| PRS 0402-727 Dabb
Dabb RW, Hall WW, Baroody M, Saba AA.
Circumferential suction lipectomy of the trunk with anterior rectus fascia
plication through a periumbilical incision: an alternative to conventional
abdominoplasty. Plast Reconstr Surg. 2004 Feb;113(2):727-32; discussion 733-4. PMID: 14758242
Division of Plastic Surgery, Pennsylvania State University, Hershey Medical
Center, USA. rwdabb@yourcosmeticcenter.com
During the past decade, many combinations of operative techniques for
abdominoplasty have evolved to suit the individual requirements of the patient.
The purpose of this study was to present a safe alternative to conventional
abdominoplasty for appropriate patients, namely, those with minimal skin laxity,
moderate fatty tissue distribution, musculofascial diastases, and no concern for
abdominal stretch marks. The procedure consists of circumferential
ultrasound-assisted liposuction and direct abdominal wall plication through a
periumbilical incision. Thirty-two patients were evaluated on overall patient
satisfaction and complication rates, including seroma (five, 15.6 percent),
major sensory loss (none), skin slough (none), skin burns (none), end hits
(i.e., a small, partial-thickness, subdermal burn; one, 3 percent), and limited
results (two, 6 percent). The patients expressed that avoidance of the abdominal
scar and diminished recuperative time outweighed the benefit of tighter skin
associated with conventional abdominoplasty. This technique may provide another
avenue for appropriate contouring of the abdomen in properly selected patients.
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