Getting the Best Results in Abdominoplasty: Current Advanced Concepts

Boudreault, David; Sieber, David A.

doi:10.1097/prs.0000000000005378

Cited by 16 publications

(10 citation statements)

References 62 publications

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“…An alternative in these cases, as found in the literature, is the use of a mesh that requires significant time and is linked to an increased risk of infection, even chronic pain due to nerve damage from fibrosis generated from mesh absorption. Thus, more evidence is needed to consider it as a first-line treatment [ 34 – 36 ].…”

Section: Discussionmentioning

confidence: 99%

A Proposed Classification and Treatment Algorithm for Rectus Diastasis: A Prospective Study

2022

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Background This study presents a classification system and treatment method to correct Rectus diastasis (RD) during abdominoplasty. Materials and methods One hundred and sixty seven patients undergoing abdominoplasty were enrolled between April 2014 and January 2018. Forty-three patients did not present with RD and were excluded from the analysis. Mean age was 40.32 years, mean BMI was 23.84, and minimum follow-up was 24 months. A four-type (A: mild 2–3cm, B: moderate 3–5cm, C: severe 5–7cm, and D: very severe 7–9cm) classification system is described. A different treatment method is performed in each category using continuous and interrupted absorbable sutures. Postoperatively patients filled up a questionnaire that involved the level of pain, the postoperative day they performed specific indoor/outdoor activities, and the evaluation of the aesthetic result. Results No statistically significant differences were observed between the four RD types regarding pain, complications, and return to specific activities. All types of RD had the same low rate complication profile. The seroma rate was 0.81%. The infection rate was 0.81%, and the thromboembolism and the pneumonic embolism rate was 0%. After 2–6 years of follow-up no clinical recurrence of rectus diastasis was observed. All reoperations (14.52%) were performed due to scar deformities. Mean pain score levels were very low (<1.5) and within a week most patients returned to specific indoor and outdoor activities. Most patients were extremely satisfied with the results. Conclusions In this article, we present an updated classification system and treatment protocol to provide surgeons a safe and standardized method that produces high-quality aesthetic results. Level of evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Section: Discussionmentioning

confidence: 99%

A Proposed Classification and Treatment Algorithm for Rectus Diastasis: A Prospective Study

2022

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“…Numerous variations and modifications of abdominoplasty procedures have been developed. To achieve the optimal postoperative results, careful selection of the appropriate technique for each individual case is required [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Keyhole vertical mini-abdominoplasty for correction of lower abdominal striae

Kim

Shin

et al. 2020

Arch Aesthetic Plast Surg

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Striae gravidarum are a common problem in postpartum women, who may experience serious emotional distress due to multiple streaks of scars on the abdomen. There is still no consensus on the treatment method for this problem. For a postpartum woman in her late 30s, who requested striae removal from the lower mid-abdomen, we developed and performed the keyhole-shaped vertical mini-abdominoplasty. This 37-yearold woman, who had given birth to two children, presented with multiple striae on the lower mid-abdomen and periumbilical area, as well as mild bulging in this area. The keyhole-shaped vertical mini-abdominoplasty, including multiple striae on the lower midabdomen and periumbilical skin, was designed. An area of striated lower abdominal and periumbilical skin, measuring approximately 10×15 cm 2 and weighing about 450 g, was excised. Midline reinforcement of the loosened anterior rectus sheath with 3-0 Prolene sutures was done. Both lateral abdominal skin flaps were medially advanced to close the skin defects. Postoperatively, the patient had a favorable lower abdominal appearance with markedly fewer striae on the lower mid-abdomen and periumbilical area. The keyhole vertical mini-abdominoplasty can effectively correct moderate striae on the lower mid-abdomen and periumbilical area in postpartum women in their late 30s to middle age.

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“…Adequate patient selection is a key element for success, because if the indication is not correct, the abdominal wall defect may be repaired but not the flaccidity nor the redundant abdominal flap. 8 …”

Section: Methodsmentioning

confidence: 99%