Arch Plast Surg.
2016 Jul;43(4):352-359. 10.5999/aps.2016.43.4.352.
Deep-Plane Lipoabdominoplasty in East Asians
- Affiliations
-
- 1Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. kokoro72@naver.com
- 2YeStar Plastic Surgery, Shanghai, China.
- 3BR Plastic Surgery, Seoul, Korea.
- KMID: 2344334
- DOI: http://doi.org/10.5999/aps.2016.43.4.352
Abstract
- BACKGROUND
The objective of this study was to develop a new surgical technique by combining traditional abdominoplasty with liposuction. This combination of operations permits simpler and more accurate management of various abdominal deformities. In lipoabdominoplasty, the combination of techniques is of paramount concern. Herein, we introduce a new combination of liposuction and abdominoplasty using deep-plane flap sliding to maximize the benefits of both techniques.
METHODS
Deep-plane lipoabdominoplasty was performed in 143 patients between January 2007 and May 2014. We applied extensive liposuction on the entire abdomen followed by a sliding flap through the deep plane after repairing the diastasis recti. The abdominal wound closure was completed with repair of Scarpa's fascia.
RESULTS
The average amount of liposuction aspirate was 1,400 mL (700-3,100 mL), and the size of the average excised skin ellipse was 21.78×12.81 cm (from 15×10 to 25×15 cm). There were no major complications such as deep-vein thrombosis or pulmonary embolism. We encountered 22 cases of minor complications: one wound infection, one case of skin necrosis, two cases of undercorrection, nine hypertrophic scars, and nine seromas. These complications were solved by conservative management or simple revision.
CONCLUSIONS
The use of deep-plane lipoabdominoplasty can correct abdominal deformities more effectively and with fewer complications than traditional abdominoplasty.
