Flores González Emmanuel Armando, Pérez Chávez Francisco, Ramírez Guerrero Oliver René, Gracida Mancilla Noé Isaías, Vázquez Apodaca Raquel Aracely
Hospital Angeles, Clinica Londres, Plastic and Reconstructive Surgery, Mexico City, Mexico.
Clinica "PLASTICSURG," Plastic and Reconstructive Surgery, Mexico City, Mexico.
Plast Reconstr Surg Glob Open. 2021 May 24;9(5):e3540. doi: 10.1097/GOX.0000000000003540. eCollection 2021 May.
The success of body contouring surgery will largely depend on the correct choice and performance of the technique, and utilization of the necessary scientific measures. Thus, this study sought to highlight the combination and evolution of the abdominoplasty-assisted liposuction technique, while individualizing each case for the patient's benefit.
We present a series of 188 cases from the past 3 years (2017-2019), using our modification to the surgical technique: performing 360-degree liposuction first, and then abdominoplasty in the same surgical time. We show our aesthetic results, surgical time, and complications, so as to compare them with the literature.
Of the 188 cases, 184 were women (97.9%) and 4 were men (2.1%). In 11 cases (5.8%), we recorded 4 hours as a minimum surgical time and 8 hours in 16 cases (8.5%) as a maximum time. Regarding complications, hematomas were recorded in 1 case (0.5%) as the least frequent complication and seromas in 18 cases (9.6%) as the most frequent complication. The aesthetic results, although not objectively measurable, are flattering for both the patient and the surgeon, as shown by documented evidence (photographs) before and after surgery.
Our study supports favorable results. Modification of this technique has resulted in outstanding body contouring surgery. We hope this procedure can be reproduced because of its few complications and the pleasant results it yields.
身体塑形手术的成功很大程度上取决于技术的正确选择与实施，以及必要科学措施的运用。因此，本研究旨在突出腹壁成形术辅助吸脂技术的联合应用与演变，同时为患者的利益对每个病例进行个体化处理。
我们展示了过去3年（2017 - 2019年）的188例病例，采用了我们对手术技术的改良：先进行360度吸脂，然后在同一手术时间内进行腹壁成形术。我们展示了美学效果、手术时间和并发症情况，以便与文献进行比较。
在188例病例中，184例为女性（97.9%），4例为男性（2.1%）。在11例（5.8%）病例中，我们记录到最短手术时间为4小时，16例（8.5%）病例的最长手术时间为8小时。关于并发症，血肿记录为1例（0.5%），是最不常见的并发症，血清肿记录为18例（9.6%），是最常见的并发症。美学效果虽无法客观测量，但从手术前后的记录证据（照片）来看，对患者和外科医生而言都令人满意。
我们的研究支持了良好的结果。对该技术的改良带来了出色的身体塑形手术。我们希望由于其并发症少且效果良好，这种手术方法能够被复制。
