title: High tension abdominoplasty 2.0.
abstract: 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.
authors.affiliation: Division of Plastic Surgery, Department of Surgery, University of California-San Francisco, 400 Parnassus Avenue, San Francisco, CA 94143, USA. DrR@DrRosenfield.com
authors.forename: Lorne King
authors.initials: LK
authors.lastname: Rosenfield
mesh_terms: 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