The author describes his methodology of abdominoplasty associated to liposuction of the abdomen, following the principles of sparing local blood supply and lymphatic drainage. Modifications regards to a reduced undermining of the abdominal flap, localized to the central part and wide enough to allow the rectus muscle plication. It also advocates a reduced medial resection of the infra-umbilical tissue, preserving lateral triangles of connective tissue and the perforator vessels to the flap and partial pubectomy. A single stage operation including abdominoplasty resection and liposuction has improved the aesthetic outcomes, the minimal dead space and preservation of important blood supply, has reduced the incidence of complications comparing to classic techniques of abdominoplasty.
Abdomen; Abdominal wall; Lipectomy; Plastic surgery
