The Fleur-De-Lis Abdominoplasty

Mitchell, Ryan T.; Rubin, J. Peter

doi:10.1016/j.cps.2014.07.007

Cited by 22 publications

(5 citation statements)

References 18 publications

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“…Fleur-de-lis abdominoplasty is a well-known surgical method for the modification of traditional panniculectomy with an additional vertical component instead of a fusiform design, to eliminate redundant skin and soft tissue and make the abdominal contour tighter and flatter after the surgery. 7 This technique appears to be safe and popular in abdominoplasty in patients with massive weight loss who have remarkable excess epigastric skin. 8 Fleur-de-lis design has also been commonly used in flap harvest.…”

Section: Discussionmentioning

confidence: 99%

Fleur-de-lis Miniabdominoplasty Access in Radical Resection of a Large Abdominal Wall Desmoid Tumor

Chen,

Kao,

2023

Plastic and Reconstructive Surgery - Global Open

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Summary: Desmoid tumor (DT) is a rare benign soft tissue neoplasm that develops in the musculoaponeurotic structures, one-third of which involve the abdominal wall. Due to local aggressive infiltration of DT, the recurrence rate is approximately 45%–77%, according to the locations of the tumors, and 25%–50% for those with unclear surgical margins. Limited by adverse effects of radiotherapy and chemotherapy, surgical excision is still the standard management recommended. Differing from traditional midline or abdominoplasty access, we applied a fleur-de-lis miniabdominoplasty access in a 37-year-old woman who had primary abdominal wall DT with less than 1 cm depth from the umbilicus. The approach not only provides a better surgical field for radical tumor excision but also eliminates redundant skin and dog-ear formation at bilateral flanks. An appropriate surgical margin could be processed simultaneously when the tumor was close to the skin surface. After abdominal wall reconstruction, the postoperative course was uneventful, and no DT recurrence or incisional hernia was noted during the follow-up. The patient was satisfied with the tumor treatment and aesthetic outcome.

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Section: Discussionmentioning

confidence: 99%

Fleur-de-lis Miniabdominoplasty Access in Radical Resection of a Large Abdominal Wall Desmoid Tumor

Chen,

Kao,

2023

Plastic and Reconstructive Surgery - Global Open

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“…This is probably due to the concern regarding the visibility of a vertical scar. Due to this concern, inverse t-scar is rarely used in abdominoplasty except in postbariatric patients [3,4,14,15,16,17]. In this study, we have compared the scar quality of conventional horizontal scar abdominoplasties with t-scar abdominoplasties.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Aesthetic Quality of the Final Scar in Abdominoplasty with Conventional and Mini Inverted t-Scar

Yazar

Serin

2019

Medicina

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Background and objectives: Abdominoplasty is one of the most commonly performed cosmetic procedures. The excess skin in the conventional abdominoplasty is transversely excised and a single horizontal scar is formed. The mini inverted t-scar abdominoplasty is a modification of the “Fleur-de-lis” technique and involves the use of a small vertical incision in comparison to the long vertical incision. The aim of this technique is to lower the position of the final abdominal scar instead of addressing the horizontal laxity. In this study, we have compared the aesthetic satisfaction, width and the position of the scar with conventional abdominoplasty and mini inverted t-scar abdominoplasty. Materials and Methods: Thirty patients undergoing abdominoplasty and breast reconstruction with transverse rectus abdominis flap (TRAM) and deep inferior epigastric flap (DIEP) were included in the study. In 15 patients, abdominal closure with the conventional transverse scar was performed. In the remaining 15 patients, closure with a mini inverted t-scar was performed. Scar width, scar height and satisfaction scores were evaluated in both groups. Results: Scar widths, scar heights and patients’ and as well as surgeons’ satisfaction scores were better in the mini inverted t-scar group than the conventional group. Conclusions: The visibility of the vertical scar alone should not be a reason to avoid mini inverse t-scar abdominoplasty. Mini inverted t-scar can be an option to achieve a better hidden high-quality scar.

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“…Recently, Rubin edited a 14-article review on body contouring, in which he presented one male case [ 17 ]. Capella reserves the combination of abdominoplasty and lower body lifts with vertical medial thighplasty for android appearing women and males [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Enhancing Masculine Features After Massive Weight Loss

Hurwitz

2016

Aesth Plast Surg

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BackgroundWhereas body contouring surgery after massive weight loss in women emphasizes sculptured adipose and broader lower torso, little attention has been devoted to accentuating the male physique.ObjectiveTo determine if boomerang excision pattern correction of gynecomastia with J torsoplasty combined with an abdominoplasty with oblique excisions directly over bulging flanks provide effective and safe optimizing of muscle visibility and upper torso dominance.MethodsA description of comprehensive body contouring through an abdominoplasty and a series of obliquely oriented ellipses of the male torso is followed by review of 19 consecutive patients.ResultsSeventeen patients were performed in a single stage. Nine of the last ten cases included J torsoplasty and oblique excision extensions over the flanks. Of the 17 patients responding to a ten-question survey, 15 were satisfied with chest improvement. One of the first eight patients with a transverse lower body lift was satisfied with the flank bulges. All of the last eight cases with direct oblique flank excisions were satisfied with their lower body. Five patients (26 %), having a total of 74 operative procedures, had significant complications of chest hematoma, persistent hip and buttock seromas, superior NAC edge necrosis, and distal necrosis of the fleur de lis abdominoplasty. One boomerang correction underwent minor revisions. One transverse lower body lift underwent major revision. No complications occurred in the last ten patients, having oblique flank excisions instead of transverse lower body lifts.ConclusionComprehensive excisional body contouring surgery of a central high tension abdominoplasty with a series of obliquely oriented ellipses throughout the torso appears to provide low risk improved body contour for the muscular male. Level of Evidence IVThis 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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The Fleur-De-Lis Abdominoplasty

Cited by 22 publications

References 18 publications

Fleur-de-lis Miniabdominoplasty Access in Radical Resection of a Large Abdominal Wall Desmoid Tumor

Fleur-de-lis Miniabdominoplasty Access in Radical Resection of a Large Abdominal Wall Desmoid Tumor

Comparison of Aesthetic Quality of the Final Scar in Abdominoplasty with Conventional and Mini Inverted t-Scar

Enhancing Masculine Features After Massive Weight Loss

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