Introduction: Lipoabdominoplasty is considered one of the most common operations in aesthetic surgery performed
worldwide. Although a simple dermolipectomy usually yields satisfactory results, more and more women are now seeking
waist definition. In this study, crescent-shaped plication of the external abdominal oblique aponeurosis will be incorporated with classical conservative abdominoplasty and liposuction to improve abdominal contour and enhance waist definition.
Patients and Methods: Sixty female patients, aged 20–55 years, attending Plastic Surgery Clinics at Suez Canal University
Hospitals and Al Galaa Military Medical Complex were included in this study. Patients were randomly allocated into
either group [A] (crescent-shaped plication of the external abdominal oblique aponeurosis with classical conservative
lipoabdominoplasty), or group [B] (classical conservative lipoabdominoplasty without crescent-shaped plication of the
external abdominal oblique aponeurosis). The preoperative and postoperative waist circumference was measured 4 cm
above the umbilicus.
Results: The mean waist circumference was significantly lower (P value < 0.001) in group [A] (87.4±1.1) than group
[B] (96.8±1.8). There was a considerable difference in patient self-assessment, with more than 85% of the participants in
group [A] being extremely satisfied, while only 15% of the patients in group [B] were extremely satisfied.
Conclusion: Crescent-shaped plication of the external oblique aponeurosis achieved significant waist precision and
patient satisfaction when incorporated with classical conservative dermolipectomy.