Research progress of abdominoplasty_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JIN Shenyang ,  LI Facheng

The 18th Department of Plastic Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Beijing, 100144, P.R.China;

Corresponding author：

LI Facheng, Email: drlfc@sina.com

Keywords：

Abdominoplasty; liposuction; complication

DOI：

10.7507/1002-1892.201805088

Video：

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Objective To summarize the research progress of abdominoplasty. Methods The literature related to abdominoplasty in recent years was reviewed and the evolution of this surgical method and related surgical techniques were summarized. Results By removing excess skin adipose tissue from abdominal wall and strengthening loosening muscle fascia system, the abdominal wall contour can be improved by abdominoplasty. With the development of liposuction, selective flaps undermining, progressive tension sutures, and Scarpa fascia retention, the trauma and complications of abdominoplasty are significantly reduced, and better aesthetic result is achieved. Conclusion At present, the incidence of abdominoplasty complication is still the highest among cosmetic surgeries, and further exploration is needed to reduce complications and improve aesthetic effects.

Citation： JIN Shenyang, LI Facheng. Research progress of abdominoplasty. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(12): 1611-1614. doi: 10.7507/1002-1892.201805088 Copy

1.	O’Connell JB. The bidirectional, absorbable, no-Drain abdominoplasty. Aesthetic Plastic Surg, 2018, 42(1): 23-31.
2.	Seth AK, Lin AM, Austen WG Jr, et al. Impact of patient subtype and surgical variables on abdominoplasty outcomes: A 12-year Massachusetts General Hospital Experience. Plast Reconstr Surg, 2017, 140(5): 899-908.
3.	Bertheuil N, Chaput B, Berger-Müller S, et al. Liposuction preserves the morphological integrity of the microvascular network: flow cytometry and confocal microscopy evidence in a controlled study. Aesthet Surg J, 2016, 36(5): 609-618.
4.	Matarasso A. Traditional abdominoplasty. Clin Plast Surg, 2010, 37(3): 415-437.
5.	Ribeiro RC, Matos WN Jr, Cruz PF. Modified lipoabdominoplasty: Updating concepts. Plast Reconstr Surg, 2016, 138(1): 38e-47e.
6.	Saldanha OR, Azevedo SF, Delboni PS, et al. Lipoabdominoplasty: the Saldanha technique. Clin Plast Surg, 2010, 37(3): 469-481.
7.	Kim JK, Jang JY, Hong YG, et al. Deep-plane lipoabdominoplasty in East Asians. Arch Plast Surg, 2016, 43(4): 352-359.
8.	Smith LF, Smith LF Jr. Safely combining abdominoplasty with aggressive abdominal liposuction based on perforator vessels: technique and a review of 300 consecutive cases. Plast Reconstr Surg, 2015, 135(5): 1357-1366.
9.	Friedman T, Coon D, Kanbour-Shakir A, et al. Defining the lymphatic system of the anterior abdominal wall: an anatomical study. Plast Reconstr Surg, 2015, 135(4): 1027-1032.
10.	Tourani SS, Taylor GI, Ashton MW. Scarpa fascia preservation in abdominoplasty: Does it preserve the lymphatics. Plast Reconstr Surg, 2015, 136(2): 258-262.
11.	Swanson E. Comparison of limited and full dissection abdominoplasty using laser fluorescence imaging to evaluate perfusion of the abdominal skin. Plast Reconstr Surg, 2015, 136(1): 31e-43e.
12.	Costa-Ferreira A, Marco R, Vasconez L, et al. Abdominoplasty with Scarpa fascia preservation. Ann Plast Surg, 2016, 76(Suppl 4): S264-274.
13.	Correia-Gonçalves I, Valença-Filipe R, et al. Abdominoplasty with Scarpa fascia preservation-comparative study in a bariatric population. Surg Obes Relat Dis, 2017, 13(3): 423-428.
