[The modification of the of Pitanguy's technique for abdominoplasty]

The abdominal wall is an important element for the harmonious aesthetic balance of the body. The aspiration for this harmony starts in the far 1890 and is connected with the names of Demars, Marx and Kelly. The lipectomy was including the umbilical area and is quite from the current aesthetic concepts. The new techniques described later on had the purpose not only to eliminate the abdominal apron but to safe the umbilical zone and to guarantee discreet scar and reduce the complication risks. The modification of the Pitanguy technique includes three differences: the way of the undermining of the abdominal wall from the aponeurosis of the abdominal muscles, the creation of triangle flap in the lower part of the umbilical area to broke the trap door scar around it, and liposuction of the suprapubic area as well as the upper third of the abdominal wall, which was not undermined. With this modification we were able to obtain the maximum effect with minimal surgical risk.