title: Lipoabdominoplasty: liposuction with reduced undermining and traditional abdominal skin flap resection.
abstract: Abdominoplasty surgery has spread universally, as both an aesthetic and a reconstructive procedure, and new techniques are appearing with the goal of minimizing ischemic complications of the flap and bettering body contour. The purpose of this article is to demonstrate that an abdominoplasty technique with limited undermining and preservation of the flap perforator vessels makes it possible to reduce the complication rate attributable to flap necrosis and seroma in abdominoplasty. Doppler flowmetry color study of the abdominal wall was performed before the surgical procedure and on postoperative day 15 after lipoabdominoplasty for a series of 20 patients to evaluate the blood supply of the abdominal wall. This study confirmed the preservation of perforator arteries in the periumbilicus area and right upper quadrant after abdominoplasty with liposuction and reduced undermining.
authors.affiliation: Rua Solimóes 1184, Curitiba, Paraná, PR, 80810-070, Brazil. ruthgraf@losi.com.br
authors.forename: Ruth
authors.initials: R
authors.lastname: Graf
authors.forename: Luiz Roberto Reis
authors.initials: LR
authors.lastname: de Araujo
authors.forename: Ronald
authors.initials: R
authors.lastname: Rippel
authors.forename: Lincoln Graça
authors.initials: LG
authors.lastname: Neto
authors.forename: Daniele Tanuri
authors.initials: DT
authors.lastname: Pace
authors.forename: Gilvani Azor
authors.initials: GA
authors.lastname: Cruz
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013536:Suture Techniques; D013537:Sutures