Background: Correction of abdominal wall deformities
is one of the most frequent procedures in plastic surgery, and
the aesthetic, reconstructive, and functional aspects should
always be considered. Patients seeking abdominoplasty desire
correction of an existing abdominal wall contour deformity
resulting from excess skin and fat as well as musculofascial
laxity. The objective of this study is to evaluate the safety
and outcome of thinning of anterior abdominal wall flap
during abdominoplasty from the aesthetic and the functional
point of view.
Patients and Methods: 20 females complaining of abdominal
lipodystrophy, skin laxity and musculoaponeurotic flaccidity
were subjected to lipoabdominoplasty with direct
surgical resection of the deep fat. Then the results were
evaluated from the aesthetic and functional points of view.
Results: The mean hospital stay was 3.75±0.91 days
(range 3-6 days), two cases were reported with flap dehesince.
(10%) and only one case of seroma was reported (5%). 90%
of cases were satisfied and esthetic results as evaluated by a
senior plastic surgeon not involved in the study were accepted
in 18 cases (90%) of cases.
Conclusion: Lipoabdominoplasty with limited supraumblical
paramedian undermining with thining of the anterior
abdominal wall flap through resection of the deep subscarpal
fat, is a powerful and safe body sculpturing tool that can lead
to better aesthetic and functional results.