title: Evaluation of aesthetic abdominal surgery using a new clinical scale.
abstract: BACKGROUND
  Evaluation of outcomes after aesthetic surgery still is a challenge in plastic surgery. The evaluation frequently is based on subjective criteria. This study used a new clinical grading scale to evaluate aesthetic results for plastic surgeries to the abdomen. The method scores each of the following five parameters: volume of subcutaneous tissue, contour, excess of skin, aspect of the navel, and quality of the scar on the abdominal wall. The scale options are 0 (poor), 1 (fair), and 2 (good), and the total rate can range from 0 to 10.
  
  
  METHODS
  The study included 40 women ages 18-53 years. Of these 40 women, 20 underwent traditional abdominoplasty, and 20 had liposuction alone. Preoperatively and at least 1 year later, photographic results were analyzed and scored by three independent plastic surgeons.
  
  
  RESULTS
  In the abdominoplasty group, the average grade rose from 2.9±0.4 to 6.8±0.4 postoperatively. In the liposuction group, the average grade was 5.3±0.5 preoperatively and 7.7±0.4 postoperatively. In both groups, the average postoperative grade was significantly higher than the preoperative grade. The mean scores for groups A and L were significantly different, demonstrating that the scale was sensitive in identifying different anatomic abnormalities in the abdomen.
  
  
  CONCLUSIONS
  The rating scale used for the aesthetic evaluation of the abdomen was effective in the analysis of two different procedures: conventional abdominoplasty and liposuction. Abdominoplasty provided the greater gain according to a comparison of the pre- and postoperative scores.
authors: Division of Plastic Surgery, Faculty of Medicine, University of São Paulo, Av. Dr. Arnaldo, 455, sala 1360, São Paulo, SP, 01246-903, Brazil. agsalles@uol.com.br
authors: Alessandra Grassi
authors: AG
authors: Salles
authors: Marcus Castro
authors: MC
authors: Ferreira
authors: Adelina Fatima
authors: AF
authors: do Nascimento Remigio
authors: Rolf
authors: R
authors: Gemperli
mesh_terms: D000328:Adult; D062109:Dermatologic Surgical Procedures; D004954:Esthetics; D005260:Female; D006305:Health Status Indicators; D006801:Humans; D015187:Lipectomy; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D050507:Subcutaneous Fat, Abdominal / Q000601:surgery*; D016896:Treatment Outcome