Abdominoplasty With Scarpa Fascia Preservation

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Abdominoplasty Techniques

Background:

• The plane of dissection in abdominoplasty is linked to seroma rates.
• Traditional abdominoplasty dissection occurs superficial to the rectus fascia.
• A more superficial dissection plane may improve recovery and reduce complications.

Purpose of the Study:

• To evaluate the clinical effects of a superficial dissection plane with Scarpa fascia preservation during abdominoplasty.
• To compare outcomes of the superficial dissection technique against the classic plane.

Main Methods:

• Two prospective comparative studies were conducted.
• The technique involves dissection superficial to the rectus fascia, preserving Scarpa fascia.
• A morphometric study of surgical specimens from 41 female patients was performed.

Main Results:

• The superficial dissection plane resulted in reduced total and daily drain volumes.
• Drain usage duration was shortened, avoiding prolonged drainage ('long drainers').
• Preservation of the deep fat compartment was validated as a viable option.

Conclusions:

• Performing abdominoplasty with a superficial dissection plane in the infraumbilical area, preserving Scarpa fascia and the deep fat compartment, is recommended.
• The classic dissection plane superficial to the deep fascia should be avoided in the lower abdomen.
• This technique offers significant advantages in reducing drain-related complications and improving patient recovery.