BACKGROUND There continues to be controversy about performing abdominoplasty concurrently with abdominal liposuction. The concern is that liposuction on the already vascularly compromised abdominal flap will lead to increased complications and flap necrosis. The central abdomen is supplied by the epigastric system. If perforator vessels from this system are spared, the blood supply to the abdom...

BACKGROUND Abdominoplasty, a commonly performed aesthetic procedure, is considered to have an increased risk of venous thromboembolism (VTE) events. At present, routine VTE chemoprophylaxis following abdominoplasty remains controversial. OBJECTIVES This study evaluates the authors' experience with rivaroxaban, an oral Factor Xa inhibitor, for VTE prophylaxis in abdominoplasty patients. METH...

BACKGROUND Abdominoplasty has traditionally been described in the literature as an operation that is performed in a hospital setting, although more recently it is likely that most procedures are performed on an outpatient basis. To date, there have been very few large series illustrating the safety and efficacy of abdominoplasty performed in outpatient surgery centers. OBJECTIVE This study re...

BACKGROUND The use of liposuction combined with abdominoplasty has been controversial. The combination of techniques has been associated with an increased rate of venous thromboembolism and wound-healing complications. Through improvements in venous thromboembolism prophylaxis, refinements in liposuction techniques, and an understanding of anatomy, this cumulative risk has decreased, although t...

BACKGROUND The office-based surgery setting potentially offers advantages to both the patient and the plastic surgeon, but some patients may not be considered good candidates for abdominoplasty or combined abdominoplasty/lipoplasty performed in the ambulatory setting. OBJECTIVE We conducted a retrospective case review of 22 patients who underwent ambulatory abdominoplasty to correct diastasis...

BACKGROUND The advent of lipoplasty has led plastic surgeons to significantly modify the techniques used in performance of abdominoplasty. Such changes have achieved marked improvement in aesthetic results. OBJECTIVE The authors report their experience in performing combination abdominoplasty and lipoplasty, with particular emphasis on means of reducing complications and obtaining the best re...

BACKGROUND Despite the popularity of these procedures, there are limited published prospective studies evaluating liposuction and abdominoplasty. Lipoabdominoplasty is a subject of recent attention. Several investigators have recommended alternative techniques that preserve the Scarpa fascia in an effort to reduce complications, particularly the risk of seromas. METHODS Over a 5-year period, ...

Background: In lipominiabdominoplasty and mid-abdominoplasty procedures, the umbilicus is usually undermined from its aponeurotic fixation; this modifies its normal vascular pattern. In patients undergoing these procedures and candidates for a secondary classic abdominoplasty, trophic changes, including necrosis, may occur in the umbilical scar. To avoid trophic complications in the neo-umbilic...

Problem Statement: Abdominoplasty has become an increasingly popular procedure. Risk factors affecting wound complications of abdominoplasty are not adequately defined in literature. Identification of these risk factors is crucial for better patient’s selection and counseling. The objectives of this study were to determine wound complication rate following abdominoplasty and to examine the rela...

Aim: A negative effect of massive weight loss is the development of excess skin. Excess skin causes both physical and psychological problems for those affected and their families. The overall aim of this thesis was to improve the knowledge of the prevalence and associated problems of excess skin in post bariatric patients and to evaluate the outcome of abdominoplasty regarding HRQL. Patients an...