Abdominoplastia reversa estendida

Abstract

Yacoub CD et al. Extended reverse abdominoplasty Abdominoplastia reversa estendida ABSTRACT Extended reverse abdominoplasty is a procedure that widens reverse abdominoplasty and was first published in 1972. The original technique is selectively used for resection of the excessive skin located in the epigastrium, and involves a single continuous cicatricial line along the inframammary crease, which crosses the sternal region. In the original technique, excess skin in the hypogastrium is resected by using lower pubic transverse abdominoplasty. This second maneuver produces 2 transverse scars, without mobilizing the bellybutton. Extended reverse abdominoplasty aims at improving the aesthetics of the entire inner wall of the abdomen through ample dissection reaching the pubis, with mobilization of the pedicle of the bellybutton. This procedure was used in a young wo man who had saggy skin associated with adipose deposits and a vertical scar in the medial line of the epigastrium after bariatric surgery. Ample dissection of the abdominal cutaneous flap with mobilization and re-implantation of the bellybutton allowed aesthetic improvement of the entire anterior abdominal wall, with a single transverse scar along the inframammary crease and elimination of the scar from previous bariatric surgery. The surgery was combined with mastopexy and liposuction in the abdomen.

Reverse Abdominoplasty Advancement Flap: An Innovative Option in Breast Reconstruction in Post-Massive Weight Loss Patients

“…The application of this technique was extended further to be applied in BR associated with implant. 11 Comparatively to our procedure, because of a significant excess of volume tissue in the superior part of the abdomen, it was not necessary to disconnect the umbilicus from the flap. After the first surgery procedure, the umbilicus was a little bit upper, but it was corrected by the second surgery with the inferior abdominoplasty.…”

“…Yacoub et al 11 in 2012 described the reverse extended abdominoplasty as a new concept in which abdominoplasty was performed with inverted access. The procedure was applied to patients who had 1 or more scars in the epigastric region to eliminate these scars.…”