA: Circumferential suction lipectomy of the trunk with anterior rectus fascia plication through a periumbilical incision: an alternative to conventional abdominoplasty. Plast Reconstr Surg 113: 727, 2004 https://doi.org/10.1097/01.PRS.0000101508.44801.F6