Refinements in abdominoplasty

Seung-Jun, O; Thaller, Seth R.

doi:10.1016/s0094-1298(03)00088-9

Cited by 19 publications

(9 citation statements)

References 75 publications

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“…Harris and Carr [33] reported that women aged between 31 and 60 years are more dissatisfied with their appearance than younger women. Seung‐Jun and Thaller [35] suggested that the combined effects of age and pregnancy on the abdominal wall are the most common indications for abdominoplasty. Thus, the demographic characteristics of the study population may show a relationship between demand for cosmetic surgery and its acceptance in a cultural context (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Effects of Abdominoplasty on Female Sexuality: A Pilot Study

Brito

Nahas

Bussolaro

et al. 2012

The Journal of Sexual Medicine

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Introduction Changes in the pubic region resulting from abdominoplasty may have a psychosexual impact. Thus, it is important to study the influence of physical changes on the sexuality of patients after abdominoplasty. Aim To evaluate the effects of the elevation of the mons pubis and consequent exposure of the clitoris in the vulvar commissure on the sexual functioning and sexual satisfaction of women who underwent abdominoplasty. Methods Data were presented as mean ± standard deviation. Nineteen women with a mean age of 35 ± 7 years, mean body mass index of 23 ± 2 kg/m2 and who expressed a desire to undergo abdominoplasty were selected from consecutive patients attending the abdominal plastic surgery outpatient unit of a university hospital. Main Outcome Measures Physical change (measured by the distance between the xiphoid process and vulvar commissure [xipho-vc]), sexual functioning, and sexual satisfaction (assessed with the Sexuality Assessment Scale), and body image (measured using the Body Shape Questionnaire [BSQ]) were evaluated preoperatively and 6 months after abdominoplasty. Results There was a significant reduction (P = 0.0004; z = −3.53) in the xipho-vc distance 6 months after abdominoplasty compared with baseline (mean difference 3.63 ± 2.79 cm), corresponding to an elevation of the mons pubis and consequent exposure of the clitoris. All patients reported a significant improvement in sexual functioning and sexual satisfaction 6 months after abdominoplasty when compared with baseline (P = 0.0001; z = −3.83). BSQ scores indicated an improvement in the patients’ concerns about body shape (P = 0.0003; z = −3.58). Conclusion Our results suggest that physical change and the new position of the clitoris may have a positive impact on sexuality.

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Section: Discussionmentioning

confidence: 99%

Effects of Abdominoplasty on Female Sexuality: A Pilot Study

Brito

Nahas

Bussolaro

et al. 2012

The Journal of Sexual Medicine

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“…Ventral hernias, which include umbilical, para-umbilical, epigastric, and incisional hernias are a relatively common finding among patients undergoing abdominoplasty. These individuals usually seek the abdominal contouring surgery after repeated pregnancies, which are known to cause abdominal wall laxity and deformity [1][2][3][4][5] difficult to reverse with dieting and muscular exercise [6,7,8]. A lot of literature has discussed repair of these hernias alone, using open or laparoscopic techniques.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Combining Ventral Hernia Repair with Abdominoplasty or Mesh-abdominoplasty in Multiparous Women

Sakr¹,

Habib²,

Hamed³

et al. 2019

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Objectives: to determine the outcome of ventral hernia repair during abdominoplasty and mesh-abdominoplasty regarding cosmesis, recurrence and post-operative complications. Subjects and Methods: The present retrospective study included 78 multiparous women with ventral hernia and abdominal wall deformity. Age ranged between 28 and 59 years with a mean of 41.37±11.18 years. Half of the patients suffered from episodes of colicky abdominal pain and 34 (43.6%) had chronic low back pain. Forty patients (with defect < 3cm) underwent standard abdominoplasty (Group 1) and 38 (with defect > 3cm) underwent mesh-abdominoplasty (Group 2), both after primary suture hernia repair and midline fascial plication. The follow-up period ranged from 22 months to 11 years with a mean of 62.5 months. Results: Both groups were comparable regarding their demographic and clinical parameters. Patients with abdominoplasty had significantly (p=0.0193) more para-umbilical hernias (PUHs) than those with mesh-abdominoplasty (80% vs 55.3%, respectively), but had less incisional or recurrent PUHs. All repaired hernias did not recur except for one patient in each group. No mortality or major complications were encountered. Wound complications occurred in 7 patients (17.5%) in Group 1 vs 10 (26.3%) in Group 2 (p=0.346). Recurrence of abdominal wall deformity and the need for a second refashioning procedure were significantly higher among patients who underwent abdominoplasty alone (p=0.011 and p=0.0139, respectively). Conclusions: (1) During abdominoplasty, ventral hernia repair and midline plication can be performed in defects <3 cm with no increase in hernia recurrence rate, (2) in patients with defects >3 cm, additional mesh reinforcement is indicated and (3) Prolene mesh-abdominoplasty for multiparous women with severe musculo-aponeurotic laxity and ventral hernia, yields lower recurrence of abdominal deformity and less refashioning procedures with minimal complications than abdominoplasty alone.

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“…Trying to achieve a more accurate description, Dubou 20 measured the umbilicus location in 100 non-obese subjects randomly selected and found that the navel transects, in 96% of subjects, in a line passing through a higher level of the iliac crests.…”

Section: Introductionmentioning

confidence: 99%

Non-scarring Minimal Incision Neo-omphaloplasty in Abdominoplasty: The Alvarez Technique. A New Proposal

Alvarez¹,

Alvarez²,

Caldeira

2021

Plastic and Reconstructive Surgery - Global Open

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Background: Abdominoplasties are increasingly requested aesthetic, reconstructive surgical procedures that, in most cases, have shown the disadvantage of leaving an often-notorious periumbilical scar due to hypertrophy, keloid, or because it simply remains very visible over time, after surgery. The Alvarez technique (or nonscarring minimal-incision neo-omphaloplasty) is a completely new, unprecedented technique because it does not leave visible scars. This technique requires the generation of four small flaps and a purse-string suture system interacting with the aponeurosis of the rectus abdominis muscles, as well as the modification of the vertical abdominal plication, and management of the subcutaneous cellular tissue in the new umbilicus area, which, if executed correctly, provide adequate aesthetic results. Methods: A multicentric case-series scientific study is presented with a total of 94 patients who underwent classical abdominoplasties and neo-omphaloplasties with the aforementioned technique from August 2018 to December 2020. Pre-surgical and postoperative photographic files were collected. Results: Of the 94 patients, there were eight (8.5%) cases of seroma, which are not attributable to neo-omphaloplasty but inherent to the use of drains. There were five (5.3%) cases of umbilical dehiscence. In total, 89.2% (84 patients) showed a very high degree of long-term satisfaction, and 10.6% (10 patients) had a medium level of long-term satisfaction. Conclusions:The Alvarez technique provides good aesthetic results that are well accepted among patients and surgeons, in the short and long term. It is useful for those patients who wish to undergo an abdominoplasty but cannot stand a scar in the umbilical region.

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Refinements in abdominoplasty

Cited by 19 publications

References 75 publications

Effects of Abdominoplasty on Female Sexuality: A Pilot Study

Effects of Abdominoplasty on Female Sexuality: A Pilot Study

Outcome of Combining Ventral Hernia Repair with Abdominoplasty or Mesh-abdominoplasty in Multiparous Women

Non-scarring Minimal Incision Neo-omphaloplasty in Abdominoplasty: The Alvarez Technique. A New Proposal

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