Evolution of the High-Superior-Tension Lipoabdominoplasty: The High-Tension Abdominoplasty

Louarn, C. Le; Pascal, Jean François

doi:10.1007/978-3-319-20004-0_10

Cited by 1 publication

(1 citation statement)

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“…The authors suggest two explanations for this result. The first reason is the superior pull of the tightened skin flap after skin closure 16 . The second reason is technical error attributed to the placement of a fingertip underneath the abdominal flap aimed in a more cephalic direction when the surgeon marked a new umbilical point on the skin with the patient in the semi-Fowler position.…”

Section: Discussionmentioning

confidence: 99%

Location of the umbilicus in Korean women and its changes after breast reconstruction with an ipsilateral pedicled rectus abdominis musculocutaneous flap

Jeon

Son

2018

Arch Plast Surg

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BackgroundThe umbilicus makes an important contribution to the natural appearance of the abdomen. To date, studies on its position in Korean women are lacking, and no standards have been established. The purpose of this study was to investigate the position of umbilicus in Korean women and to review changes in its position after ipsilateral pedicled rectus abdominis musculocutaneous (IP-RAM) flap.MethodsThis research consisted of two studies. In first study, 100 females who visited the emergency department with gastroenteritis between 2007 and 2011 were included. In second study, 40 women who underwent IP-RAM flap in the same period were included. Using abdominal computed tomography, we measured the distance between xiphoid process and umbilicus, represented by value a, and the distance between umbilicus and symphysis pubis, represented by value b. Thus, the location of the umbilicus was represented by the ratio a/b. The data were analyzed using Pearson correlation test and paired t-test.ResultsIn study 1, the mean value of a/b was 1.07. Pearson correlation test revealed a significant correlation between age and a/b. In study 2, the mean value of a/b was 1.16 in preoperative measurements and 1.01 in postoperative measurements. The paired t-test showed a significant difference between preoperative and postoperative measurements, indicating cephalic migration of the umbilicus after surgery.ConclusionsThe natural position of the umbilicus showed caudal migration with aging. Additionally, in a comparison of preoperative and postoperative measurements in patients who underwent IP-RAM flap, cephalic migration of the umbilicus was observed after surgery.

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Section: Discussionmentioning

confidence: 99%