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Fleur-de-Lys abdominoplasty--a consecutive case series
C G Duff1, S Aslam, R W Griffiths
1Department of Plastic, Burn and Reconstructive Surgery, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK. duffcg@aol.com
British Journal of Plastic Surgery
|August 30, 2003
Summary
Fleur-de-Lys abdominoplasty has a high complication rate, especially for older patients with higher BMI and weight. However, 82% achieved satisfactory outcomes, reinforcing the need for weight reduction before body contouring surgery.
Area of Science:
- Plastic Surgery
- Body Contouring Surgery
Background:
- Fleur-de-Lys abdominoplasty is a complex surgical procedure.
- Patient demographics and outcomes require further investigation.
Purpose of the Study:
- To analyze the outcomes and complication rates of Fleur-de-Lys abdominoplasty.
- To identify factors associated with complications in abdominoplasty patients.
Main Methods:
- Retrospective review of 68 consecutive Fleur-de-Lys abdominoplasty patients.
- Data collected included patient age, body mass index (BMI), weight loss, operative time, and tissue resected.
- Complications were categorized and analyzed for associations with patient factors.
Main Results:
- The mean age was 39 years, mean BMI 29 kg/m(2).
- Overall complication rate was 62%, significantly associated with older age, higher BMI, greater weight, and more tissue resected.
- Despite complications, 82% achieved satisfactory outcomes in a single operation.
Conclusions:
- Fleur-de-Lys abdominoplasty is associated with a significant complication rate.
- Patient factors like age, BMI, and weight are critical predictors of complications.
- Preoperative weight reduction is crucial for optimizing outcomes in body contouring surgery.