Cutaneous Sensory Loss After Lipoabdominoplasty: A Prospective Quantitative Mapping Study with Functional and Quality-of-Life Correlations.
Abstract
[BACKGROUND] Abdominoplasty, especially when combined with circumferential liposuction, is a widely performed body contouring procedure with well-established aesthetic and functional benefits. However, postoperative cutaneous sensory loss in the abdominal wall remains a frequent and underexplored complication. This study aimed to prospectively map sensory changes following lipoabdominoplasty and evaluate the influence of Scarpa's fascia preservation on recovery trajectories and quality of life.
[METHODS] A prospective single-center study was conducted on 60 patients (mean age 42.7 years; 93.3% female) undergoing 360-degree liposuction and lipoabdominoplasty. Patients were stratified into two groups: Scarpa-preserved (n = 32) and standard dissection with Scarpa removal (n = 28). Sensory testing included Semmes-Weinstein monofilaments, thermal discrimination, and two-point discrimination across 12 abdominal dermatomal zones (T6-L1), assessed preoperatively and at 1, 3, 6, and 12 months. Patient-reported outcomes were measured using standardized questionnaires (SF-36, VAS, and POSAS). Statistical comparisons and multivariate regression were performed to identify predictors of long-term sensory deficits.
[RESULTS] At 1 month, 93.3% of patients exhibited sensory impairment, most pronounced in the infraumbilical medial (Zone 8), suprapubic (Zone 11), and supraumbilical midline (Zone 5) regions. Recovery progressed steadily: residual deficits persisted in 72.5% at 3 months, 55.0% at 6 months, and 21.7% at 12 months. Tactile, thermal, and spatial discrimination showed parallel patterns of recovery, with near-complete restitution in most cases. Preservation of Scarpa's fascia significantly improved sensory outcomes, with better tactile thresholds (Zones 5 and 8 at 6 months, p < 0.05), faster thermal recovery (Zone 11 at 3 months, p = 0.041), and fewer impaired dermatomes at late follow-up (p < 0.05). Multivariate analysis identified higher BMI, standard dissection (Scarpa removal), and greater resection weight (>1000 g) as independent predictors of persistent hypoesthesia. Patient-reported maps correlated strongly with objective findings (r = 0.81, p < 0.001). Quality-of-life scores and scar satisfaction were significantly higher in the Scarpa-preserved group at 12 months.
[CONCLUSIONS] Cutaneous sensory loss is an almost universal early sequela of lipoabdominoplasty but typically resolves within 12 months. Preservation of Scarpa's fascia confers measurable neuroprotective effects, reducing long-term deficits and enhancing patient satisfaction. Incorporating comprehensive sensory evaluation into surgical planning and patient counseling may improve functional and aesthetic outcomes.
[LEVEL OF EVIDENCE II] 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 .
[METHODS] A prospective single-center study was conducted on 60 patients (mean age 42.7 years; 93.3% female) undergoing 360-degree liposuction and lipoabdominoplasty. Patients were stratified into two groups: Scarpa-preserved (n = 32) and standard dissection with Scarpa removal (n = 28). Sensory testing included Semmes-Weinstein monofilaments, thermal discrimination, and two-point discrimination across 12 abdominal dermatomal zones (T6-L1), assessed preoperatively and at 1, 3, 6, and 12 months. Patient-reported outcomes were measured using standardized questionnaires (SF-36, VAS, and POSAS). Statistical comparisons and multivariate regression were performed to identify predictors of long-term sensory deficits.
[RESULTS] At 1 month, 93.3% of patients exhibited sensory impairment, most pronounced in the infraumbilical medial (Zone 8), suprapubic (Zone 11), and supraumbilical midline (Zone 5) regions. Recovery progressed steadily: residual deficits persisted in 72.5% at 3 months, 55.0% at 6 months, and 21.7% at 12 months. Tactile, thermal, and spatial discrimination showed parallel patterns of recovery, with near-complete restitution in most cases. Preservation of Scarpa's fascia significantly improved sensory outcomes, with better tactile thresholds (Zones 5 and 8 at 6 months, p < 0.05), faster thermal recovery (Zone 11 at 3 months, p = 0.041), and fewer impaired dermatomes at late follow-up (p < 0.05). Multivariate analysis identified higher BMI, standard dissection (Scarpa removal), and greater resection weight (>1000 g) as independent predictors of persistent hypoesthesia. Patient-reported maps correlated strongly with objective findings (r = 0.81, p < 0.001). Quality-of-life scores and scar satisfaction were significantly higher in the Scarpa-preserved group at 12 months.