14.	Hoyos AE, Perez ME, Castillo L. Dynamic definition mini-lipoabdominoplasty combining multilayer liposculpture, fat grafting, and muscular plication. Aesthet Surg J, 2013, 33(4): 545-560.
15.	Serra-Renom JM, Martinez-Teixido L, Serra-Mestre JM. Abdominoplasty with customized transverse musculoaponeurotic plications. Plast Reconstr Surg, 2015, 136(6): 741e-749e.
16.	Martinez-Teixido L, Serra-Mestre JM, Serra-Renom JM. A new technique for creating a neo-umbilicus in abdominoplasty. J Plast Reconstr Aesthet Surg, 2017, 70(12): 1760-1767.
17.	Tremp M, Wang W, Oranges CM, et al. Evaluation of the neo-umbilicus cutaneous sensitivity following abdominoplasty. Aesthetic Plast Surg, 2017, 41(6): 1382-1388.
18.	Winocour J, Gupta V, Ramirez JR, et al. Abdominoplasty: Risk factors, complication rates, and safety of combined procedures. Plast Reconstr Surg, 2015, 136(5): 597e-606e.
19.	Matarasso A, Matarasso DM, Matarasso EJ. Abdominoplasty: classic principles and technique. Clin Plast Surg, 2014, 41(4): 655-672.
20.	Cohen B, Meilik B, Weiss-Meilik A, et al. Intraoperative factors associated with postoperative complications in body contouring surgery. J Surg Res, 2018, 221: 24-29.
21.	Koller M, Hintringer T. Scarpa fascia or rectus fascia in abdominoplasty flap elevation: a prospective clinical trial. Aesthetic Plast Surg, 2012, 36(2): 241-243.
22.	Xiao X, Ye L. Efficacy and safety of Scarpa fascia preservation during abdominoplasty: A systematic review and Meta-analysis. Aesthetic Plastic Surg, 2017, 41(3): 585-590.
23.	Gould DJ, Macias LH, Saeg F, et al. Seroma rates are not increased when combining liposuction with progressive tension suture abdominoplasty: A retrospective cohort study of 619 patients. Aesthet Surg J, 2018, 38(7): 763-769.
24.	Gallagher S, Soleimani T, Wang C, et al. Safety and utility of the drainless abdominoplasty in the post-bariatric surgery patient. Ann Plast Surg, 2018, 80(2): 96-99.
25.	Jabbour S, Awaida C, Mhawej R, et al. Does the addition of progressive tension sutures to drains reduce seroma incidence after abdominoplasty? A systematic review and Meta-analysis. Aesthet Surg J, 2017, 37(4): 440-447.
26.	Seretis K, Goulis D, Demiri EC, et al. Prevention of seroma formation following abdominoplasty: A systematic review and Meta-analysis. Aesthet Surg J, 2017, 37(3): 316-323.
27.	Macias LH, Kwon E, Gould DJ, et al. Decrease in seroma rate after adopting progressive tension sutures without drains: A single surgery center experience of 451 abdominoplasties over 7 years. Aesthet Surg J, 2016, 36(9): 1029-1035.
28.	Shipkov H. The association of progressive tension sutures and drains seems to decrease the drainage output and seroma formation in abdominoplasty. Aesthet Surg J, 2017, 37(8): NP94-NP95.
29.	Nasr MW, Jabbour SF, Mhawej RI, et al. Effect of tissue adhesives on seroma incidence after abdominoplasty: A systematic review and Meta-analysis. Aesthet Surg J, 2016, 36(4): 450-458.
30.	Ardehali B, Fiorentino F. A Meta-analysis of the effects of abdominoplasty modifications on the incidence of postoperative seroma. Aesthet Surg J, 2017, 37(10): 1136-1143.
31.	Swanson E. Quilting sutures, Scarpa fascia preservation, and Meta-analyses of seroma rates after abdominoplasty. Plast Reconstr Surg Glob Open, 2017, 5(7): e1429.
32.	Keyes GR, Singer R, Iverson RE, et al. Incidence and predictors of venous thromboembolism in abdominoplasty. Aesthet Surg J, 2018, 38(2): 162-173.
33.	Sharma P, Vazquez Guillamet LJ, Miljkovic G. Atypical mycobacterial infection after abdominoplasty overseas: A case report and literature review. Case Rep Infect Dis, 2016, 2016: 3642567.

