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Aesthetic Plastic Surgery

, Volume 36, Issue 2, pp 278–284 | Cite as

Extended Abdominoplasty: Applications and a New Classification System for Abdominoplasty

  • Jorge Alirio Mejia
  • Yesid Alberto Cárdenas Castellanos
Original Article

Abstract

Background

Aesthetic deformities of the abdomen requiring skin resection are usually treated with procedures limited to the abdomen and in some cases with circumferential abdominoplasty. There are some patients who require an intermediate procedure between abdominoplasty and circumferential abdominoplasty; these patients have been neglected in the plastic surgery literature.

Methods

The medical records of 268 patients who underwent aesthetic procedures of the abdomen between January 2008 and July 2010 were retrospectively reviewed. Patients who had abdominal laxity extending into the flanks and who underwent extended abdominoplasty with liposuction of the back were evaluated. The surgical technique is described and its applications are reviewed.

Results

Twenty-five patients underwent extended abdominoplasty. All patients were extremely satisfied with the results. Only minor complications occurred. Two patients had marginal skin necrosis and one patient had a wound site infection but all of them had satisfactory resolution of their complications.

Conclusion

Extended abdominoplasty is a safe procedure with highly satisfactory results that should become common practice in plastic surgery. There is a group of patients who are best served by this procedure and a new classification system of the abdominal contour deformities that includes these patients is needed and is proposed by the authors.

Keywords

Extended abdominoplasty Body contouring Abdominoplasty 

Notes

Conflicts of interest

The authors declare that they have no financial interest in and received no compensation from manufacturers of products mentioned in this article.

References

  1. 1.
    Rohrich RJ, Thornton JF, Jakubietz RG, Jakubietz MG, Grünert JG (2004) The limited scar mastopexy: current concepts and approaches to correct breast ptosis. Plast Reconstr Surg 114(6):1622–1630PubMedCrossRefGoogle Scholar
  2. 2.
    Cardenas Restrepo JC, Munoz Ahmed JA (2002) New technique of plication for miniabdominoplasty. Plast Reconstr Surg 109(3):1170–1177; discussion 1178–1190PubMedCrossRefGoogle Scholar
  3. 3.
    Gradel J (1991) Umbilical technical maneuvers to facilitate abdominoplasty with limited incisions. Aesthetic Plast Surg 15:251–256PubMedCrossRefGoogle Scholar
  4. 4.
    Wilkinson TS (1994) Limited abdominoplasty techniques applied to complete abdominal repair. Aesthet Plast Surg 18:49–55CrossRefGoogle Scholar
  5. 5.
    Sozer SO, Agullo FJ, Santillan AA et al (2007) Decision making in abdominoplasty. Aesthet Plast Surg 31:117–127CrossRefGoogle Scholar
  6. 6.
    Shestak KC (1999) Marriage abdominoplasty expands the mini-abdominoplasty concept. Plast Reconstr Surg 103:1020–1031; discussion 1032–1035PubMedCrossRefGoogle Scholar
  7. 7.
    Colwell AS, Kpodzo D, Gallico GG 3rd (2010) Low scar abdominoplasty with inferior positioning of the umbilicus. Ann Plast Surg 64(5):639–644PubMedGoogle Scholar
  8. 8.
    Gonzalez-Ulloa M (1960) Belt lipectomy. Br J Plast Surg 13:179–186PubMedCrossRefGoogle Scholar
  9. 9.
    Mühlbauer W (1989) Radical abdominoplasty, including body shaping: representative cases. Aesthet Plast Surg 13(2):105–110CrossRefGoogle Scholar
  10. 10.
    Richter DF, Stoff A, Velasco-Laguardia FJ, Reichenberger MA (2008) Circumferential lower truncal dermatolipectomy. Clin Plast Surg 35(1):53–71; discussion 93PubMedCrossRefGoogle Scholar
  11. 11.
    Hunstad JP, Repta R (2009) Extended abdominoplasty. In: Hunstad JP, Repta R (eds) Atlas of abdominoplasty, 1st edn. Saunders Elsevier, Philadelphia, pp 75–77CrossRefGoogle Scholar
  12. 12.
    Cormenzana P, Samprón NM (2004) Circumferential approach to contouring of the trunk. Aesthet Surg J 24(1):13–23PubMedCrossRefGoogle Scholar
  13. 13.
    Barone CM, Okoro SA, Chatter-Cora D, Helling ER (2007) Outpatient extended abdominoplasty in the patient with massive weight loss. Aesthet Surg J 27(2):129–136PubMedCrossRefGoogle Scholar
  14. 14.
    Bozola AR, Psillakis JM (1988) Abdominoplasty: a new concept and classification for treatment. Plast Reconstr Surg 82:983–993PubMedCrossRefGoogle Scholar
  15. 15.
    Centeno RF (2006) Gluteal aesthetic unit classification: a tool to improve outcomes in body contouring. Aesthet Surg J 26(2):200–208PubMedCrossRefGoogle Scholar
  16. 16.
    Matarasso A (1991) Abdominoplasty: a system of classification and treatment for combined abdominoplasty and suction assisted lipectomy. Aesthet Plast Surg 15:111CrossRefGoogle Scholar
  17. 17.
    Toledo LS (2004) The overlap of lipoplasty and abdominoplasty: indication, classification, and treatment. Clin Plast Surg 31(4):539–553PubMedCrossRefGoogle Scholar
  18. 18.
    Chang NT, Baroudi R (2006) Abdominoplasty techniques. In: Mathes SJ (ed) Plastic surgery, vol 6, 2nd edn. Saunders Elsevier, Philadelphia, p 127Google Scholar
  19. 19.
    Song AY, Jean RD, Hurwitz DJ, Fernstrom MH, Scott JA, Rubin JP (2005) A classification of contour deformities after bariatric weight loss: the Pittsburgh Rating Scale. Plast Reconstr Surg 116(5):1535–1544; discussion 1545–1546PubMedCrossRefGoogle Scholar
  20. 20.
    Aly AS, Cram AE, Chao M, Pang J, McKeon M (2003) Belt lipectomy for circumferential truncal excess: the University of Iowa experience. Plast Reconstr Surg 111(1):398–413PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2011

Authors and Affiliations

  • Jorge Alirio Mejia
    • 1
  • Yesid Alberto Cárdenas Castellanos
    • 2
  1. 1.Universidad de AntioquiaMedellínColombia
  2. 2.Universidad de AntioquiaMedellínColombia

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