Classification for indications of lipoabdominoplasty and its variations

Matos, Wilson Novaes; Ribeiro, Ricardo Cavalcanti; Marujo, Ricardo Alves; Rocha, Rogério Porto da; Ribeiro, Sergio Miguel da Silva; Jiminez, Fernando V. Carrillo

doi:10.1016/j.asj.2006.05.003

Cited by 18 publications

(5 citation statements)

References 20 publications

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“…This has led to the evolution of a different operation entirely, sometimes called lipoabdominoplasty. 12 , 13 , 16 – 20 Lipoabdominoplasty differs from the combination of abdominoplasty and liposuction in that the liposuction is performed first in lipoabdominoplasty, and there is limited undermining of the abdominal flap in the area above the umbilicus, thus sparing multiple perforator vessels. This new operation slowly evolved out of many surgeons’ efforts.…”

Section: Discussionmentioning

confidence: 99%

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Safely Combining Abdominoplasty with Aggressive Abdominal Liposuction Based on Perforator Vessels

Smith

2015

Plastic and Reconstructive Surgery

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Background:There continues to be controversy about performing abdominoplasty concurrently with abdominal liposuction. The concern is that liposuction on the already vascularly compromised abdominal flap will lead to increased complications and flap necrosis. The central abdomen is supplied by the epigastric system. If perforator vessels from this system are spared, the blood supply to the abdomen can be spared and liposuction should be able to be safely performed on the elevated abdominal flap. The purpose of this study was to evaluate the safety of abdominoplasty with concurrent abdominal liposuction when a perforator vessel is spared.Methods:A standard abdominoplasty was performed, sparing one or two perforator vessels from the deep superior epigastric artery system. A retrospective chart review of 300 consecutive patients who underwent abdominoplasty surgery combined with concurrent abdominal liposuction was performed. Complications, total volume of abdominal liposuction, and results were reviewed.Results:The overall complication rate was 17.3 percent (52 patients). Sixteen percent (48 patients) suffered minor complications and 1.3 percent (four patients) suffered major complications.Conclusions:Abdominoplasty can be combined safely with concurrent abdominal liposuction when a perforator vessel is spared. The combination of concurrent liposuction with abdominoplasty showed no increase in complication rates when a perforator vessel was spared. The perforator vessels are located consistently in a 2-cm radius located 4 cm from the midline and 6 cm from the subcostal margin. The potential advantages of abdominoplasty with concurrent liposuction include a better postoperative cosmetic result.CLINICAL QUESTION/LEVEL OF EVIDENCE:Therapeutic, IV.

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Section: Discussionmentioning

confidence: 99%

“…Later, more extensive undermining was championed by Samra et al, Brauman, and others. 12 , 13 , 16 – 20 This operation differs from traditional abdominoplasty in several ways. First, the liposuction is performed first and the flap is elevated with hydrodissection and liposuction.…”

Section: Discussionmentioning

confidence: 99%

Safely Combining Abdominoplasty with Aggressive Abdominal Liposuction Based on Perforator Vessels

Smith

2015

Plastic and Reconstructive Surgery

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“…Matos WN et al [10] reported a lower percentage of seroma occurrence (only 1%). They stated that the cause for appearance of seroma was the applied surgical technique.…”

Section: Seroma Formation 11%mentioning

confidence: 93%

Concomitant Venter Pendulum, Dystrophy and Hernia of the Abdominal Wall Surgery – Our Experience

Eftimov¹,

Bajlozov²,

Eftimova³

et al. 2021

JMS

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Weakness and incisional hernias of the anterior abdominal wall are a consequence of severe weight loss and complications after abdominal surgery. The presence of excess skin of the anterior abdominal wall necessitates the need for concomitant surgery of the excess skin and the weakness of the muscles of the anterior abdominal wall.The aim of this paper was to present our experience with concomitant surgery of the weakness of the anterior abdominal wall and excess skin when these two conditions were present at the same time.This retrospective consecutive study included 9 patients, in whom dermolipectomy was performed and strengthening of the anterior abdominal wall by placing individual sutures supra-and infraumbilically, in two layers. Due to the presence of incisional hernia, a polypropylene mesh was placed in three patients. In all patients, two drains were placed pubically. Postoperatively, patients wore a compression bandage.A total number of 9 patients, the ratio of women to men 8 : 1, were included in the study. Polypropylene mesh was placed in three patients due to the presence of an infraumbilical incisional hernia. The average number of days for drainage was 7 in 45% of patients. Early postoperative complication with seroma occurred in 23%, and late postoperative complication also with seroma formation occurred in 11% of cases.Concomitant surgery to strengthen the anterior abdominal wall and remove excess skin is a safe and effective method, which saves time and money.

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“…D ifferent classiÞ cation systems have been used for abdominoplasty. [1][2][3][4] For the purpose of this study, the condition termed "huge abdomen" is characterized by excess abdominal skin laxity that overlaps the mons pubis and extends to the upper thighs. The condition is accompanied by severe lipohypertrophy at the upper abdomen, lower abdomen, and ß anks.…”

Section: Original Articlementioning

confidence: 99%

Technical Considerations in Abdominoplasty of Huge Abdomen

Ali¹,

Elbarbary²,

Farag³

et al. 2012

Am J Cosmet Surg

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In abdominoplasty, the surgeon aims to contour the abdominal wall and create a balanced relationship with the lower body contour. The condition huge abdomen is characterized by severe lipohypertrophy; marked laxity of the abdominal skin, which almost overlaps the mons pubis and upper thighs; divarication of the recti; and ptosis of the mons pubis. Abdominoplasty of huge abdomen carries a higher risk of postoperative complications and unaesthetic results. This study presents certain technical considerations in liposuction: preservation of the vascular perforators and subumbilical scarpa fascia, undermining/resection of the abdominal skin, performance of umbilicoplasty, and lifting of the mons pubis. From June 2009 to June 2011, abdominoplasty were performed on 112 patients with the condition huge abdomen. Body weights ranged from 89 to 105 kg, with a mean of 92 kg. Body mass index ranged from 32.7 to 37.4, with a mean of 35.2. After an average follow-up period of 1 year, 93 patients (83%) achieved good aesthetic results and had no major or local postoperative complications. In 4 patients (3.6%), seroma was an early postoperative complication. Six patients (5.4%) developed long-term unfavorable aesthetic results, which required secondary revisions. This study focuses on certain type of abdominal wall obesity that requires abdominoplasty and provides some technical considerations to achieve a safe and aesthetic outcome.

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Classification for indications of lipoabdominoplasty and its variations

Cited by 18 publications

References 20 publications

Safely Combining Abdominoplasty with Aggressive Abdominal Liposuction Based on Perforator Vessels

Safely Combining Abdominoplasty with Aggressive Abdominal Liposuction Based on Perforator Vessels

Concomitant Venter Pendulum, Dystrophy and Hernia of the Abdominal Wall Surgery – Our Experience

Technical Considerations in Abdominoplasty of Huge Abdomen

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