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The extended abdominoplasty.

Kenneth C Shestak1

  • 1Department of Plastic Surgery, University of Pittsburgh School of Medicine, 3380 Boulevard of Allies, Islay's Building Suite 180, Pittsburgh, PA 15213, USA; Plastic Surgery Service, Magee Womens Hospital, Pittsburgh, PA, USA.

Clinics in Plastic Surgery
|October 7, 2014
PubMed
Summary
This summary is machine-generated.

This study presents a surgical technique for improving hip contour by directly removing excess adipose tissue and skin. The method enhances results for patients experiencing significant lateral hip convexity, creating a smoother silhouette.

Keywords:
AbdominoplastyDirect excision of hip soft tissue excessExtended high lateral tension abdominoplasty

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Area of Science:

  • Plastic Surgery
  • Body Contouring
  • Aesthetic Surgery

Background:

  • Significant adipose tissue excess in the lateral and posterior hip can lead to undesirable convexity.
  • This excess, often appearing as a soft tissue "dog ear," affects frontal, posterior, and oblique views.
  • Existing abdominoplasty techniques may not fully address lateral hip contour irregularities.

Purpose of the Study:

  • To illustrate a surgical approach for direct excision of adipose tissue in the lateral and posterior hip.
  • To improve the aesthetic contour of the hip region in conjunction with abdominoplasty.
  • To provide a solution for patients with prominent lateral hip convexity.

Main Methods:

  • Extending the lateral horizontal incision of a full abdominoplasty towards the posterior axillary line.
  • Direct excision of excess skin and adipose tissue (both deep and superficial to the superficial fascial system) in the lateral hip region.
  • Focusing on patients with significant lateral hip adipose tissue excess causing outward convexity.

Main Results:

  • Achieves superior contouring in the lateral and posterior hip region.
  • Effectively addresses the soft tissue "dog ear" deformity in the hips.
  • Provides a refined aesthetic outcome for the treated area.

Conclusions:

  • Direct excision of lateral and posterior hip adipose tissue is an effective adjunct to abdominoplasty.
  • This technique significantly improves hip contour, particularly in cases of marked convexity.
  • The described method offers a valuable approach for enhancing body sculpting in the hip region.