Levy Avraham, Berl Ariel, Shir-Az Ofir, Mann Din, Weiss Eitam, Shalom Avshalom
Department of Plastic Surgery, Meir Medical Center, Tchernichovsky St. 59, 4428164, Kfar Saba, Israel.
Affiliated with the School of Medicine, Faculty of Medical and Health Sciences, Tel Aviv University, Tel Aviv, Israel.
Aesthetic Plast Surg. 2025 Jan;49(2):538-546. doi: 10.1007/s00266-024-04384-5. Epub 2024 Oct 1.
The abdomen is the aesthetic and physical center of the body. Abdominal etching is used to enhance the appearance of the abdominal musculature. Body contouring and abdominal etching are popular among both men and women, and these procedures have been shown to result in high patient satisfaction and are considered safe. The aim of this study was to describe a novel classification for abdominal etching based on the senior author's technique and experience.
This single surgeon, nonrandomized, retrospective study was conducted from December 2016 to September 2022. Patients were classified into 4 groups based on their body habitus, abdominal skin pinch test and skin quality, and the surgical plan was tailored accordingly.
Sixty-two patients (42 male) with an average age of 36 years underwent abdominal etching during the study period. Subgrouping included 4 (6.45%) in Class 1, 22 (35.5%) in Class 2, 32 (51.6%) in Class 3 and 4 (6.45%) in Class 4. The most common complication was seroma. Concomitant procedures included silicone implants to the pectoral region (male), fat injection to the buttocks, breast reduction and mastopexy and treatment of post-liposuction irregularities.
The abdominal etching technique is safe and reproducible. It has demonstrated long-lasting results and high patient satisfaction. Our classification of patients will enable surgeons to better understand the problem presented and provide aesthetic and efficient results. Use of these guidelines and tailoring treatment options will further improve patient and physician satisfaction.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
腹部是身体的美学和生理中心。腹部蚀刻术用于改善腹部肌肉组织的外观。身体塑形和腹部蚀刻术在男性和女性中都很受欢迎，并且这些手术已被证明能带来较高的患者满意度，且被认为是安全的。本研究的目的是基于资深作者的技术和经验描述一种腹部蚀刻术的新分类方法。
本单术者、非随机、回顾性研究于2016年12月至2022年9月进行。根据患者的体型、腹部皮肤捏起试验和皮肤质量将患者分为4组，并据此制定手术方案。
在研究期间，62例患者（42例男性）平均年龄36岁接受了腹部蚀刻术。亚组分类包括1类4例（6.45%）、2类22例（35.5%）、3类32例（51.6%）和4类4例（6.45%）。最常见的并发症是血清肿。同期手术包括胸肌区域硅胶植入（男性）、臀部脂肪注射、乳房缩小和乳房上提以及抽脂后不规则情况的处理。
腹部蚀刻术安全且可重复。它已显示出持久的效果和较高的患者满意度。我们对患者的分类将使外科医生能够更好地理解所呈现的问题并提供美观且有效的结果。使用这些指南并量身定制治疗方案将进一步提高患者和医生的满意度。
证据等级IV：本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述，请参阅目录或作者在线指南 www.springer.com/00266 。
