Sozer Sadri Ozan, Basaran Karaca, Alim Hasan
From El Paso Cosmetic Surgery; and Bagcilar Research and Training Hospital.
Plast Reconstr Surg. 2018 Oct;142(4):891-901. doi: 10.1097/PRS.0000000000004819.
The authors present the technique called "abdominoplasty with concurrent circumferential liposuction," where the whole trunk is addressed as a single aesthetic unit.
Between January of 2008 and June of 2016, abdominoplasty with circumferential liposuction was performed in 1000 patients (984 women and 16 men) by the senior author. Patients had a mean body mass index of 27.5 kg/m (range, 18.1 to 34.5 5 kg/m). Liposuction was performed circumferentially and the abdominal flap was detached up to the costal margins. Simultaneous fat grafting was also performed if required. Outcomes and complications were documented.
Traditional abdominoplasty incisions were used in 359 patients, whereas extended incisions were used in 641 patients. The mean duration of follow-up was 27 months (range, 12 days to 61 months), and the mean duration of surgery was 154 minutes (range, 109 to 260 minutes). The mean amount of simultaneously aspired supernatant lipoaspirate was 1940 cc (range, 1700 to 4580 cc). Simultaneous gluteal fat grafting was performed in 34 percent. None of the patients had any skin necrosis. The most common complication was seroma (19 percent).
In abdominoplasty, the entire central body should be considered as a single unit. Circumferential widespread liposuction with standard undermining of the abdominal flap up to the costal margins is safe and yields superior aesthetic outcomes.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
作者介绍了一种名为“同期环形吸脂腹壁成形术”的技术，该技术将整个躯干视为一个单一的美学单元。
2008年1月至2016年6月期间，资深作者对1000例患者（984例女性和16例男性）实施了同期环形吸脂腹壁成形术。患者的平均体重指数为27.5kg/m²（范围为18.1至34.5kg/m²）。进行环形吸脂，并将腹部皮瓣分离至肋缘。如有需要，还会同时进行脂肪移植。记录手术结果和并发症。
359例患者采用传统腹壁成形术切口，641例患者采用延长切口。平均随访时间为27个月（范围为12天至61个月），平均手术时间为154分钟（范围为109至260分钟）。同期吸出的上清脂肪抽吸物平均量为1940cc（范围为1700至4580cc）。34%的患者同时进行了臀区脂肪移植。所有患者均未出现皮肤坏死。最常见的并发症是血清肿（19%）。
在腹壁成形术中，应将整个身体中部视为一个单一单元。对腹部皮瓣进行标准的广泛环形吸脂并分离至肋缘是安全的，且能产生更好的美学效果。
临床问题/证据级别：治疗性，IV级。
