High tension abdominoplasty 2.0.
Traditionally, the primary goal of any abdominoplasty has always been to excise the central lower abdominal excess skin or pannus and plicate the abdominal fascia through a suprapubic incision. Unfortunately, this traditional abdominoplasty may often fall short of this goal: a scar that may ride too high; persistent skin and lipodystrophy at the pubis, thighs, flanks, and hips; and unfortunately a consistent incidence of midline skin necrosis or wound dehiscence. High lateral tension abdominoplasty addresses these shortfalls. It may be defined as a more complete treatment of the lower trunk aesthetic unit from the abdomen to the pubis, hips, and thighs, with a greater overall aesthetic result and margin of vascular safety. This article outlines the techniques and tools to accomplish these superior results safely and consistently.
Rosenfield
Lorne King
LK
Division of Plastic Surgery, Department of Surgery, University of California-San Francisco, 400 Parnassus Avenue, San Francisco, CA 94143, USA. DrR@DrRosenfield.com
D000005:Abdomen / Q000601:surgery*; D034861:Abdominal Wall / Q000033:anatomy & histology; D000328:Adult; D004954:Esthetics; D005260:Female; D006801:Humans; D007258:Informed Consent; D015187:Lipectomy / Q000379:methods; D008875:Middle Aged; D010781:Photography; D010808:Physical Examination; D011300:Preoperative Care; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods* / Q000639:trends; D016896:Treatment Outcome; D015431:Weight Loss