[En bloc abdominoplasty: a new, safer and more esthetic technique]

Suction abdominoplasties are associated with a number of surgical complications, mainly in obese people and diabetic patients. The aesthetic results is often spoiled by a poor equilibrium due to an incorrect distance between the "guide points" of an harmonious abdomen (e.g. min 10 cm between the pubic scar and the umbilicus). The author thinks that almost all surgical complications are induced by the extensive undermining and can be avoided by a "en bloc" resection without any undermining (the suction lipectomy of the upper flap creates a "Mesh Undermining" which is almost as efficient). A new neoumbilicoplasty described by the author can be situated in the "right position" with a good aesthetic result.