Skip to main content
Top
Published in: Aesthetic Plastic Surgery 3/2009

Open Access 01-05-2009 | Original Article

Lipoabdominoplasty: Revisiting the Superior Pull-Down Abdominal Flap and New Approaches

Author: Carlos Oscar Uebel

Published in: Aesthetic Plastic Surgery | Issue 3/2009

Login to get access

Abstract

Abdominoplasty is a very common procedure, especially for patients with abdominal laxness, striaes, and muscle rectus diastases. With the advent of liposuction 28 years ago, we can improve body contouring by treating lipodystrophies in the epigastric, flank, trochanteric, and buttocks areas. The procedure combining abdominoplasty and liposuction is called lipoabdominoplasty. Many new techniques have been proposed since these procedures were introduced; we now revisit the superior pull-down abdominal flap technique with several new modifications and improvements.
Literature
1.
go back to reference Illouz YG (1980) A new technique for the localized lipodistrophies. Es Ver Chir Esth France 6 Illouz YG (1980) A new technique for the localized lipodistrophies. Es Ver Chir Esth France 6
2.
go back to reference Callia WEP (1965) Contribuição para o estudo da correção cirúrgica do abdômen pêndulo e globoso – técnica original. Tese de Doutoramento apresentada à Faculdade de Medicina da USP, São Paulo, Brazil Callia WEP (1965) Contribuição para o estudo da correção cirúrgica do abdômen pêndulo e globoso – técnica original. Tese de Doutoramento apresentada à Faculdade de Medicina da USP, São Paulo, Brazil
3.
go back to reference Pitanguy I (1967) Abdominal lipectomy: an approach to it through an analysis of 300 consecutive cases. Plast Reconstr Surg 40(4):384–391CrossRef Pitanguy I (1967) Abdominal lipectomy: an approach to it through an analysis of 300 consecutive cases. Plast Reconstr Surg 40(4):384–391CrossRef
4.
go back to reference Psillakis J (1978) Abdominoplasty – some ideas to improve results. Aesthetic Plast Surg 2:205–215CrossRef Psillakis J (1978) Abdominoplasty – some ideas to improve results. Aesthetic Plast Surg 2:205–215CrossRef
5.
go back to reference Baroudi R, Keppke EM, Neto FT (1974) Abdominoplasty. Plast Reconstr Surg 54:161–168PubMed Baroudi R, Keppke EM, Neto FT (1974) Abdominoplasty. Plast Reconstr Surg 54:161–168PubMed
6.
go back to reference Bozola AR, Bozola AC (2003) Addominoplastias. In: Mélega JM (ed) Cirurgia Plástica, Fundamentos e Arte – Cirurgia Estética. MEDSI, São Paulo Bozola AR, Bozola AC (2003) Addominoplastias. In: Mélega JM (ed) Cirurgia Plástica, Fundamentos e Arte – Cirurgia Estética. MEDSI, São Paulo
7.
go back to reference De Souza Pinto EB, Oliveira RPR (1999) Lipoaspiração superficial. Ed Revinter 3:11–20 De Souza Pinto EB, Oliveira RPR (1999) Lipoaspiração superficial. Ed Revinter 3:11–20
8.
go back to reference Baroudi R, Moraes M (1995) A “bicycle-handlebar” type of incision for primary and secondary abdominoplasty. Aesth Plast Surg J 19:307CrossRef Baroudi R, Moraes M (1995) A “bicycle-handlebar” type of incision for primary and secondary abdominoplasty. Aesth Plast Surg J 19:307CrossRef
9.
go back to reference Uebel CO (1994) Cirurgia do abdomen associada à lipoescultura. In: Tourniex AAB (ed) Atualização em Cirurgia Plástica Estética. Robe Editorial, São Paulo, pp 483–489 Uebel CO (1994) Cirurgia do abdomen associada à lipoescultura. In: Tourniex AAB (ed) Atualização em Cirurgia Plástica Estética. Robe Editorial, São Paulo, pp 483–489
10.
go back to reference Cardoso de Castro C, Cupello AM, Cintra H (1987) Limited incisions in abdominoplasty. Ann Plast Surg 19:436–447PubMed Cardoso de Castro C, Cupello AM, Cintra H (1987) Limited incisions in abdominoplasty. Ann Plast Surg 19:436–447PubMed
11.
go back to reference Franco T, Rebello C (1977) Cirurgia Estética. Atheneu, Rio de Janeiro Franco T, Rebello C (1977) Cirurgia Estética. Atheneu, Rio de Janeiro
12.
go back to reference Hakme F (1985) Technical details in the liposuction associated with abdominoplasty. Rev Bras Cir 75:331 Hakme F (1985) Technical details in the liposuction associated with abdominoplasty. Rev Bras Cir 75:331
13.
go back to reference Abramo de Oliveira E, Valera F, Monte AL, López C (2008) Prevention of seroma in liposuction associated abdominoplasty without active drainage. Rev Soc Bras Cir Plást 23(1):41–47 Abramo de Oliveira E, Valera F, Monte AL, López C (2008) Prevention of seroma in liposuction associated abdominoplasty without active drainage. Rev Soc Bras Cir Plást 23(1):41–47
