Stein Michael J, Theodorou Spero, Chia Christopher T
Manhattan Eye, Ear and Throat Hospital, New York, N.Y.
Lenox Hill Hospital, New York, N.Y.
Plast Reconstr Surg Glob Open. 2022 Apr 25;10(4):e4212. doi: 10.1097/GOX.0000000000004212. eCollection 2022 Apr.
Decades of lipoabdominoplasty safety, reliability, and efficacy have permitted more aggressive contouring of the abdominoplasty flap without increased risk for wound healing complications. However, the recent introduction of unrestricted liposuction of all vascular zones and high-definition liposculpting continue to challenge the vascularity of the abdominoplasty flap, particularly in high-risk patients. The present study reviews the authors' approach to abdominal lipodystrophy, and introduces a technique which maximizes fat extraction and skin excision while reducing risk of complication (two-stage radiofrequency-assisted liposuction and abdominoplasty).
数十年来，腹壁成形术的安全性、可靠性和有效性使得在不增加伤口愈合并发症风险的情况下，能够对腹壁成形皮瓣进行更积极的塑形。然而，最近对所有血管区域进行无限制吸脂以及高清脂肪雕塑技术的引入，继续对腹壁成形皮瓣的血供构成挑战，尤其是在高危患者中。本研究回顾了作者处理腹部脂肪营养不良的方法，并介绍了一种在降低并发症风险的同时最大化脂肪抽吸和皮肤切除的技术（两阶段射频辅助吸脂和腹壁成形术）。
