 
  |
| Alterations in the abdomen can be due
to excess of fat, skin or abdominal wall weakness. In cases of skin sagging, it
will be necessary to undergo abdominal dermolipectomy or abdominoplasty which
consists of eliminating abdominal excess skin and fat and tightening the muscles
in the abdominal wall. The patient in the photograph presents Grade 1Lipodystrophy
with important skin flaccidity in the infraumbilical region. |
|
Abdominoplasty or abdominal dermolipectomy consists of resection of skin segment
and abdominal fat as well as restoration of normal muscle wall tension.
Abdominoplasty is one of the aesthetic procedures that cause most unease to
the surgeon due to the scar's great dimensions. At the same time, it is one of
the procedures that satisfies patients most, due to the important change in their
body contour. It is frequently combined with liposculpture of fat deposits that
don't respond to diet or weight loss.
Complete exploration is required, like before any other procedure, in order
to discard any type of pathology that could contraindicate surgery. Among these
pathologies, cardiovascular, lung and coagulation problems are to be highlighted.
Obese patients, whenever possible, should lose weight under endocrine control.
In patients, who cannot manage to lose weight and have a large abdomen, abdominoplasty
may be the answer. In said cases, some days prior to the procedure some breathing
exercises will have to be done.
Due to the great extension of skin separated from the abdominal wall and the
flaps dimensions, which is usually performed in this procedure, it is important
for smokers to stop for around 2 weeks before surgery. The reason is that smoking
can cause alteration in microcirculation, which can seriously compromise the final
result.
• Avelar J. Abdominoplasty - Systematization of a
technique whithout external umbilical scar. Aesth Plast Surg 1978; 2: 141-151.
•
Baroudi R. Two consecutive abdominoplasties to solve a problem of striae.
Aesth Plast Surg 1979; 3:321-325.
• Bozola AR, Psillakis JM. Abdominoplasty:
a new concept and classification for treatment. Plast Reconstr Surg 1988; 82(6):
983.
• Calia W. Contrubuicâo para o estudo da correcâo cirúrgica
do abdome penduloso e globoso. Técnica original. Sâo Paulo, 1965.Tese
Cardoso de Castro C et al. T-abdominoplasty to remove multiple scars form the
abdome. Ann Plast Surg 1984; 12(4): 369-373
• Elbaz JS. Abdominoplastie
a visee esthétique avec liposuccion premiere. Ann. Chir. Plast. Esthét.
1987; 32(2): 148-151.
• Elbaz JS, Flageul G. Chirurgie plastique de
I'abdomen. Paris: Masson et Eds., 1978.
• Flageul G, Elbaz JS. Les plasties
abdominales: analyses des résultats. Congres SFCPRE, Bruxelles, 1986.
•
Flageul G, Sitbon E. Pour une correction numérisee de i'incongruence
de lougueur des berges dans les plasties abdominales transversales. Ann Chir Plast
Esthét 1987;32(3): 223-226.
• Goldwyn R. Abdominoplasty as a
combined procedure. Added benefit or double trouble?. Plast Reconstr Surg 1986;
78(3):383-384.
• Pitanguy, I. Abdominal lipectomy: an approach to it
through an analysis of 300 consecutive cases. Plast Reconstr Surg 1967; 40(4):
384-391.
• Pitanguy I, Caldeira AML, Almeida CC, Alexandrino A. Abdominoplastia
- Algumas consideracôes históricas, filosóficas e psicossociais.
Rev bras Cir 1982; 72(6): 390-402.
• Regnautl P. The history of abdominal
dermolipectomy. Aesth.Plast.Surg.1978; 2: 113-123.
• Psillakis JM. Plastic
Surgery of the abdomen with improvement in the body contour. Physiopathology and
treatment of the aponeurotic musculature. Clin. Plast. Surg. 1984; 11(3): 465-477.
•
Psillakis JM. Abdominoplasty: some ideas to improve results. Aesth. Plast.
Surg. 1978; 2:205-215.
• Sher W et al. Repair of abdominal wall defects:
gore-tex vs marlex graft. Am Surg 1980; 46(11):618-623.
• Souza Pinto EB.
A new methodology in abdominal aesthetic surgery. Aesth Plast Surg 1987; II: 213-222.
•
Wilkinson T, Swartz B. Individual modification in body contour surgery:
the "limited" abdominoplasty. Plast Reconstr Surg, 1986; 77(5): 779-784.
|
