Lipoabdominoplasty technique

Abstract

Abdominoplasty techniques have evolved with our improved understanding of vascular anatomy, tissue mechanics, and patient preferences. As a result, today, surgeons are well equipped with an armamentarium of evidence-based techniques and adjuncts that safely and effectively address abdominal lipodystrophy, skin flaccidity, and myofascial laxity. Abdominoplasty is now one of the most common procedures performed by plastic surgeons in the United States, with rates projected to increase with the growing popularity of bariatric surgery, an aging population, and increasing motivation from a generation of patients who have undergone liposuction alone. The present article reviews the authors’ current technique.

Keywords

Abdominoplasty / lipoabdominoplasty / body contouring / surgical technique

References

[1] Matarasso A.Abdominolipoplasty.Clin Plast Surg1989;16:289-303

[2] Matarasso A.Abdominolipoplasty: a system of classification and treatment for combined abdominoplasty and suction-assisted lipectomy.Aesthetic Plast Surg1991;15:111-21

[3] Matarasso A,Matarasso EJ.Abdominoplasty: classic principles and technique.Clin Plast Surg2014;41:655-72

[4] Hughes CE 3rd,Baroudi R.Abdominoplasty.Aesthet Surg J2002;22:465-73

[5] O'Kelly N,Gibstein A,Tanna N.Standards and trends in lipoabdominoplasty.Plast Reconstr Surg Glob Open2020;8:e3144 PMCID:PMC7647643

[6] Matarasso A.Abdominoplasty: state-of-the-art.Clin Plast Surg2020;47:ix-x

[7] Rohrich RJ,Brown SA.Is the umbilicus truly midline?.Plast Reconstr Surg2003;112:259-63; discussion 264-5

[8] Matarasso A.The male abdominoplasty.Clin Plast Surg2004;31:555-69, v-vi

[9] Chowdhry S,Boyd T.Safe tummy tuck: anatomy and strategy to avoid injury to the lateral femoral cutaneous nerve during abdominoplasty.Eplasty2015;15:e22 PMCID:PMC4473816

[10] Grothaus MC,Mekhail AO,Yeasting RA.Lateral femoral cutaneous nerve: an anatomic study.Clin Orthop Relat Res2005;(437):164-8

[11] Maia M,Matarasso A.Hip asymmetry: implications in body contouring surgery.Plast Reconstr Surg2019;143:513e-7e

[12] Matarasso A.Traditional abdominoplasty.Clin Plast Surg2010;37:415-37

[13] Constantine FC.Putting it all together: recommendations for improving pain management in body contouring.Plast Reconstr Surg2014;134:113S-9S

[14] Bartlett EL,Friedman JD,Rappaport NH.Enhanced recovery after surgery: the plastic surgery paradigm shift.Aesthet Surg J2018;38:676-85

[15] Matarasso A,Hurwitz DJ.Body contouring after massive weight loss.Aesthet Surg J2004;24:452-63

[16] Matarasso A,Kurian M.Plastic Surgery Educational Foundation Technology Assessment CommitteeBariatric surgery: an overview of obesity surgery.Plast Reconstr Surg2007;119:1357-62

[17] Matarasso A.Bariatric plastic surgery.Aesthet Surg J2003;23:188-9

[18] Matarasso A.A "brave new world" for bariatric surgery?.Aesthet Surg J2006;26:697-8

[19] Jejurikar SS,Matarasso A.Reevaluating resumption of oral intake after abdominoplasty.Aesthet Surg J2007;27:233-8

[20] Morales R Jr,Newall G,Masters O 3rd.Use of abdominal field block injections with liposomal bupivicaine to control postoperative pain after abdominoplasty.Aesthet Surg J2013;33:1148-53

[21] Matarasso A.Abdominal contour surgery: treating all aesthetic units, including the mons pubis.Aesthet Surg J2001;21:111-9

[22] Matarasso A.When does your liposuction patient require an abdominoplasty?.Dermatol Surg1997;23:1151-60

[23] Shridharani SM,Matarasso A.Liposuction devices: technology update.Med Devices (Auckl)2014;7:241-51 PMCID:PMC4114741

[24] Matarasso A.Superwet anesthesia redefines large-volume liposuction.Aesthet Surg J1997;17:358-64

[25] Matarasso A.Evidence-based medicine: liposuction.Plast Reconstr Surg2013;132:1697-705

[26] Matarasso A,Rankin M.Abdominoplasty and abdominal contour surgery: a national plastic surgery survey.Plast Reconstr Surg2006;117:1797-808

[27] Matarasso A.Combined breast surgery and abdominoplasty: strategies for success.Plast Reconstr Surg2015;135:849e-60e

[28] Matarasso A,Matarasso EJ.Invited commentary of "concepts in navel aesthetic: a comprehensive surface anatomy analysis".Aesthetic Plast Surg2015;39:51-2

[29] Neinstein RM,Abramson DL.Concomitant abdominoplasty and umbilical hernia repair using the Ventralex hernia patch.Plast Reconstr Surg2015;135:1021-5

[30] Matarasso A.Strategies for aesthetic reshaping of the postpartum patient.Plast Reconstr Surg2015;136:245-57

[31] Chin SH,Matarasso A.Do waistline and umbilical position really change after abdominoplasty?.Plast Reconstr Surg2010;125:27e-8e

[32] Matarasso A.Introduction to the barbed sutures supplement: the expanding applications of barbed sutures.Aesthet Surg J2013;33:7S-11S

[33] Matarasso A,Barr J.The incidence and management of secondary abdominoplasty and secondary abdominal contour surgery.Plast Reconstr Surg2014;133:40-50

[34] Matarasso A,Rankin M.Secondary abdominal contour surgery: a review of early and late reoperative surgery.Plast Reconstr Surg2005;115:627-32

[35] Dean RA,Matarasso A.Secondary abdominoplasty: management of the umbilicus after prior stalk transection.Plast Reconstr Surg2019;143:729e-33e