Lipoabdominoplasty: A versatile and safe technique for abdominal contouring

Rangaswamy, Mohan; Bhargava, Pradeep

doi:10.1055/s-0039-1700475

Cited by 8 publications

(8 citation statements)

References 23 publications

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“…In 2008, Rangaswamy [ 18 ] reported on a new lipoabdominoplasty technique that was similar to DPLA. However, DPLA is different from Mohan's technique in several ways.…”

Section: Discussionmentioning

confidence: 99%

Deep-Plane Lipoabdominoplasty in East Asians

Kim

Jang

Hong³

et al. 2016

Arch Plast Surg

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BackgroundThe objective of this study was to develop a new surgical technique by combining traditional abdominoplasty with liposuction. This combination of operations permits simpler and more accurate management of various abdominal deformities. In lipoabdominoplasty, the combination of techniques is of paramount concern. Herein, we introduce a new combination of liposuction and abdominoplasty using deep-plane flap sliding to maximize the benefits of both techniques.MethodsDeep-plane lipoabdominoplasty was performed in 143 patients between January 2007 and May 2014. We applied extensive liposuction on the entire abdomen followed by a sliding flap through the deep plane after repairing the diastasis recti. The abdominal wound closure was completed with repair of Scarpa's fascia.ResultsThe average amount of liposuction aspirate was 1,400 mL (700–3,100 mL), and the size of the average excised skin ellipse was 21.78×12.81 cm (from 15×10 to 25×15 cm). There were no major complications such as deep-vein thrombosis or pulmonary embolism. We encountered 22 cases of minor complications: one wound infection, one case of skin necrosis, two cases of undercorrection, nine hypertrophic scars, and nine seromas. These complications were solved by conservative management or simple revision.ConclusionsThe use of deep-plane lipoabdominoplasty can correct abdominal deformities more effectively and with fewer complications than traditional abdominoplasty.

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“…In 2008, Rangaswamy [ 18 ] reported on a new lipoabdominoplasty technique that was similar to DPLA. However, DPLA is different from Mohan's technique in several ways.…”

Section: Discussionmentioning

confidence: 99%

Deep-Plane Lipoabdominoplasty in East Asians

Kim

Jang

Hong³

et al. 2016

Arch Plast Surg

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“…Combining liposuction with abdominoplasty was forbidden or advocated cautiously in the nineties,[ 24 ] but now the pendulum has swung to lipoabdominoplasty being the superior alternative. [ 9 13 25 ] It is important to note that lipoabdominoplasty is not merely liposuction added to traditional abdominal flap elevation (which will increase complications), but is a highly sophisticated procedure with maximal neurovascular preservation. Principles of blood supply of the abdominal flap laid out in the early days of liposuction assisted abdominoplasty may be reviewed along with modern descriptions of the LABP before adopting this technique.…”

Section: Discussionmentioning

confidence: 99%

Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps

Rangaswamy

2013

Indian J Plast Surg

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Significant complications still occur after abdominoplasty, the rate varies widely in different series. This variation suggests that there is a lot of scope for improvement. This paper reviews the various complications and also the technical improvements reported in the last 20 years. The root cause of each complication is analysed and preventive steps are suggested based on the literature and the author's own personal series with very low complication rates. Proper case selection, risk stratified prophylaxis of thromboembolism, initial synchronous liposuction, flap elevation at the Scarpa fascia level, discontinuous incremental flap dissection, vascular preservation and obliteration of the sub-flap space by multiple sutures emerge as the strongest preventive factors. It is proposed that most of the complications of abdominoplasty are preventable and that it is possible to greatly enhance the aesthetic and safety profile of this surgery.

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“…The flap, with its reduced blood flow and innervation, then is stretched maximally and sutured under tension, which results in ischemia and lack of sensation in the lower abdominal skin. Moreover, even with adequate drainage, there still is a high rate of postoperative seroma [ 11 ].…”

Section: Abdominoplasty and Liposuctionmentioning

confidence: 99%

“…Another drawback to abdominoplasty has been its contraindication for obese patients due to the need for an ample supply of loose skin and rectus muscle diastasis as well as a limited amount of fat in the abdominal area [ 11 ]. Although many patients can lose weight to become eligible for surgery, many others are unsuccessful.…”

Section: Abdominoplasty and Liposuctionmentioning

confidence: 99%

The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

Louarn¹,

Pascal²

2010

Aesth Plast Surg

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Because abdominoplasty is associated with complications such as seroma and necrosis as well as epigastric bulging and a suprapubic scar located too high, the demand for this procedure is not as high as it otherwise might be. However, although these negative effects were common many years ago, their incidence has decreased dramatically with modern abdominoplastic techniques. One approach using a combination of abdominoplasty and liposuction or lipoabdominoplasty has resolved many of the problems faced with earlier techniques, offering aesthetically pleasing results and excellent reliability. The keys to successful lipoabdominoplasty, first developed as the high-superior-tension technique, are extensive liposuction, preservation of lymphatic trunks, preaponeurotic epigastric dissection, major muscle fascia plication, two high-tension paraumbilical sutures, hypogastric tension sutures, and closure of the dead spaces. The most recent updates to this technique are described in this article.

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Lipoabdominoplasty: A versatile and safe technique for abdominal contouring

Cited by 8 publications

References 23 publications

Deep-Plane Lipoabdominoplasty in East Asians

Deep-Plane Lipoabdominoplasty in East Asians

Minimising complications in abdominoplasty: An approach based on the root cause analysis and focused preventive steps

The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

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