[The "two positions" lipoabdominoplasty].
BACKGROUND
Lipoabdominoplasty is a way to improve morphological outcomes by treating the areas not accessible to resection during classical abdominoplasty, especially hips. However, patients can present a lateral and posterior fat extension, not accessible to an anterior liposuction. This situation is managed by a first step with liposuction in the prone position. The aim of this study was to determine whether lipoabdominoplasty performed in two positions increases morbidity compared with lipoabdominoplasty in supine position only.


METHODS
This was a retrospective study of 137 patients who underwent lipoabdominoplasty between 2009 to 2013. Eighty-five patients underwent a one position lipoabdomynoplasty and 52 a two positions lipoabdomynoplasty. Medical records were reviewed to collect data regarding patient demographics, operative technique, volume of liposuction and complications.


RESULTS
The posterior liposuction has significantly increased the length of procedure (mean: 43.3 minutes). The volume of liposuction was significantly higher when the procedure was performed with prone and supine position (2789.6 mL versus 1373.8 mL, P<0.001). There was no significant difference between the two groups regarding complications and blood loss.


CONCLUSIONS
Lipoabdominoplasty in two positions is an effective technique with the same morbidity as a lipoabdominoplasty in supine position only. The procedure finds its indication, between classic abdominoplasty and bodylift, for patients with lateral and posterior fat extension without posterior skin excess.
Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalier Robert-Ballanger, boulevard Robert-Ballanger, 93600 Aulnay-sous-Bois, France. Electronic address: madar.yoni@gmail.com.
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Y
Madar
Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalier Robert-Ballanger, boulevard Robert-Ballanger, 93600 Aulnay-sous-Bois, France.
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Chatel
Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalier Robert-Ballanger, boulevard Robert-Ballanger, 93600 Aulnay-sous-Bois, France.
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Leyder
Service de chirurgie plastique, reconstructrice et esthétique, centre hospitalier Robert-Ballanger, boulevard Robert-Ballanger, 93600 Aulnay-sous-Bois, France; Groupe hospitalo-universitaire Avicenne - Jean-Verdier, université Paris Nord, 93000 Bobigny, France.
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Quilichini
D061645:Abdominoplasty / Q000379:methods*; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D056888:Patient Positioning; D012189:Retrospective Studies; D055815:Young Adult
Abdominoplastie; Abdominoplastie deux positions; Abdominoplasty; Lipoabdominoplastie; Lipoabdominoplastie deux positions; Lipoabdominoplasty; Lipoaspiration; Liposuction; Two positions abdominoplasty; Two positions lipoabdominoplasty