TULUA Male High-Definition Abdominoplasty

Abstract

emoving fat and skin excess in addition to abdominal muscle diastasis correction are the key components of lipoabdominoplasty, which has widely been reported to improve the patient's quality of life. [1][2][3] Over time, abdominoplasty techniques have constantly been improved since Demars and Marx reported the first dermolipectomy in 1880. 4 Also, Kelly performed a "transverse abdominal lipectomy" in 1899 in the United States. 3,5 Later, new techniques and combined procedures were reported, 3,6 such as the liposuction-assisted abdominoplasty described in 1992 by Background: Abdominoplasty is a surgical technique for body contouring that has been shown to improve the patient's quality of life. It has become more common among male patients, so clear differences between procedures for men and women have to be stated. The authors present their experience with high-definition lipoabdominoplasty with transverse plication in men. Methods: Records of male patients undergoing transverse plication full abdominoplasty in addition to high-definition liposculpture were analyzed. A total of 24 consecutive cases were found between January of 2017 and June of 2019. Patient ages ranged from 24 to 60 years. Patients aged 18 years or younger were excluded. Body mass index ranged from 25 to 33 kg/m 2 . Photographic records were taken before and during follow-up at 2 days and 1, 3, 6, and 12 months after surgery. Results: Male TULUA (transverse plication, no undermining, full liposuction, neoumbilicoplasty, and low transverse abdominal scar) with high-definition lipoabdominoplasty was successfully achieved in 24 cases. No major complications were reported. Six minor complications were reported (25 percent). Rectus abdominis diastases are less common in men compared to women, as pregnancy is the most determining factor in its development. Fat distribution is also a key difference when performing lipoabdominoplasty for the male or the female patient. The authors recommend a transverse plication of the abdominal wall, instead of a vertical one, as flap viability is preserved and enhanced muscular definition can be accomplished. Conclusions: Combining transverse plication with high-definition lipoabdominoplasty (transverse plication, no undermining, full liposuction, neoumbilicoplasty, and low transverse abdominal scar plus high-definition lipoabdominoplasty) is a safe and reproducible technique for the male patient. It offers higher aesthetic results in line with modern beauty ideals. (Plast.

Female Abdominal Landmarks and Their Improvements Using Polydioxanone Thread Placement for Umbilicus Elevation

“…http://links.lww.com/PRSGO/C868.) 2,8,[10][11][12][13][14][15][16][17][18]23,24,31,[34][35][36][37] We advocate that standing AU/UC be used for visual guidance to gauge preoperative deficiencies and postoperative results, serving both patients and surgeons. At the same time, we also suggest that the XU/UP and UIC (standing) be used as feasible guides for surgical planning.…”

“…While exploring ideal umbilicus positions, researchers used different positions (eg, standing versus supine positions), and results varied considerably. 2,8,[10][11][12][13][14][15][16][17][19][20][21][22] Further, because many studies were carried out in general populations, 10,12,14,17,[19][20][21][22] the conclusions drawn, although insightful, may not reflect "ideal" umbilicus positions.…”

“…[1][2][3][4][5][6][7][8][9] Traditionally, the distance from the xyphoid process to the upper edge of the umbilicus (XU), the distance from the upper edge of the umbilicus to the pubis symphysis (UP), and the distance from the upper edge of the umbilicus to the iliac crests (UIC), among others, are used as reference points to determine the perfect umbilicus position. 8,[10][11][12][13][14][15][16][17][18] However, because authors have measured the distances using different body positions (ie, standing versus supine), [9][10][11][12][13][14]17,[19][20][21][22] 2 XU/UP or UIC numbers are not comparable from one study to another (Fig. 1).…”

Two-stage Radiofrequency-assisted Lipoabdominoplasty

“…Abdominoplasty technique has evolved from traditional pannus excision to zone 3 lipoabdominoplasty, 1 and now, to large volume liposuction of all vascular territories, superficial dermal etching for anatomical definition, 2 and new elevation and plication techniques. 3 – 4 Although these maneuvers each theoretically challenge the vascularity of the abdominoplasty flap and can potentially increase wound healing complications, their popularity continues to grow.…”

Discussion: TULUA Male High-Definition Abdominoplasty

“…In “TULUA Male High-Definition Abdominoplasty,” renowned South American body sculpting plastic surgeons Alfredo Hoyos and Ricardo Babaitis and their colleagues, inspired by Francisco Villegas, present a 24-consecutive-patient retrospective analysis. 1 They conclude that high-definition TULUA (transverse plication, no undermining, full liposuction, neoumbilicoplasty, and low transverse abdominal scar) “is a safe and reproducible technique for the male patient. It offers higher aesthetic results in line with modern beauty ideals.”…”