Outcomes of Traditional Cosmetic Abdominoplasty in a Community Setting

Neaman, Keith C.; Armstrong, Shannon D.; Baca, Marissa E.; Albert, Mark G.; Woude, Douglas L. Vander; Renucci, John D.

doi:10.1097/prs.0b013e31827c6fc3

Cited by 112 publications

(84 citation statements)

References 26 publications

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“…No significant differences in seroma formation were found among the ADM groups (P = 0.741) ( Table 3). In addition to axillary dissection, which was found to be a significant variable (P = 0.001) in the univariate analysis, the existing literature suggests that factors such as age, BMI, DM, the amount of ADM, and implant size are closely related to seroma formation [1,[8][9][10][11]. Our results remained significant after adjusting for these factors.…”

Section: Amount Of Drained Serum and Drain Maintenance Periodsupporting

confidence: 71%

“…In general, breast reconstruction using ADM has many advantages including 1) maintenance of the inframammary fold and a more natural projection of the lower pole; 2) covering the lower lateral position of the breast implant and securing its position; 3) less dissection of the surrounding tissues such as the pectoralis major muscle and serratus anterior muscle, ultimately contributing to a reduction in the damage to these tissues; and 4) reduction in the tension of the overlying skin flap and the provision of assistance in the correction and treatment of capsular contracture [2,3,[8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Based on seroma formation, many studies have suggested that the optimal timing for removing the drain is when less than 30 cc per day of serum is collected for 2 consecutive days. We also removed drains based on this criterion [1,10,12,17,18]. AlloDerm had the longest drain maintenance period, while MegaDerm had the shortest.…”

Section: Discussionmentioning

confidence: 99%

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Comparison of the Amount of Drainage in 3 Acellular Dermal Matrices in Implant-Based Breast Reconstruction: A Retrospective Study

Kim

2017

Arch Aesthetic Plast Surg

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Background Acellular dermal matrix (ADM)-assisted breast reconstruction has gained popularity because it has several advantages. Some studies have reported that the use of ADM was strongly associated with postoperative complications, especially seroma formation. We performed direct-to-implant breast reconstruction using 3 types of human allograft products (CGDerm . The purpose of this study was to obtain information useful for the selection of an ADM product by comparing the amount of collected serum and the maintenance period of the drain. Methods Seventy-three patients with breast cancer who underwent ADM-assisted implant breast reconstruction between March 2011 and January 2016 were included in this study. The patients were divided into 3 groups based on the type of ADM that was used. The demographic characteristics collected were: age, body mass index (BMI), breast reconstruction location, smoking history, axillary dissection, comorbidities (such as hypertension and diabetes mellitus [DM]), breast implant size, breast implant type, amount of ADM, the total amount of serum that was collected in the drain, and the maintenance period of the drain. Results We obtained significant results after adjusting for variables including age, BMI, DM, axillary dissection, ADM amount, and breast implant size. Compared to AlloDerm, MegaDerm showed a significantly smaller amount of total drained serum and a significantly shorter drain maintenance period. Conclusions The use of MegaDerm led to smaller amounts of drained serum and a shorter drain maintenance period than when AlloDerm was used. In contrast, no significant differences were found between CGDerm and AlloDerm, or between CGDerm and MegaDerm.

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Section: Amount Of Drained Serum and Drain Maintenance Periodsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 99%

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Comparison of the Amount of Drainage in 3 Acellular Dermal Matrices in Implant-Based Breast Reconstruction: A Retrospective Study

Kim

2017

Arch Aesthetic Plast Surg

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“…A total complication rate of 50% and a seroma rate of 26% were reported. Neaman et al 16 published in 2013 a retrospective study of 1008 patients submitted to a full abdominoplasty (the largest study on this subject ever published) by 6 different surgeons, all working at a single center, and reported a total complication rate of 33%, a secondary surgical revision rate of 36%, and a seroma rate of 15%.…”

mentioning

confidence: 97%

“…7 Despite the good results obtained with a classic full abdominoplasty, a significant complication and secondary surgical revision rates are still reported. A meta-analysis of 15 studies about full abdominoplasty complications including seroma, 3,4,[8][9][10][11][12][13][14][15][16][17][18][19][20] demonstrated a complication rate of 39% and a seroma rate of 23%. In 2011, Najera et al 20 published a retrospective cohort study of 200 patients who underwent a full abdominoplasty.…”

mentioning

confidence: 99%

Abdominoplasty With Scarpa Fascia Preservation

Costa‐Ferreira

Rebelo

Vásconez

et al. 2016

Annals of Plastic Surgery

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The plane of dissection used during a full abdominoplasty has been implicated on the seroma rate. Avoiding the classic plane of dissection on top of the rectus fascia and using a more superficial plane of dissection has been suggested as a strategy to improve recovery and lower the complication rate. The authors have been applying this principle in their practice for more than a decade, and they performed 2 prospective comparative studies to evaluate the clinical effects of using a more superficial plane of dissection (with Scarpa fascia preservation) during a full abdominoplasty.The technique is presented and explained along with the results of both comparative studies.The results of both studies are discussed particularly the effects on drain volume (total and daily), the duration of drain usage and the avoidance of "long drainers." These are very relevant advantages of the technique that have not been discussed in the literature. The results and surgical strategies used by other authors which apply a more superficial plane of dissection are presented.Controversy still exits on the manipulation of the deep fat compartment by liposuction or direct fat excision. No manipulation is another option which should be considered but it has been questioned due to the risk of aesthetic compromise. A morphometric study performed on the surgical specimens of 41 female patients submitted to a full abdominoplasty validates that option.Based on this evidence, the authors recommend that surgeons consider performing abdominoplasties using a more superficial plane of dissection in the infraumbilical area with total preservation of Scarpa fascia and the deep fat compartment. The classic plane of dissection, on top of the deep fascia, should be avoided in the lower abdomen.

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Lipoabdominoplasty

Pérez

2023

Post-Maternity Body Changes

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Outcomes of Traditional Cosmetic Abdominoplasty in a Community Setting

Cited by 112 publications

References 26 publications

Comparison of the Amount of Drainage in 3 Acellular Dermal Matrices in Implant-Based Breast Reconstruction: A Retrospective Study

Comparison of the Amount of Drainage in 3 Acellular Dermal Matrices in Implant-Based Breast Reconstruction: A Retrospective Study

Abdominoplasty With Scarpa Fascia Preservation

Lipoabdominoplasty

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