A Personal Approach for Abdominoplasty

Abstract

Abdominoplasty is a common cosmetic procedure. It addresses skin excess, excess fat, and muscular weakness. Complications of abdominoplasty may include hematoma, seroma, wound dehiscence, abscess, severe cellulitis, and venous thromboembolism. The aim was to perform abdominoplasty with minimal complications and accepted aesthetic results. Twenty-nine women aged between 38 and 59 years underwent full abdominoplasty with umbilical transposition at a single hospital from April 2012 to April 2015. Of the 29 patients, 26 cases showed acceptable results. The average amount of liposuction was 800 cc, the least amount was 400 cc, and the most was 1200 cc. The excised segment weighed between 900 and 2500 g. Umbilicus was viable in all cases. Three of the 29 patients showed partial flap necrosis and wound dehiscence. Complicated cases were treated conservatively. Hypertrophic scar was developed in 1 case. Two patients developed minor seroma that required a single aspiration in the office every week for 2 weeks. Abdominoplasty is a safe and an easy operation to execute by adopting some techniques in carefully selected patients.