Lipoabdominoplasty with Litmited Central Undermining

ABSTRACT

The classic abdominoplasty still provides the best results, despite many advances in abdominoplasty techniques. Performing liposuction and at the same time abdominoplasty is associated with a relatively high incidence of complication especially in patients with wide undermining of the abdominal flap. So, when performing the liposuction and abdominoplasty at the same time, cautious suctioning with small cannulas in the upper abdominal flap is recommended. Most perform liposuction and abdominoplasty separately, with 6-month interval between procedures to avoid involvement of the blood vessel. In 1992, Illouz published a technique of abdominoplasty without undermining that was used in obese patients with pendulous abdomens in which an enbloc resection followed by superior lipoplasty and limited plication of abdominal recti muscle. Authors present a new surgical approach to the aesthetic treatment of the abdominal region, especially upper abdomen, which uses the principles of liposuction and the traditional abdominoplasty with limited central undermining flap. Lipoplasty proceeds from the region above the umbilicus to the flank and the skin is resected as in classical abdominoplasty, but a thinner fatty layer with its connective tissue is preserved. The limited central undermining is done for the correction of diastasis recti in upper abdomen. Authors suggest that lipoabdominoplasty with limited central undermining may be appropriate technique to enhances the upper abdominal contour with fewer complications.