The Efficacy of Combined Liposuction and Surgical Resection of Deep Fat of the Anterior Abdominal Wall in Abdominoplasty

Abstract

Background: Correction of abdominal wall deformities is one of the most frequent procedures in plastic surgery, and the aesthetic, reconstructive, and functional aspects should always be considered. Patients seeking abdominoplasty desire correction of an existing abdominal wall contour deformity resulting from excess skin and fat as well as musculofascial laxity. The objective of this study is to evaluate the safety and outcome of thinning of anterior abdominal wall flap during abdominoplasty from the aesthetic and the functional point of view.Patients and Methods: 20 females complaining of abdominal lipodystrophy, skin laxity and musculoaponeurotic flaccidity were subjected to lipoabdominoplasty with direct surgical resection of the deep fat. Then the results were evaluated from the aesthetic and functional points of view.Results: The mean hospital stay was 3.75±0.91 days (range 3-6 days), two cases were reported with flap dehesince. (10%) and only one case of seroma was reported (5%). 90% of cases were satisfied and esthetic results as evaluated by a senior plastic surgeon not involved in the study were accepted in 18 cases (90%) of cases.Conclusion: Lipoabdominoplasty with limited supraumblical paramedian undermining with thining of the anterior abdominal wall flap through resection of the deep subscarpal fat, is a powerful and safe body sculpturing tool that can lead to better aesthetic and functional results.