Skip to main content

The Bidirectional, Absorbable, No-Drain Abdominoplasty

Abstract

This article outlines the author’s technique, and the concepts of Bidirectional, Absorbable, No-Drain Abdominoplasty (BAND-Abdominoplasty). The attendant advantages and disadvantages are reviewed in the context of a retrospective, 5-year, single surgeon series.

Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these evidence-based medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

This is a preview of subscription content, access via your institution.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. Kelly HA (1899) Report of gynaecological cases. Johns Hopkins Hosp Bull 103:196–197

    Google Scholar 

  2. ASAPS (2016) Cosmetic Surgery National Data Bank Statistics. Industry Insights Inc., Columbus OH

  3. Winocour J, Gupta V, Ramirez JR, Shack RB, Grotting J, Higdon KK (2015) Abdominoplasty: risk factors, complication rates, and safety of combined procedures. Plast Reconstr Surg 136(5):597e–606e

    CAS  Article  PubMed  Google Scholar 

  4. Kim J, Stevenson TR (2006) Abdominoplasty, liposuction of the flanks and obesity: analyzing risk factors for seroma formation. Plast Reconstr Surg 117(3):773–779

    CAS  Article  PubMed  Google Scholar 

  5. Murphy RX et al (2012) Evidence-based practices for thromboembolism prevention: summary of the asps venous thromboembolilsm task force report. Plast Reconstr Surg 130(1):168e–175e

    CAS  Article  PubMed  Google Scholar 

  6. Temel M, Turkmen A, Berberoglu O (2016) Improvements in vertebral-column angles and psychological metrics after abdominoplasty with rectus plication. Aesthet Surg J 36(5):577–587

    Article  PubMed  Google Scholar 

  7. Matarasso A (1991) Abdominolipoplasty: a system of classification and treatment for combined abdominoplasty and suction-assisted lipectomy. Aesth Plast Surg 15:111–121

    CAS  Article  Google Scholar 

  8. Brauman D (2008) Diastasis recti: clinical anatomy. Plast Reconstr Surg 122(5):1564–1569

    CAS  Article  PubMed  Google Scholar 

  9. Spiegelman JI, Levine RH (2006) Abdominoplasty: a comparison of outpatient and inpatient procedures shows that it is a safe and effective procedure for outpatients in an office-based clinic. Plast Reconstr Surg 118(2):517–522

    CAS  Article  PubMed  Google Scholar 

  10. Kryger ZB, Fine NA, Mustoe TA (2004) The outcome of abdominoplasty performed under conscious sedation: six-year experience in 153 consecutive cases. Plast Reconstr Surg 113(6):1807–1817

    Article  PubMed  Google Scholar 

  11. Jaouen R (2011) Evidence based approach to seroma. Plast Reconstr Surg 128(2):607–608

    CAS  Article  PubMed  Google Scholar 

  12. Andrades P, Prado A (2007) Composition of postabdominoplasty seroma. Aesth Plast Surg 31:514–518

    Article  Google Scholar 

  13. Baroudi R, Ferreira CAA (1998) Seroma: how to avoid it and how to treat it. Aesthet Surg J 18:439–441

    CAS  Article  PubMed  Google Scholar 

  14. Antonetti JW, Antonetti AR (2010) Reducing seroma in outpatient abdominoplasty: analysis of 516 consecutive cases. Aesthet Surg J 30(3):418–427

    Article  PubMed  Google Scholar 

  15. Macias LH, Kown E, Gould DJ, Spring MA, Stevens WG (2016) 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 36(9):1029–1035

    Article  PubMed  Google Scholar 

  16. Pollock H, Pollock T (2000) Progressive tension sutures: a Technique to reduce local complications in abdominoplasty. Plast Reconstr Surg 105(7):2583–2586

    CAS  Article  PubMed  Google Scholar 

  17. Pollock TA, Pollock H (2012) Progressive tension sutures in abdominoplasty: a review of 597 consecutive cases. Aesthet Surg J 32(6):729–742

    Article  PubMed  Google Scholar 

  18. Jabbour S, Awaida C, Mhawej R, Habre SB, Nasr M (2016) Does the addition of progressive tension sutures to drains reduce seroma incidence after abdominolasty? A systematic review and meta-analysis. Aesthet Surg J. Advance Access published 10/27/2016 1-8

