[The "two positions" lipoabdominoplasty].

Area of Science:

• Plastic Surgery
• Body Contouring Procedures

Background:

• Lipoabdominoplasty enhances abdominoplasty by addressing difficult-to-reach areas.
• Lateral and posterior fat deposits often require a two-position approach for effective treatment.

Purpose of the Study:

• To evaluate if a two-position lipoabdominoplasty increases morbidity compared to a one-position procedure.
• To assess the safety and efficacy of lipoabdominoplasty in prone and supine positions.

Main Methods:

• Retrospective study of 137 patients undergoing lipoabdominoplasty (2009-2013).
• Comparison between one-position (n=85) and two-position (n=52) techniques.
• Data collected on demographics, operative details, liposuction volume, and complications.

Main Results:

• Two-position lipoabdominoplasty significantly increased operative time (43.3 min) and liposuction volume (2789.6 mL vs. 1373.8 mL).
• No significant differences in complication rates or blood loss were observed between the groups.

Conclusions:

• Two-position lipoabdominoplasty is an effective technique with comparable morbidity to the one-position method.
• Indicated for patients with significant lateral and posterior fat extension, bridging the gap between abdominoplasty and bodylift.