Optimizing Abdominal Contours: A Novel Approach to Abdominoplasty.
Abstract
[BACKGROUND] Abdominal contour deformities are a common concern for individuals seeking body reshaping procedures, often driven by cosmetic dissatisfaction and functional impairments associated with skin laxity, muscle diastasis, and excess adiposity. Traditional abdominoplasty techniques have evolved to address these anatomical challenges, yet optimizing both aesthetic outcomes and minimizing surgical morbidity remains a central goal in plastic surgery.
[METHODS] This study presents a refined abdominoplasty technique that emphasizes precise preoperative planning, preservation of vascular integrity, and layered anatomic enhancement to improve surgical outcomes. The approach begins with strategic preoperative markings while the patient is standing, allowing for accurate delineation of the midline, ASIS landmarks, and liposuction zones. Intraoperatively, liposuction is limited to lateral regions to preserve central perforators, followed by a lower transverse incision and cephalad dissection up to the umbilicus. A vertical midline incision facilitates full mobilization of the abdominal flap. Two-layer rectus plication is performed using looped Ethilon sutures to reinforce the abdominal wall from xiphoid to pubis. A key modification in this technique is the use of a fascio-dermal (Stratafix®) suture extending along the midline from the xiphoid to the umbilicus, which enhances definition of the linea alba and contributes to a more athletic abdominal contour. Umbilicoplasty is then performed by anchoring the rectus fascia to the umbilical stalk and creating a V-shaped incision in the abdominal flap to ensure natural umbilical positioning. Layered closure is completed with the patient in flexion, and two closed-suction drains are placed.
[RESULTS] This technique prioritizes both functional restoration and aesthetic refinement through targeted soft tissue management, preservation of key anatomical structures, and three-dimensional contouring.
[CONCLUSION] It offers a reliable, reproducible approach adaptable to a range of patient presentations, especially those requiring improved muscle definition and natural umbilical aesthetics without extensive undermining.
[LEVEL OF EVIDENCE V] 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] This study presents a refined abdominoplasty technique that emphasizes precise preoperative planning, preservation of vascular integrity, and layered anatomic enhancement to improve surgical outcomes. The approach begins with strategic preoperative markings while the patient is standing, allowing for accurate delineation of the midline, ASIS landmarks, and liposuction zones. Intraoperatively, liposuction is limited to lateral regions to preserve central perforators, followed by a lower transverse incision and cephalad dissection up to the umbilicus. A vertical midline incision facilitates full mobilization of the abdominal flap. Two-layer rectus plication is performed using looped Ethilon sutures to reinforce the abdominal wall from xiphoid to pubis. A key modification in this technique is the use of a fascio-dermal (Stratafix®) suture extending along the midline from the xiphoid to the umbilicus, which enhances definition of the linea alba and contributes to a more athletic abdominal contour. Umbilicoplasty is then performed by anchoring the rectus fascia to the umbilical stalk and creating a V-shaped incision in the abdominal flap to ensure natural umbilical positioning. Layered closure is completed with the patient in flexion, and two closed-suction drains are placed.
[RESULTS] This technique prioritizes both functional restoration and aesthetic refinement through targeted soft tissue management, preservation of key anatomical structures, and three-dimensional contouring.
[CONCLUSION] It offers a reliable, reproducible approach adaptable to a range of patient presentations, especially those requiring improved muscle definition and natural umbilical aesthetics without extensive undermining.
[LEVEL OF EVIDENCE V] 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 | abdominoplasty
|
복부성형술 | dict | 3 | |
| 시술 | liposuction
|
지방흡입 | dict | 2 | |
| 시술 | flap
|
피판재건술 | dict | 2 | |
| 해부 | xiphoid
|
scispacy | 1 | ||
| 해부 | fascio-dermal
|
scispacy | 1 | ||
| 해부 | natural umbilical
|
scispacy | 1 | ||
| 해부 | soft tissue
|
scispacy | 1 | ||
| 해부 | skin
|
scispacy | 1 | ||
| 해부 | muscle
|
scispacy | 1 | ||
| 해부 | lateral
|
scispacy | 1 | ||
| 해부 | cephalad
|
scispacy | 1 | ||
| 합병증 | umbilicus
|
scispacy | 1 | ||
| 합병증 | abdominal flap
|
scispacy | 1 | ||
| 합병증 | abdominal wall
|
scispacy | 1 | ||
| 합병증 | pubis
|
scispacy | 1 | ||
| 합병증 | abdominal
|
scispacy | 1 | ||
| 합병증 | Abdominal Contours
|
scispacy | 1 | ||
| 합병증 | ASIS landmarks
|
scispacy | 1 | ||
| 합병증 | liposuction zones
|
scispacy | 1 | ||
| 합병증 | perforators
|
scispacy | 1 | ||
| 약물 | [BACKGROUND] Abdominal contour
|
scispacy | 1 | ||
| 기타 | linea alba
|
scispacy | 1 | ||
| 기타 | rectus fascia
|
scispacy | 1 | ||
| 기타 | vascular
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 | ||
| 기타 | midline
|
scispacy | 1 |
MeSH Terms
Humans; Abdominoplasty; Female; Esthetics; Abdominal Wall; Lipectomy; Adult; Treatment Outcome; Male; Middle Aged; Cohort Studies; Risk Assessment
📑 인용 관계
이 논문이 참조한 문헌 20
- Lipoabdominoplasty with Anatomical Definition: Update.
- Management of the Musculoaponeurotic Layer in Abdominoplasty.
- Abdominoplasty: My Preferred Techniques.
- Lipoabdominoplasty with Anatomic Definition: An Evolution on Saldanha's Technique.
- Reshaping the Oversized Waist through Oblique Flankplasty with Lipoabdominoplasty.
- Umbilical reconstruction: different techniques, a single aim.
- Modified Fleur-de-lis Abdominoplasty for Massive Weight Loss Patients.
- Redefining abdominal anatomy: 10 key elements for restoring form in abdominoplasty.
- Abdominoplasty: classic principles and technique.
- Dynamic definition mini-lipoabdominoplasty combining multilayer liposculpture, fat grafting, and mus…
- Abdominoplasty with suction undermining and plication of the superficial fascia without drains: a re…
- Improving esthetics and safety in abdominoplasty with broad lateral subcostal perforator preservatio…
- Circumferential approach to contouring of the trunk.
- Belt lipectomy for circumferential truncal excess: the University of Iowa experience.
- Simplified technique for creating a youthful umbilicus in abdominoplasty.
외부 PMID 5건 (DB 미수집)
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