Experiences of Seroma after Lipoabdominoplasty

Yoon, Sang Yub

Abstract

The popularity of abdominoplasty appears to be increasing. Lipoabdominoplasty consist of liposuction around abdominal subcutaneous fatty tissue and excision of lower abdominal flap. This procedure allows aggressive thinning and sculpting of abdominal flap, while preserving neurovascular supply to the abdominal skin. As a result, the flap necrosis which is one of the serious postoperative complications requiring the secondary touch can be avoided. From May 2007 to August 2008, 20 women and 2 men underwent the lipoabdominoplasty and were highly satisfied with no significant complications, such as pulmonary embolism, deep vein thrombosis and distal necrosis. Between 130 and 4,660cc(average, 1,310cc) were obtained through liposuction. The abdominoplasty flap weight fluctuated between 170 and 1,240g(average, 488g). Patients can return to normal activity within a few weeks. Three complications of seroma occurred in our series. To prevent these complications, we recommend the Baroudi's stitches. This lipoabdominoplasty is an effective and safe alternative means without flap necrosis.