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TULUA Abdominoplasty: Unrestricted Liposuction and Wide Transverse Plication

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Manual of Cosmetic Surgery and Medicine

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Abstract

Since 2005 a modified lipoabdominoplasty has been performed in selected cases, modifications are transverse elliptical plication across the lower abdominal wall, no detachment of the flap above the umbilicus, unrestricted liposuction of the abdominal flap including midline, flanks, and epigastrium; direct resection of skin and fat in the lower abdomen from the navel to the pubis and from an anterior iliac crest to the other; umbilicus amputation and immediate reconstruction in the ideal position with a skin graft, and low transverse scar placement (TULUA).

It is believed that TULUA has advantages in terms of vascular safety, recovery of sensitivity, position, and quality of the neo-umbilicus and location of the transversal scar, with normal or superior aesthetic results, which could expand the indications to a larger group of patients as obese, secondary cases, umbilical hernias, ventral hernias of the hypogastrium and those with massive weight loss due to bariatric surgery.

During abdominoplasty, liposuction of the detached supraumbilical flap is not recommended because of its vascular impairment and the possibility of skin and fat necrosis [1].

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Authors and Affiliations

  1. Private Practice at Clínica San Francisco, Tuluá, Colombia

    Francisco Villegas

  2. Plastic Surgery Unit, Universidad del Valle, Cali, Colombia

    Francisco Villegas

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  1. Francisco Villegas
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Correspondence to Francisco Villegas .

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Editors and Affiliations

  1. Cosmetic Plastic Surgery, Breach Candy Hospital and D. Y. Patil University, Mumbai, Maharashtra, India

    Mohan Thomas

  2. Cosmetic Plastic Surgery, Breach Candy Hospital and D. Y. Patil University, Mumbai, Maharashtra, India

    James D'silva

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Villegas, F. (2022). TULUA Abdominoplasty: Unrestricted Liposuction and Wide Transverse Plication. In: Thomas, M., D'silva, J. (eds) Manual of Cosmetic Surgery and Medicine. Springer, Singapore. https://doi.org/10.1007/978-981-19-4997-5_22

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  • DOI: https://doi.org/10.1007/978-981-19-4997-5_22

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