Abdominoplasty by the W technique

The W abdominoplasty is an excellent esthetic operation (Figs. 7-12), based on several important principles. 1. The drawing of the W with its 3 angles gives 3 good landmarks for a symmetrical result. The mid-angle may be cut off by one to two cm at the time of closure, if it seems too sharp. 2. By making the incision inside the hairline, there is no increase in the height of the pubic hair. 3. By removing more tissues laterally than in the midline the traction on the flap is equalized, thus giving a nice draping on the hips. 4. The operation equalizes the wound edges and avoids producing skin folds. 5. Complete removal of the skin and fat between the umbilicus and the pubis is always possible if the operating table is put in a proper position for closure. No vertical scar has ever been necessary in our series. 6. The direction of the final scar, although different from the primary incision due to the traction, remains low-just above the inguinal fold and approximately in the same direction, in the area concealed by small bathing suits. 7. The maximum stretching of the abdominal skin favors a lasting result.