1. O’Connell JB. The bidirectional, absorbable, no-Drain abdominoplasty. Aesthetic Plastic Surg, 2018, 42(1): 23-31.
2. Seth AK, Lin AM, Austen WG Jr, et al. Impact of patient subtype and surgical variables on abdominoplasty outcomes: A 12-year Massachusetts General Hospital Experience. Plast Reconstr Surg, 2017, 140(5): 899-908.
3. Bertheuil N, Chaput B, Berger-Müller S, et al. Liposuction preserves the morphological integrity of the microvascular network: flow cytometry and confocal microscopy evidence in a controlled study. Aesthet Surg J, 2016, 36(5): 609-618.
4. Matarasso A. Traditional abdominoplasty. Clin Plast Surg, 2010, 37(3): 415-437.
5. Ribeiro RC, Matos WN Jr, Cruz PF. Modified lipoabdominoplasty: Updating concepts. Plast Reconstr Surg, 2016, 138(1): 38e-47e.
6. Saldanha OR, Azevedo SF, Delboni PS, et al. Lipoabdominoplasty: the Saldanha technique. Clin Plast Surg, 2010, 37(3): 469-481.
7. Kim JK, Jang JY, Hong YG, et al. Deep-plane lipoabdominoplasty in East Asians. Arch Plast Surg, 2016, 43(4): 352-359.
8. Smith LF, Smith LF Jr. Safely combining abdominoplasty with aggressive abdominal liposuction based on perforator vessels: technique and a review of 300 consecutive cases. Plast Reconstr Surg, 2015, 135(5): 1357-1366.
9. Friedman T, Coon D, Kanbour-Shakir A, et al. Defining the lymphatic system of the anterior abdominal wall: an anatomical study. Plast Reconstr Surg, 2015, 135(4): 1027-1032.
10. Tourani SS, Taylor GI, Ashton MW. Scarpa fascia preservation in abdominoplasty: Does it preserve the lymphatics. Plast Reconstr Surg, 2015, 136(2): 258-262.
11. Swanson E. Comparison of limited and full dissection abdominoplasty using laser fluorescence imaging to evaluate perfusion of the abdominal skin. Plast Reconstr Surg, 2015, 136(1): 31e-43e.
12. Costa-Ferreira A, Marco R, Vasconez L, et al. Abdominoplasty with Scarpa fascia preservation. Ann Plast Surg, 2016, 76(Suppl 4): S264-274.
13. Correia-Gonçalves I, Valença-Filipe R, et al. Abdominoplasty with Scarpa fascia preservation-comparative study in a bariatric population. Surg Obes Relat Dis, 2017, 13(3): 423-428.
14. Hoyos AE, Perez ME, Castillo L. Dynamic definition mini-lipoabdominoplasty combining multilayer liposculpture, fat grafting, and muscular plication. Aesthet Surg J, 2013, 33(4): 545-560.
15. Serra-Renom JM, Martinez-Teixido L, Serra-Mestre JM. Abdominoplasty with customized transverse musculoaponeurotic plications. Plast Reconstr Surg, 2015, 136(6): 741e-749e.
16. Martinez-Teixido L, Serra-Mestre JM, Serra-Renom JM. A new technique for creating a neo-umbilicus in abdominoplasty. J Plast Reconstr Aesthet Surg, 2017, 70(12): 1760-1767.
17. Tremp M, Wang W, Oranges CM, et al. Evaluation of the neo-umbilicus cutaneous sensitivity following abdominoplasty. Aesthetic Plast Surg, 2017, 41(6): 1382-1388.
18. Winocour J, Gupta V, Ramirez JR, et al. Abdominoplasty: Risk factors, complication rates, and safety of combined procedures. Plast Reconstr Surg, 2015, 136(5): 597e-606e.
19. Matarasso A, Matarasso DM, Matarasso EJ. Abdominoplasty: classic principles and technique. Clin Plast Surg, 2014, 41(4): 655-672.
20. Cohen B, Meilik B, Weiss-Meilik A, et al. Intraoperative factors associated with postoperative complications in body contouring surgery. J Surg Res, 2018, 221: 24-29.
21. Koller M, Hintringer T. Scarpa fascia or rectus fascia in abdominoplasty flap elevation: a prospective clinical trial. Aesthetic Plast Surg, 2012, 36(2): 241-243.
22. Xiao X, Ye L. Efficacy and safety of Scarpa fascia preservation during abdominoplasty: A systematic review and Meta-analysis. Aesthetic Plastic Surg, 2017, 41(3): 585-590.
23. Gould DJ, Macias LH, Saeg F, et al. Seroma rates are not increased when combining liposuction with progressive tension suture abdominoplasty: A retrospective cohort study of 619 patients. Aesthet Surg J, 2018, 38(7): 763-769.
24. Gallagher S, Soleimani T, Wang C, et al. Safety and utility of the drainless abdominoplasty in the post-bariatric surgery patient. Ann Plast Surg, 2018, 80(2): 96-99.
25. Jabbour S, Awaida C, Mhawej R, et al. Does the addition of progressive tension sutures to drains reduce seroma incidence after abdominoplasty? A systematic review and Meta-analysis. Aesthet Surg J, 2017, 37(4): 440-447.
26. Seretis K, Goulis D, Demiri EC, et al. Prevention of seroma formation following abdominoplasty: A systematic review and Meta-analysis. Aesthet Surg J, 2017, 37(3): 316-323.
27. Macias LH, Kwon E, Gould DJ, et al. Decrease in seroma rate after adopting progressive tension sutures without drains: A single surgery center experience of 451 abdominoplasties over 7 years. Aesthet Surg J, 2016, 36(9): 1029-1035.
28. Shipkov H. The association of progressive tension sutures and drains seems to decrease the drainage output and seroma formation in abdominoplasty. Aesthet Surg J, 2017, 37(8): NP94-NP95.
29. Nasr MW, Jabbour SF, Mhawej RI, et al. Effect of tissue adhesives on seroma incidence after abdominoplasty: A systematic review and Meta-analysis. Aesthet Surg J, 2016, 36(4): 450-458.
30. Ardehali B, Fiorentino F. A Meta-analysis of the effects of abdominoplasty modifications on the incidence of postoperative seroma. Aesthet Surg J, 2017, 37(10): 1136-1143.
31. Swanson E. Quilting sutures, Scarpa fascia preservation, and Meta-analyses of seroma rates after abdominoplasty. Plast Reconstr Surg Glob Open, 2017, 5(7): e1429.
32. Keyes GR, Singer R, Iverson RE, et al. Incidence and predictors of venous thromboembolism in abdominoplasty. Aesthet Surg J, 2018, 38(2): 162-173.
33. Sharma P, Vazquez Guillamet LJ, Miljkovic G. Atypical mycobacterial infection after abdominoplasty overseas: A case report and literature review. Case Rep Infect Dis, 2016, 2016: 3642567.

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