From the Department of Reconstructive Surgery, Serviço de Cirurgia Plástica Osvaldo Saldanha.
Plast Reconstr Surg. 2020 Oct;146(4):766-777. doi: 10.1097/PRS.0000000000007184.
In the past two decades, lipoabdominoplasty has increased in popularity worldwide, presenting low rates of complications and morbidity when the proper surgical steps are followed. The authors present an update of the lipoabdominoplasty technique with the addition of an abdominal definition and standardized steps for its safe execution, an initial personal experience with the procedure that improves the aesthetic results.
Anatomical limits are described for preoperative markings for selective liposuction with abdominal definition. Specific areas of the abdomen are presented to differentiate the areas for an intense or moderate liposuction and the areas for superficial and deep liposuction for anatomical definition. The principles of traditional lipoabdominoplasty are also described and maintained. The initial experiences with 128 patients undergoing the technique are included.
One hundred twenty-eight patients were operated on by the senior author (O.S.) from 2016 to 2019 using the described technique. One patient presented with a seroma (0.8 percent), and two had a small skin epitheliolysis (1.5 percent). No other major complications were observed. It is the senior author's opinion that the obtained aesthetic results from the lipoabdominoplasty with definition are superior to those of the traditional technique, as it enhances the natural contour of the abdomen.
Lipoabdominoplasty with anatomical definition has improved the aesthetic results of traditional lipoabdominoplasty without compromising the safety of that technique. More natural results along the abdominal contour that avoid a completely flat abdomen have been observed by most patients. This approach is safe and reproducible, with low complication rates, and it effectively enhances body contour.
在过去的二十年中，脂肪腹成形术在全球范围内越来越受欢迎，只要遵循正确的手术步骤，其并发症和发病率就很低。作者介绍了一种脂肪腹成形术技术的更新，该技术增加了腹部轮廓的定义，并为其安全实施制定了标准化步骤，这是作者最初的个人经验，可改善美容效果。
描述了术前标记选择性腹部吸脂术和腹部轮廓定义的解剖学限制。介绍了腹部的特定区域，以区分需要强烈或中度吸脂的区域以及需要浅层和深层吸脂以实现解剖定义的区域。还描述并保留了传统脂肪腹成形术的原则。纳入了 128 例接受该技术的患者的初步经验。
2016 年至 2019 年，高级作者（O.S.）对 128 例患者使用描述的技术进行了手术。1 例患者出现血清肿（0.8％），2 例患者出现小面积皮肤上皮脱落（1.5％）。未观察到其他重大并发症。高级作者认为，具有定义的脂肪腹成形术获得的美容效果优于传统技术，因为它增强了腹部的自然轮廓。
具有解剖定义的脂肪腹成形术改善了传统脂肪腹成形术的美容效果，同时又不影响该技术的安全性。大多数患者观察到沿腹部轮廓的更自然的结果，避免了完全平坦的腹部。这种方法是安全且可重复的，并发症发生率低，可有效改善身体轮廓。
