Introduction: Abdominoplasty has two fundamental principles:
First: Removal of excess fat and skin from the abdominal
wall. Second: Narrowing of the waistline. Myofascial
plication is a fundamental part of abdominoplasty that is done
by most surgeons to reinforce the weakened abdominal wall
and to produce a narrow waistline. Despite many techniques
were depicted for abdominal wall plication, there is no general
agreement among plastic surgeons about the ideal technique.
In this article, the authors demonstrate and evaluate the
triangular technique for myofascial plication.
Patients and Methods: Between January 2019 and February
2020, the authors applied the triangle plication technique
on 19 women with rectus muscle diastasis who underwent
anterior abdominal wall plication as a part of conventional
abdominoplasty. The patients were followed-up for 7-12
months post-operative. The results were assessed mainly by
measuring the reduction in the waist to hip ratio, the patients'
satisfaction on a scale of 0 to 10, and by an external observer
using the Global Aesthetic Improvement SCORE (GAIS).
Results: Patients' satisfaction were graded as excellent in
95% of cases and the GAIS ranged between scores 4-5 in
95% of cases with 17.3% average reduction in the ratio of
waist to hip measures and 19.3% average reduction of the
vertical length of the rectus sheath.
Conclusion: Abdominal myofascial triangular plication
is a simple technique that results in improvement of the trunk
contour with a narrower waistline, facilitates tension-free
closure of abdominoplasty incision, and with high patients'
satisfaction rates.