Background: Abdominoplasty is one of the most commonly
performed cosmetic procedures. Achieving functional and
aesthetic outcome is a major goal. The scar's final position is
affected by multiple factors, so it is important to attempt to
decrease, the possibility of distortion in the outcome. Perfect
scar is a main aim, and a hidden scar is one of the most
desirable concerns.
Objective: Aim of study is to assess the result of fixation
of lower abdominal flap in high lateral tension abdominoplasty
and its long-term impact on scar positioning.
Patients and Methods: Thirty patients were enrolled in
this study, divided into 2 groups with group (A) underwent
high lateral tension abdominoplasty without lower flap fixation,
and group (B) with lower abdominal flap fixation, objective
and subjective assessments; including measurements and
patients' satisfaction (VAS scale) was obtained. Statistical
analysis of the collected data was done.
Results: Rise of scar was more in group (A) (without
lower flap fixation) than group (B) (with lower flap fixation).
Patients' satisfaction scores were excellent in (80%) cases in
group (B) and (60%) in group (A).
Conclusion: Symmetry and proportion are essence of
aesthetic surgery. Fixation of lower abdominal flap in abdominoplasty
is highly advised according to our results to reach
a cosmetic balance and patients' satisfaction with a hidden
well designed symmetric scar.