14.
go back to reference Nahas FX, Ishida J, Gemperli R, Ferreira MC (1998) Abdominal wall closure after seletive aponeurotic incision and undermining. Ann Plast Surg 41:606–613PubMedCrossRef Nahas FX, Ishida J, Gemperli R, Ferreira MC (1998) Abdominal wall closure after seletive aponeurotic incision and undermining. Ann Plast Surg 41:606–613PubMedCrossRef
15.
go back to reference Sinder R (1975) Plastic Surgery of the abdomen – Personal technique. In: Abstracts of the 6th international Congress of plastic and reconstructive surgery. Masson, Paris, p 58 Sinder R (1975) Plastic Surgery of the abdomen – Personal technique. In: Abstracts of the 6th international Congress of plastic and reconstructive surgery. Masson, Paris, p 58
16.
17.
go back to reference Serson Neto D, Martins LC (1972) Dermolipectomia abdominal. Abordagem geométrica. Ver Lat Am Cir Plast 16:13 Serson Neto D, Martins LC (1972) Dermolipectomia abdominal. Abordagem geométrica. Ver Lat Am Cir Plast 16:13
18.
go back to reference Pontes R (2004) Variantes das abdominoplastias em bloco. In: Pontes R (ed) Abdominoplastia: ressecção em bloco e sua aplicação em lifting de coxa e torsoplastia. Revinter, Rio de Janeiro, pp 25–54 Pontes R (2004) Variantes das abdominoplastias em bloco. In: Pontes R (ed) Abdominoplastia: ressecção em bloco e sua aplicação em lifting de coxa e torsoplastia. Revinter, Rio de Janeiro, pp 25–54
19.
go back to reference Saldanha OR (2003) Lipoabdominoplasty with selective and safe undermining. Aesthetic Plast Surg 27(4):322–327PubMedCrossRef Saldanha OR (2003) Lipoabdominoplasty with selective and safe undermining. Aesthetic Plast Surg 27(4):322–327PubMedCrossRef
20.
go back to reference Avelar JM (2002) Abdominoplasty without panniculus undermining and resection: analysis and 3 years follow up and 97 consecutives. Aesth Surg J 22:16–25CrossRef Avelar JM (2002) Abdominoplasty without panniculus undermining and resection: analysis and 3 years follow up and 97 consecutives. Aesth Surg J 22:16–25CrossRef
21.
go back to reference Baroudi R, Ferreira CAAP (1998) Seroma: how to avoid it and how to treat it. Aesth Surg J 18:439–441CrossRef Baroudi R, Ferreira CAAP (1998) Seroma: how to avoid it and how to treat it. Aesth Surg J 18:439–441CrossRef
22.
go back to reference Pollock H, Pollock T (2000) Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg 105(7):2583–2586PubMedCrossRef Pollock H, Pollock T (2000) Progressive tension sutures: a technique to reduce local complications in abdominoplasty. Plast Reconstr Surg 105(7):2583–2586PubMedCrossRef
23.
go back to reference Minetto ZF, Perez SCM (2004) Anestesia em ortopedia e traumatologia. In: Manica J (Org) Anestesiologia: princípios e técnicas, 3rd edn. Artmed, Porto Alegre, Cap 57, pp 979–1005 Minetto ZF, Perez SCM (2004) Anestesia em ortopedia e traumatologia. In: Manica J (Org) Anestesiologia: princípios e técnicas, 3rd edn. Artmed, Porto Alegre, Cap 57, pp 979–1005
24.
go back to reference Uebel CO (1987) Miniabdominoplasty—a new approach for the body contouring. Presented at the 9th Annual Congress of the International Society of Aesthetic Surgery, New York, October 1987. Uebel CO (1987) Miniabdominoplasty—a new approach for the body contouring. Presented at the 9th Annual Congress of the International Society of Aesthetic Surgery, New York, October 1987.
25.
go back to reference Uebel CO (2004) Minilipoabdominoplastiy – its evolution. In: Lipoabdominoplasty. Di Livros, pp 73–85 Uebel CO (2004) Minilipoabdominoplastiy – its evolution. In: Lipoabdominoplasty. Di Livros, pp 73–85
26.
go back to reference Heller JB, Teng E, Knoll BI, Persing J (2008) Outcome analysis of combined lipoabdominoplasty versus conventional abdominoplasty. Plast Reconstr Surg 121(5):1821–1829PubMedCrossRef Heller JB, Teng E, Knoll BI, Persing J (2008) Outcome analysis of combined lipoabdominoplasty versus conventional abdominoplasty. Plast Reconstr Surg 121(5):1821–1829PubMedCrossRef
Metadata
Title
Lipoabdominoplasty: Revisiting the Superior Pull-Down Abdominal Flap and New Approaches
Author
Carlos Oscar Uebel
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
Aesthetic Plastic Surgery / Issue 3/2009
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-009-9318-z

Other articles of this Issue 3/2009

Aesthetic Plastic Surgery 3/2009 Go to the issue

Announcements

Announcements