Aesthetic Plastic Surgery

, Volume 43, Issue 3, pp 718–725 | Cite as

Focus on the Importance of Lipomid-Abdominoplasty in the Body Contouring Surgery

  • Alberto M. L. CaldeiraEmail author
  • Kelly Carrión
  • John Jaulis
Original Article Body Contouring



During the last few years, the surgical principles of abdominoplasty remained unchanged. Therefore, many observed results have misaligned, high and straight abdominal transverse scars, leading to the final positioning of the umbilical scar to be very close to the transverse scar, which gives the impression of a short abdomen. We propose that the abdominoplasty should change the basic conception of its marking, because we believe that it is important to place the transverse scar lower in the medial and pubic region, and higher in the lateral extremities, thus allowing a rotation of the flap of the anterior flanks back lumbar in the median inferior direction.


We analyzed 136 patients with abdominal deformities and subjected them to lipomid-abdominoplasty making a marking with strong upper concavity and lateral sides of the scar oriented to the lower transverse line of the abdomen, 4 cm equidistant from the root of the thigh. We also associate liposuction as a complementary treatment to body contouring.


It is important to determine the area of the abdominal deformity and its classification, to establish the strategies of treatment, and association of complementary procedures. A lower marking respecting the treatment areas will allow a better esthetic scar and a harmonic body contour as well as an adequate placement of the elements: umbilical scar, pubis and lateral extremities of transverse abdominal scar.

Level of Evidence IV

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Abdominoplasty Lipoabdominoplasty Body contouring Mid-abdominoplasty Lipomid-abdominoplasty Abdominal design Abdominal marking Liposuction Mini-abdominoplasty Midiabdominoplasty 


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose. The authors Alberto Caldeira, Kelly Carrión and John Jaulis did not receive financial support for research, authorship and publication of this article.

Ethical Approval

All procedures performed during this study involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

For this type of study, formal consent is not required.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.Department of Plastic Surgery, Advanced Institute of Plastic Surgery Alberto CaldeiraFederal University of the State of Rio de Janeiro (UNIRIO)Rio de JaneiroBrazil
  2. 2.University Santa UrsulaRio de JaneiroBrazil

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