Lourenço Luciana M, Di Sessa David, Tebet Ana Carolina Franco, de Noronha Maria Gabriela Ortiz, de Medeiros Helena Lourenço, Sigrist Rosa
Private Practice in Dermatology, São Paulo, Brazil.
Faculty Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil.
J Cosmet Dermatol. 2025 Feb;24(2):e16692. doi: 10.1111/jocd.16692. Epub 2024 Nov 17.
Achieving a defined abdomen through traditional surgical methods like liposuction and abdominoplasty involves risks and significant downtime. Hyaluronic acid (HA) body filling has emerged as a minimally invasive alternative, offering immediate results with reduced recovery periods.
The high-definition abdomen through HA technique (HHD) was implemented on young men with BMI < 24.9, excluding those with obesity or excessive skin laxity. HA gel with large particle sizes (800-1800 μm) and high G prime was chosen based on subcutaneous thickness. Injections were guided by ultrasound into the lamellar fat layer between Camper's fascia and Scarpa's fascia, targeting abdominal metameres for enhancement. Participants completed the Global Aesthetic Improvement Scale.
The technique produced satisfactory outcomes, enhancing abdominal metamere definition. Mild post-procedural hematomas and transient discomfort were noted. At 10 months, 71.4% of patients reported "much improved," and 28.6% reported "improved," per the GAIS questionnaire.
Customizing HA characteristics and employing ultrasound guidance ensured safe and precise injections, minimizing vascular risks. Limitations such as HA's temporary nature and exclusions for surgical candidates were acknowledged.
HHD using large particle HA proved effective in achieving aesthetic abdominal enhancements with minimal risks and downtime. This technique not only provided immediate results but also contributed to enhanced patient satisfaction and self-esteem. Further research is needed to explore broader applications and refine outcomes across diverse patient groups.
通过抽脂和腹壁成形术等传统手术方法来塑造轮廓分明的腹部存在风险且术后恢复时间较长。透明质酸（HA）身体填充术已成为一种微创替代方法，能即刻见到效果且恢复期缩短。
对体重指数（BMI）<24.9的年轻男性实施通过HA技术实现的高清腹部塑形（HHD），排除肥胖或皮肤过度松弛的患者。根据皮下厚度选择大粒径（800 - 1800μm）和高G'值的HA凝胶。在超声引导下将其注入坎珀筋膜和斯卡帕筋膜之间的板层脂肪层，针对腹部节段进行强化。参与者完成全球美学改善量表评估。
该技术产生了令人满意的效果，增强了腹部节段的清晰度。术后出现了轻度血肿和短暂不适。根据全球美学改善量表问卷，在10个月时，71.4%的患者表示“改善很多”，28.6%的患者表示“有所改善”。
定制HA特性并采用超声引导确保了安全且精确的注射，将血管风险降至最低。承认了诸如HA效果的暂时性以及排除手术候选者等局限性。
使用大粒径HA的HHD被证明在以最小风险和最短恢复期实现美观的腹部塑形方面是有效的。该技术不仅能即刻见到效果，还提高了患者满意度和自尊心。需要进一步研究以探索更广泛的应用并改善不同患者群体的治疗效果。
