Skip to main content
SpringerLink
Log in

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

  • Original Article
  • Body Contouring
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

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.

Materials

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.

Conclusions

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

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, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Caldeira AML, Nieves AP, Lima AO (1990) Cirurgia do Contorno Corporal – Reflexões sobre um novo enfoque da cirurgia plástica do abdome. 1” Parte - Classificações das deformidades abdominais e suas correlações cirúrgicas. Rev Bras Cir 80(2):95–104

    Google Scholar 

  2. Caldeira AML, Carrión K, Jaulis J (2018) Repair of the severe muscle aponeurotic abdominal laxity with alloplastic mesh in aesthetic abdominoplasty. Aesth Plast Surg 42(4):1039–1049. https://doi.org/10.1007/s00266-018-1124-z

    Article  Google Scholar 

  3. Pitanguy I (1967) Abdominal Lipectomy: an approach to it through an analysis of 300 consecutive cases. Plast Reconstr Surg 40(4):384–391

    Article  Google Scholar 

  4. Callia W (1965) Contribuição Para o Estudo da Correção Cirúrgica do Abdome Penduloso e Globoso. Técnica. Original. Tese. São Paulo (Brazil): Centro de cinematografia Carlo Erba

  5. Elbaz JS, Flageul G (1989) Liposuccion et Chirurgie Plastique de L’Abdomem. Manson, Paris

    Google Scholar 

  6. Caldeira AML, Nieves PA, Oliveira AL (1990) Cirurgia do Contorno Corporal –2ª Parte Reflexões Sobre Um Novo Enfoque da Cirurgia Plástica do Abdome. Rev Bras Cir 80(3):169–186

    Google Scholar 

  7. Ribeiro L, Accorsi AJ, Buss A (1998) Midiabdominoplasty: indications and technique. Aesth Plast Surg 22(5):313–317. https://doi.org/10.1007/s002669900209

    Article  CAS  Google Scholar 

  8. Wilkinson TS, Swartz BE (1986) Individual modifications in body contour surgery: the “limited” abdominoplasty. Plast Reconstr Surg 77(5):779–784

    Article  CAS  PubMed  Google Scholar 

  9. Lockwood T (2004) Maximizing aesthetics in lateral-tension abdominoplasty and body lifts. Clin Plast Surg 31(4):523–537. https://doi.org/10.1016/j.cps.2004.04.001

    Article  PubMed  Google Scholar 

  10. Lockwood T (2006) Lower body lift and medial thigh lift (Chapter 5). In: Aly AS (ed) Body contouring after massive weight loss. Quality Medical Publishing, Saint Louis, pp 147–181

    Google Scholar 

  11. Caldeira AML (2016) Chapter 30: Challenges in abdominoplasty. In: Avelar J (ed) New concepts on abdominoplasty and further applications, vol 30, no 1. Springer, Berlin, pp 481–495. https://doi.org/10.1007/978-3-319-27851-3_30

  12. Caldeira AML, Carrión K, Jaulis J (2018) Conceptos Prácticos Para el Tratamiento de las Deformidades Abdominales Complejas. Latinoam Cir Plast 40(3):269–279. https://doi.org/10.4321/S0376-78922018000300005

    Article  Google Scholar 

  13. Avelar J (2016) Chapter 8: Creation of the new umbilicus: my technique on abdominoplasty and further applications. In: Avelar J (ed) New concepts on abdominoplasty and further applications, vol 8, no 1. Springer, Berlin, pp 107–126. https://doi.org/10.1007/978-3-319-27851-3_30

  14. Baroudi R, Ferreira CAA (1998) Seroma: how to avoid it and how to treat it. Aesth Surg J 18(6):439–441

    Article  CAS  Google Scholar 

  15. Hughes CE 3rd, Lockwood TE, Baroudi R, Matarasso A (2002) Abdominoplasty. Aesth Surg J 22(5):465–473. https://doi.org/10.1067/maj.2002.129158

    Article  Google Scholar 

  16. Saldanha OR, Federico R, Daher PF, Malheiros AA, Carneiro PR (2009) Lipoabdominoplasty. Plast Reconstr Surg 124(3):934–942. https://doi.org/10.1097/PRS.0b013e3181b037e3

    Article  CAS  PubMed  Google Scholar 

  17. Pontes R (2004) Variantes das Abdominoplastias em Bloco. In: Pontes R (ed) Abdominoplastia, 1st edn. Libraria e Editora Revinter, Rio de Janeiro, pp 25–54

    Google Scholar 

  18. Da Silva Júnior V, De Sousa FR (2017) Improvement on the neo-umbilicoplasty technique and review of the literature. Aesth Plast Surg 41(3):600–607. https://doi.org/10.1007/s00266-017-0847-6

    Article  Google Scholar 

  19. Fantozzi F (2013) Applications of anthropometry in torsoplastic surgery. Eur J Plast Surg 36:519. https://doi.org/10.1007/s00238-013-0854-z

    Article  PubMed  PubMed Central  Google Scholar 

  20. Villegas FJ (2014) A novel approach to abdominoplasty: TULUA modifications (transverse plication, no undermining, full liposuction, neoumbilicoplasty, and low transverse abdominal scar). Aesth Plast Surg 38(3):511–520. https://doi.org/10.1007/s00266-014-0304-8

    Article  Google Scholar 

  21. Shiffman MA (ed) (2017) Adult umbilical reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-443887-0

    Book  Google Scholar 

  22. Danilla S (2017) Rectus abdominis fat transfer (RAFT) in lipoabdominoplasty: a new technique to achieve fitness body contour in patients that require tummy tuck. Aesth Plast Surg 41(6):1389–1399. https://doi.org/10.1007/s00266-017-0909-9

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Plastic Surgery, Advanced Institute of Plastic Surgery Alberto Caldeira, Federal University of the State of Rio de Janeiro (UNIRIO), Rua Visconde de Pirajá 414/1012 – Ipanema, Rio de Janeiro, 22410-002, Brazil

    Alberto M. L. Caldeira

  2. University Santa Ursula, Rio de Janeiro, Brazil

    Kelly Carrión & John Jaulis

Authors
  1. Alberto M. L. Caldeira
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kelly Carrión
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. John Jaulis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Alberto M. L. Caldeira.

Ethics declarations

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.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Caldeira, A.M., Carrión, K. & Jaulis, J. Focus on the Importance of Lipomid-Abdominoplasty in the Body Contouring Surgery. Aesth Plast Surg 43, 718–725 (2019). https://doi.org/10.1007/s00266-019-01367-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-019-01367-9

Keywords

Search

Navigation