Lipoabdominoplasty

Published on 23/05/2015 by admin

Filed under Plastic Reconstructive Surgery

Last modified 23/05/2015

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Chapter 28 Lipoabdominoplasty

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A Lipoabdominoplasty

History

2000 to Present

Lipoabdominoplasty was developed by Saldanha in 2000 and first published in 2001as a safe option to correct esthetic and functional abdominal deformity while achieving better esthetic results with technical simplicity for surgeons.15 In that publication, a selective undermining between the medial borders of the rectus abdominal muscles was presented and use of the term “Lipoabdominoplasty” was standardized for the first time. Lipoabdominoplasty combines two traditional techniques, abdominoplasty and liposuction. The new and conservative concept is based on the preservation of the abdominal perforating vessels (subcutaneous pedicle), which are branches of the deep epigastric vessels.57 This technique conserves about 80% of the blood supply of the abdominal flap compared with traditional undermining. The lymphatic branches and nerves are preserved, maintaining the cutaneous sensitivity of the flap to superficial pain and superficial touch caused by temperature, vibration, and pressure, which is an improvement over traditional abdominoplasty.1519

Preoperative Preparation

Surgical Technique

We base the technique on three main principles: