Lipoabdominoplasty

Saldanha, Osvaldo Ribeiro; Rodrigo, Fernando; Daher, Presper F.; Malheiros, Andrey A.; Carneiro, Paulo R. G.; Azevedo, Sérgio F. D.; Filho, Osvaldo Ribeiro Saldanha; Saldanha, Cristianna Bonetto

doi:10.1097/prs.0b013e3181b037e3

Cited by 103 publications

(53 citation statements)

References 17 publications

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“…This is in agreement with several other published studies on Scarpa's fascia preservation. 7,8,14 Our method of abdominal flap dissection in this series was deep to Scarpa's fascia and our overall seroma rate was 18.6% which is similar to that quoted by Costa-Ferreira et al. 6 Other postulated mechanisms to reduce abdominoplasty seromas are the use of progressive tension or quilting sutures to minimise deadspace and abdominal flap shear.…”

Section: Discussionsupporting

confidence: 68%

Abdominoplasty and seroma: A prospective randomised study comparing scalpel and handheld electrocautery dissection

Marsh

Fox

Grobbelaar

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Section: Discussionsupporting

confidence: 68%

Abdominoplasty and seroma: A prospective randomised study comparing scalpel and handheld electrocautery dissection

Marsh

Fox

Grobbelaar

et al. 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…22,23 Although this may serve as a reasonable alternative, the key to this technique is limited undermining laterally up to the costal mar- gin. Furthermore, the cause of reduced seroma formation with a subscarpal plane of dissection has been brought into question because of the lack of good anatomical studies delineating postabdominoplasty lymphatic flow.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Traditional Cosmetic Abdominoplasty in a Community Setting

Neaman

Armstrong

Baca

et al. 2013

Plastic and Reconstructive Surgery

124

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Seroma formation following abdominoplasty is the most common complication. Concomitant liposuction of the flanks and abdomen with the addition of aggressive undermining leads to higher seroma rates. This association is likely multifactorial and may be secondary to increased resorptive demands placed on the abdominal lymphatics in the setting of greater dead space and larger fluid shifts as a result of liposuction. To reduce seroma rates, surgeons should avoid aggressive liposuction and undermining, particularly in high-risk patients.

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“…Using a more superficial plane of dissection has been proposed as a way to reduce complications associated with abdominoplasty. This concept was first described by Le Louarn 35 but Vasconez et al, [37][38][39] and Saldanha et al 40,41 also published their experience with this concept. These authors proposed that the abdominal flap should be elevated on 2 different surgical planes as opposed to the single plane used on a classic abdominoplasty: in the supraumbilical region a premuscular plane, identical to the one used in a classic full abdominoplasty; in the infraumbilical region a more superficial plane of dissection at Scarpa fascia level.…”

mentioning

confidence: 89%

Abdominoplasty With Scarpa Fascia Preservation

Costa‐Ferreira

Rebelo

Vásconez

et al. 2016

Annals of Plastic Surgery

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The plane of dissection used during a full abdominoplasty has been implicated on the seroma rate. Avoiding the classic plane of dissection on top of the rectus fascia and using a more superficial plane of dissection has been suggested as a strategy to improve recovery and lower the complication rate. The authors have been applying this principle in their practice for more than a decade, and they performed 2 prospective comparative studies to evaluate the clinical effects of using a more superficial plane of dissection (with Scarpa fascia preservation) during a full abdominoplasty.The technique is presented and explained along with the results of both comparative studies.The results of both studies are discussed particularly the effects on drain volume (total and daily), the duration of drain usage and the avoidance of "long drainers." These are very relevant advantages of the technique that have not been discussed in the literature. The results and surgical strategies used by other authors which apply a more superficial plane of dissection are presented.Controversy still exits on the manipulation of the deep fat compartment by liposuction or direct fat excision. No manipulation is another option which should be considered but it has been questioned due to the risk of aesthetic compromise. A morphometric study performed on the surgical specimens of 41 female patients submitted to a full abdominoplasty validates that option.Based on this evidence, the authors recommend that surgeons consider performing abdominoplasties using a more superficial plane of dissection in the infraumbilical area with total preservation of Scarpa fascia and the deep fat compartment. The classic plane of dissection, on top of the deep fascia, should be avoided in the lower abdomen.

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Lipoabdominoplasty

Abstract: With a progressive adaptation of this technique, it is possible to achieve a harmonious body contour using a safe liposuction method on the abdominal and costal areas, with fast recovery and good to excellent results.

Cited by 103 publications

References 17 publications

Abdominoplasty and seroma: A prospective randomised study comparing scalpel and handheld electrocautery dissection

Abdominoplasty and seroma: A prospective randomised study comparing scalpel and handheld electrocautery dissection

Outcomes of Traditional Cosmetic Abdominoplasty in a Community Setting

Abdominoplasty With Scarpa Fascia Preservation

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