Refining trunk contouring with reverse abdominoplasty.

Area of Science:

• Plastic Surgery
• Aesthetic Surgery

Background:

• Reverse abdominoplasty is effective for upper abdominal tissue excess and laxity.
• It is particularly beneficial for patients with residual contour issues after conventional abdominoplasty or liposuction.
• The technique can be combined with autologous breast augmentation.

Purpose of the Study:

• To review surgical outcomes of reverse abdominoplasty.
• To discuss indications, benefits, and lessons learned from clinical experience.

Main Methods:

• Retrospective review of 14 consecutive patients over five years.
• Analysis of case notes and pre/postoperative photographs.
• Direct patient questioning to assess surgical results.

Main Results:

• Mean patient age was 56.6 years; most had prior abdominal/breast surgery.
• Mean of 6 cm of upper abdominal tissue was excised (326 g).
• No major complications; only three patients required minor revision.

Conclusions:

• Reverse abdominoplasty is a useful technique for specific patient profiles.
• Ideal candidates are older patients with excess upper abdominal skin, prior abdominoplasty, and inframammary scars.