  19. Ardehali B, Fiorentino F (2017) A meta-analysis of the effects of abdominoplasty modifications on the incidence of postoperative seroma. Aesthet Surg J 37(10):1136–1143. https://doi.org/10.1093/asj/sjx051

    Article  PubMed  Google Scholar 

  20. Seretis K, Goulis D, Demiri E, Lykoudis E (2017) Prevention of seroma formation following abdominoplasty: a systematic review and meta-analysis. Aesthet Surg J 37(3):316–323

    Article  PubMed  Google Scholar 

  21. Nasr M, Jabbour S, Mhawej R, Elkhoury J, Sleilati F (2017) Effect of tissue adhesives on seroma incidence after abdominoplasty: a systematic review and meta-analysis. Aesthet Surg J 36(4):450–458

    Article  Google Scholar 

  22. Stoff A, Reichenberger M, Richter D (2007) Comparing the ultrasonically activated scalpel (Harmonic) with high-frequency electrocautery for postoperative serous drainage in massive weight loss surgery. Plast Reconstr Surg 120(4):1092–1093

    CAS  Article  PubMed  Google Scholar 

  23. Mittal P, Kumar A, Kaur S, Pandove P, Singla RL, Singh J (2017) A comparative study of the use of harmonic scalpel versus unipolar cautery in modified radical mastectomy. Niger J Surg 23:20–25

    Article  PubMed  PubMed Central  Google Scholar 

  24. Chaouat M, Levan P, Lalanne B, Buisson T, Nicolau P, Mimoun M (2000) Abdominal dermolipectomies: early postoperative complications and long-term unfavorable results. Plast Reconstr Surg 106(7):1614–1618

    CAS  Article  PubMed  Google Scholar 

  25. Jordan W, Khavanin N, Kim J (2016) Seroma in prosthetic breast reconstruction. Plast Reconstr Surg 137(4):1104–1116

    CAS  Article  PubMed  Google Scholar 

  26. Nahas FX, Augusto SM, Ghelfond C (2001) Nylon versus polydioxanone in the correction of rectus diastasis. Plast Reconstr Surg 107(3):700–706

    CAS  Article  PubMed  Google Scholar 

  27. Mestak O, Kullac R, Mestak J, Nosek A, Krajcova A, Sukop A (2012) Evaluation of the long-term stability of sheath plication using absorbable sutures in 51 patients with diastasis of the recti muscles: an ultrasonographic study. Plast Reconstr Surg 130(5):714e–719e

    CAS  Article  PubMed  Google Scholar 

  28. Tiryaki KT, Aksungur E, Grotting JC (2016) Micro-shuttle lifting of the neck: a percutaneous loop suspension method using a novel double-ended needle. Aesthet Surg J 36(6):629–638

    Article  PubMed  Google Scholar 

  29. Gutowski KA, Warner JP (2013) Incorporating barbed sutures in abdominoplasty. Aesthet Surg J 33(35):76S–81S

    Article  PubMed  Google Scholar 

  30. Rammos B (2016) Personal Communication

  31. Isaac KV, Lista F, McIsaac MP, Ahmad J (2017) Drainless abdominoplasty using barbed progressive tension sutures. Aesthet Surg. J 37(4):428–429

    Article  PubMed  Google Scholar 

  32. Rosen AD (2010) Use of absorbable running barbed suture and progressive tension technique in abdominoplasty: a novel approach. Plast Reconstr Surg 125(3):1024–1027

    CAS  Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joseph B. O’Connell.

Ethics declarations

Conflict of interest

The author has served as a consultant to Surgical Specialties Corp.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

O’Connell, J.B. The Bidirectional, Absorbable, No-Drain Abdominoplasty. Aesth Plast Surg 42, 23–31 (2018). https://doi.org/10.1007/s00266-017-1007-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-017-1007-8

Keywords

  • Abdominoplasty
  • Drains
  • Sutures
  • Absorbable
  • Body contouring
  • Rectus diastasis
  • Seroma
  • Liposuction