[CONCLUSIONS] Cutaneous sensory loss is an almost universal early sequela of lipoabdominoplasty but typically resolves within 12 months. Preservation of Scarpa's fascia confers measurable neuroprotective effects, reducing long-term deficits and enhancing patient satisfaction. Incorporating comprehensive sensory evaluation into surgical planning and patient counseling may improve functional and aesthetic outcomes.
[LEVEL OF EVIDENCE II] 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 .
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | liposuction
|
지방흡입 | dict | 2 | |
| 시술 | abdominoplasty
|
복부성형술 | dict | 1 | |
| 해부 | Scarpa's
|
scispacy | 1 | ||
| 해부 | dermatomes
|
scispacy | 1 | ||
| 해부 | lipoabdominoplasty
|
scispacy | 1 | ||
| 해부 | Scarpa
|
scispacy | 1 | ||
| 합병증 | hypoesthesia
|
scispacy | 1 | ||
| 합병증 | scar
|
scispacy | 1 | ||
| 합병증 | abdominal dermatomal
|
scispacy | 1 | ||
| 약물 | [CONCLUSIONS]
|
scispacy | 1 | ||
| 약물 | [BACKGROUND]
|
scispacy | 1 | ||
| 질환 | Cutaneous Sensory Loss
|
scispacy | 1 | ||
| 질환 | postoperative cutaneous sensory loss
|
scispacy | 1 | ||
| 질환 | abdominal dermatomal
|
scispacy | 1 | ||
| 질환 | long-term sensory deficits
|
scispacy | 1 | ||
| 질환 | hypoesthesia
|
C0020580
Hypesthesia
|
scispacy | 1 | |
| 질환 | long-term deficits
|
scispacy | 1 | ||
| 기타 | Scarpa's fascia
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 | ||
| 기타 | abdominal wall
|
scispacy | 1 | ||
| 기타 | Scarpa
|
scispacy | 1 | ||
| 기타 | fascia
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 | ||
| 기타 | supraumbilical midline
|
scispacy | 1 |
MeSH Terms
Humans; Female; Prospective Studies; Quality of Life; Adult; Male; Middle Aged; Lipoabdominoplasty; Treatment Outcome; Esthetics; Postoperative Complications; Recovery of Function; Follow-Up Studies; Cohort Studies; Abdominal Wall; Risk Assessment
📑 인용 관계
이 논문이 참조한 문헌 25
- Abdominoplasty with Scarpa Fascia Preservation: Randomized Controlled Trial with Assessment of Scar …
- Standards and Trends in Lipoabdominoplasty.
- A Report of 736 High-Definition Lipoabdominoplasties Performed in Conjunction with Circumferential V…
- Efficacy and Safety of Scarpa Fascia Preservation During Abdominoplasty: A Systematic Review and Met…
- Abdominoplasty With Scarpa Fascia Preservation.
- Evaluation of abdominal cutaneous sensibility following abdominoplasty.
- Persistent Pain and Sensory Abnormalities after Abdominoplasty.
- Abdominoplasty-related nerve injuries: systematic review and treatment options.
- Prospective outcome study of 360 patients treated with liposuction, lipoabdominoplasty, and abdomino…
- Post-bariatric abdominoplasty: skin sensation evaluation.
- [Sensibility of the abdomen after high superior tension abdominoplasty].
- Prospective evaluation of the sensory outcome following abdominoplasty.
- Liposuction abdominoplasty: an advanced body contouring technique.
- Evaluation of cutaneous abdominal wall sensibility after abdominoplasty.
- Sensibility of the abdomen after abdominoplasty.
🔗 함께 등장하는 도메인
이 논문이 속한 카테고리와 같은 논문에서 자주 함께 다뤄지는 카테고리들
관련 논문
- Case report of a rare soft tissue tuberculosis in a patient undergoing lipoabdominoplasty.
- What is the potential role of the nonopioid suzetrigine in pain management?
- Quantitative Assessment of Cannula Kinematics in Liposuction Surgical Procedures Using a Marker-Based Tracking System.
- Ex Vivo and In Vivo Histological Evaluation of a 3-μm Wavelength, 40-μm Spot Size Fractional Laser System for Dermatology.
- Fat harvesting protocol for enhanced stem cell viability - pilot study.