Classical abdominoplasty with flank liposuction versus extended abdominoplasty

ABSTRACT

AbdominopIasly is one of the most commonly performed aesthetic surgery procedures. We have chosen comparison between two groups, group 1-25 patients who underwent classical abdominoplasty with flank liposuction which will stop the incision at the anterior/superior iliac spine.and groupII-25 patients who underwent extended abdominoplasty with lateral extension of the lower abdominal incision in the flanks as regards to patient satisfaction, scar length, lateral upper thigh sensation, dog ears, and skin redundancy.Fifty patients underwent cihdominoplasty between July 2009 and July 2012 The mean age of the studied groups of patients in this work was 35.36 in group I and 36.20 in group II and we had female to male incidence of 91.With inclusion criteria presented with abdominal deformities [Matarasso type HI]. In both groups there were no skin redundancy and dog ears, no step-off borders, the scar was narrow, the edges were coapted, there was no inflammation, the overall cosmetic result was excellent and the scar was optimum.Hypothesia in upper lateral thigh was [20%] group 7, [40%] group II and total [30%]. Unilateral loss of sensation in upper lateral thigh in group II was [4%] in group II,but there was no significant difference between the two groups as regards to hypothesia bilateral and unilateral, age groups and hypothesia, age groups and loss of sensation, and sex and hypothesisa and loss of sensation bilateral and unilateral. Patients usually seek abdominoplasty for abdominal wall laxity, excess skin, striae, or diastasis of the rectus muscles. Liposuction is a very affective treatment for recontouring localized fat and decreases the length of abdominoplasty scar and decreases complications such as hypothesia and loss of sensation in upper lateral thigh