Evidenced-Based Approach to Abdominoplasty Update

Abstract

The following publication was compiled as an evidence-based update for plastic surgeons performing abdominoplasty from a review of the published literature on that subject between January 2014 and February 2017. It is an overview of various aspects of abdominoplasty including preoperative patient assessment, variations and advances in both surgical and anesthetic technique, patient safety, and outcomes. It is intended to serve as an adjunct to previously published evidence-based reviews of abdominoplasty.

Office-based Plastic Surgery—Evidence-based Clinical and Administrative Guidelines

“…23,51,96,97,99,123,124 Importantly, use of local anesthesia and MMA could reduce the need for opioids and, thus, reduce the risk of new persistent opioid use. 96,97,99,[124][125][126] Appropriate supplementation with NSAIDs, acetaminophen, gabapentinoids, and steroids is, therefore, recommended. 98,123…”

“…Antidotes should be available for administration as necessary, including benzodiazepines in the event of seizures or epinephrine for cardiac arrest. 100…”

“…96 Liposomal bupivacaine has a duration of action of approximately 72 hours and can, therefore, be effective in reducing postoperative pain. 99 The aforementioned blocks are similar in efficacy and safety, so surgeons should use whichever block they are most comfortable with. 96 Surgeons should also be aware of signs of anesthetic toxicity, including agitation, confusion, dizziness, drowsiness, tinnitus, perioral numbness, metallic taste, and dysarthria.…”

“…If the surgery lasts over 4 hours, repeat dosing is indicated. 99 Antibiotics are unnecessary 24 hours postoperatively in clean cases except with placing a foreign object or for head and neck oncologic reconstruction. 41,101,[103][104][105][106] Antibiotic administration and discontinuation time, and incision time, should be documented.…”

The Outlook of the Development of Innovative Products from Biocompatible Natural Spider Silk in the Beauty Thread-Lifting Industry

“…The first facial suspension operation with barbed sutures was performed by Sulamanidze and his colleagues in the 1990s, and then it has become popular among dermatologists, plastic surgery and other cosmetic surgeons [14]. In addition to its main applications in facial rejuvenation, the thread lifting is also involved in body remodeling such as buttocks lift, breast lift, arm lift, abdominoplasty, vaginal tightening and uterine suspension and other branches [15][16][17][18][19][20].…”