Reduction of Excess Abdominal Skin via Liposuction and Surgical Excision

  • Emil Bisaccia
  • Liliana Saap
  • Dwight Scarborough


Since the inception of liposuction by Ilouz in 1977, 1 many modifications have been done to liposuction to increase its margin of safety and improve upon the cosmetic results, including the Klein technique of tumescent anesthesia.2 For many patients who have good skin tone, abdominal liposuction alone can give good to excellent results.3 However, there is a subset of patients who have small amounts of skin laxity of the lower abdomen that can benefit from a skin tightening procedure.4 These patients have excess lower abdominal skin while still maintaining good abdominal muscle tone underneath making them excellent candidates for a “miniabdominoplasty” using a combination of tumescent liposuction and limited skin resection.4 The good underlying muscle tone and minimal diastasis of the musculoaponeurotic wall obviate the need for a more extensive abdominoplasty.2–13 For example, a young multiparous woman who has lower abdominal skin laxity and striae but still maintains minimal or mild lower abdominal musculofascial looseness is an excellent candidate for this procedure.


Lower Abdomen Redundant Skin Skin Laxity Tumescent Anesthesia Pinch Test 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Emil Bisaccia
    • 1
  • Liliana Saap
    • 2
  • Dwight Scarborough
    • 1
  1. 1.Department of DermatologyColumbia University, College of Physicians and SurgeonsNew YorkUSA
  2. 2.Department of Dermatology and Skin SurgeryRoger Williams Medical CenterProvidenceUSA

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