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Aesthetic Plastic Surgery

, Volume 15, Issue 1, pp 111–121 | Cite as

Abdominolipoplasty: A system of classfication and treatment for combined abdominoplasty and suction-assisted lipectomy

  • Alan Matarasso
Article

Abstract

Criteria for diagnosing abdominal contouring candidates and a new classification system for procedures are presented. The surgical techniques for each of four patient categories of abdominolipoplasty are reviewed: type I—suction-assisted lipectomy alone, type II—mini-abdominoplasty, type III—modified abdominoplasty, and type IV—abdominoplasty with suction-assisted lipectomy. With the combination of suction-assisted lipectomy and abdominoplasty, the majority of patients can actually be treated with a limited abdominoplasty procedure or suction lipectomy. Complications noted in a series of 75 consecutive patients operated on by one surgeon are presented. The blood supply that is relevant to a combination of suction lipectomy with abdominoplasty is outlined. Specific guidelines for these combined procedures are recommended in order to safely combine full abdominoplasties with suction-assisted lipectomies.

Key words

Abdominoplasty SAL Combined classification system Blood supply Complications 

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References

  1. 1.
    Avelar J: Fat suction versus abdominoplasty. Aesth Plast Surg9:265, 1985Google Scholar
  2. 2.
    Bolivar de Souza Pinto E, Esau Ferraz de Almeida A, Knudsen FA, Fernandes de Andrade SM, Cabral de Medeiros J: A new methodology in abdominal aesthetic surgery. Aesth Plast Surg11:213, 1987Google Scholar
  3. 3.
    Borkan G et al: Age changes in body composition revealed by computerized tomography. J Gerontol38:673, 1983Google Scholar
  4. 4.
    Cardoso De Castro C, Marica Branco Cupello A, Cintra H: Limited incisions in abdominoplasty. Ann Plast Surg19:436, 1987Google Scholar
  5. 5.
    Cooper MA: Miniabdominoplasty (letter). Plast Reconstr Surg81:473, 1988Google Scholar
  6. 6.
    Dillerud E: Presentation on abdominoplasty at the 7th Annual Lipoplasty Society of North America meeting, San Francisco, CA, USA, October 29, 1989Google Scholar
  7. 7.
    Ersek RA, Schade K: Subcutaneous pseudobursa secondary to suction and surgery. Plast Reconstr Surg85:443, 1990.Google Scholar
  8. 8.
    Gargan TJ, Courtiss EH: The risks of suction lipectomy. Prevention and treatment. Plast Reconstr Surg76:65, 1985Google Scholar
  9. 9.
    Grazer FM, Goldwyn RM: Abdominoplasty assessed by survey, with emphasis on complications. Plast Reconstr Surg59:513, 1977Google Scholar
  10. 10.
    Greminger RF: The mini-abdominoplasty. Plast Reconstr Surg79:356, 1987; discussion by Grazer FM:79:365.Google Scholar
  11. 11.
    Hákme F: Detalhes técnicos na lipaspiracão associada á abdominoplastica. Rev Bras Cir75:331, 1985Google Scholar
  12. 12.
    Hester TR Jr, Baird W, Bostwick J III, Nahai F, Cukic JPA: Abdominoplasty combined with other major surgical procedures: safe or sorry. Plast Reconstr Surg83:997, 1989Google Scholar
  13. 13.
    Huger WE Jr: The anatomic rationale for abdominal lipectomy. Am Surg45:612, 1979Google Scholar
  14. 14.
    Illouz YG: Body contouring by lipolysis—A five year experience with over 3,000 cases. Plast Reconstr Surg72:591, 1983Google Scholar
  15. 15.
    Lewis CM: Early experience of aspirative lipoplasty of the abdomen. Aesth Plast Surg11:33, 1987Google Scholar
  16. 16.
    Lindsey WH, Masterson TM, Spotnitz WD, Wilhelm MC, Morgan RF: Seroma prevention using fibrin glue in a rat mastectomy model. Arch Surg125:305, 1990Google Scholar
  17. 17.
    Masson JK: Lipectomy: The surgical removal of excess fat. Postgrad Med32:481, 1962Google Scholar
  18. 18.
    Matarasso A: Abdominolipoplasty. Clin Plast Surg16:289, 1989Google Scholar
  19. 19.
    Nahai F, Brown GR, Vasconez LO: Blood supply to the abdominal wall as related to planning abdominal incisions. Am Surg42:691, 1976Google Scholar
  20. 20.
    Pitanguy I: Abdominal lipectomy. Clin Plast Surg2:401, 1975Google Scholar
  21. 21.
    Pitanguy I: Body contour. Am J Cosmet Surg4:4, 1987Google Scholar
  22. 22.
    Psillakis JM: Plastic surgery of the abdomen with improvement in the body contour: Physiopathology and treatment of the aponeurotic musculature. Clin Plast Surg11:465, 1984Google Scholar
  23. 23.
    Regnault P: The history of abdominal dermolipectomy. Aesth Plast Surg2:133, 1978Google Scholar
  24. 24.
    Teimourian B, Rogers WB: A national survey of complications associated with suction lipectomy: a comparative study. Plast Reconstr Surg84:628, 1989Google Scholar
  25. 25.
    Teimourian B, Adham NM, Gulin S, Shapiro C: Suction lipectomy: A review of 200 patients over a six-year period and a study of the technique in cadavers. Ann Plast Surg11:93, 1983Google Scholar
  26. 26.
    Wilkinson TS, Swartz BS: Individual modifications in body contour surgery: The limited abdominoplasty. Plast Reconstr Surg77:779, 1986Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1991

Authors and Affiliations

  • Alan Matarasso
    • 1
  1. 1.New YorkUSA

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