Department of Plastic Surgery, LH Clinic, Rua Xavier da Silveira 45/206, 22061-010, Rio de Janeiro, Brazil.
, Bologna, Italy.
Aesthetic Plast Surg. 2019 Feb;43(1):155-162. doi: 10.1007/s00266-018-1176-0. Epub 2018 Jun 13.
Abdominoplasty is one of the most popular body-contouring procedures. Despite its popularity, classic abdominoplasty is still associated with a significant rate of complaints from patients such as: fullness of flanks and epigastric areas, lack of a posterior lumbar curve, hanging skin over the incision line, and visible scars over the flanks and beyond underwear or swimming suit coverage. This study reviews the authors' experience in redo abdominoplasty when the patient is not or partially satisfied with the primary procedure.
A total of 115 female and 32 male patients underwent revision abdominoplasty with truncal liposculpting between 2007 and 2016. The age distribution of patients ranged from 33 to 73 years, with a mean of 43.1 years. All the patients included in the study had undergone classic abdominoplasty in a different institution. Overall satisfaction with the body appearance after the combined procedure was rated on a scale of 1-5, where 1 is 'poor,' 2 is 'fair,' 3 is 'good,' 4 is 'very good,' and 5 is 'excellent.' The evaluation was made 12 months after the composite body-contouring procedure.
Four hundred to 1500 ml of fat were obtained with liposuction (mean 840 ml). The amount of clean, adipose tissue transplanted to the buttocks varied from 95 to 425 (mean 286 ml) and to the lower limbs from 75 to 270 ml (mean 195 ml). The stromal-enriched lipograft technique was used in all the cases to enrich the fat transplantation. There was no hematoma, infection or deep vein thrombosis. Seventy-five percent reported that their appearance after composite body contouring was 'very good' to 'excellent' (30% 'excellent' and 45% 'very good') and 20% responded that their appearance was 'good.' Only 5% of patients thought their appearance was less than good ('fair'). The average follow-up time for this group of patients has been 6.3 years (range 1-10 years).
Truncal liposculpting with modified abdominoplasty accomplishes very good aesthetic results in a single surgical procedure with a low rate of complications and high patient satisfaction in cases of revision abdominoplasties.
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腹部整形术是最受欢迎的身体塑形手术之一。尽管它很受欢迎，但经典的腹部整形术仍然与患者的许多抱怨相关，如：侧腰部和上腹部饱满、缺乏腰椎后凸曲线、切口线上悬挂的皮肤以及侧腰部和比基尼或泳衣覆盖范围之外可见的疤痕。本研究回顾了作者在患者对初次手术不满意或部分满意时进行再次腹部整形术的经验。
2007 年至 2016 年间，共有 115 名女性和 32 名男性患者接受了带躯干脂肪抽吸的腹部整形术。患者年龄分布在 33 至 73 岁之间，平均 43.1 岁。所有纳入研究的患者均在其他机构接受过经典的腹部整形术。综合手术后对身体外观的总体满意度按 1-5 分进行评分，其中 1 分为“差”，2 分为“一般”，3 分为“好”，4 分为“非常好”，5 分为“优秀”。综合身体塑形手术后 12 个月进行评估。
脂肪抽吸量为 400-1500ml（平均 840ml）。移植到臀部的清洁脂肪组织量为 95-425ml（平均 286ml），移植到下肢的量为 75-270ml（平均 195ml）。所有病例均采用富含基质的脂肪移植技术来丰富脂肪移植。无血肿、感染或深静脉血栓形成。75%的患者报告说，他们的复合身体轮廓后的外观“非常好”到“优秀”（30%“优秀”和 45%“非常好”），20%的患者报告说他们的外观“好”。只有 5%的患者认为他们的外观“一般”。该组患者的平均随访时间为 6.3 年（1-10 年）。
带改良腹部整形术的躯干脂肪抽吸术在单次手术中可获得非常好的美学效果，并发症发生率低，患者满意度高，是腹部整形术的一种有效术式。
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