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Biplanar Lipoabdominoplasty: Introducing the Subscarpal Lipo Aponeurotic System
Yoram Wolf1,2, Oren Weissman3, Helena Dima4
1Plastic Surgery Unit, Hillel Yaffe Medical Center, Ruth and Bruce Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel.
Plastic and Reconstructive Surgery. Global Open
|February 21, 2022
Summary
This study introduces the subscarpal lipo aponeurotic system (SLAS) tightening technique in lipoabdominoplasty. Biplanar lipoabdominoplasty with SLAS tightening showed comparable outcomes and complication rates to standard procedures.
Area of Science:
- Plastic Surgery
- Abdominal Wall Reconstruction
- Aesthetic Surgery
Background:
- Scarpa's fascia preservation is a known abdominoplasty technique.
- The subscarpal lipo aponeurotic system (SLAS) is a distinct anatomical structure.
- SLAS tightening offers potential for enhanced abdominal contouring.
Purpose of the Study:
- To introduce and evaluate the novel subscarpal lipo aponeurotic system (SLAS) tightening technique in lipoabdominoplasty.
- To compare biplanar lipoabdominoplasty with SLAS tightening against standard lipoabdominoplasty.
- To assess postoperative complications, aesthetic outcomes, and procedure length.
Main Methods:
- Retrospective cohort study of 179 patients undergoing biplanar lipoabdominoplasty with SLAS tightening and 65 controls.
- Comparison of complication rates, aesthetic results, and procedure duration.
- Histological analysis of supra-scarpal fat and SLAS tissue.
Main Results:
- Biplanar lipoabdominoplasty with SLAS tightening had a moderate complication rate of 10.05% versus 16.92% in the standard group.
- No statistically significant differences in major complications, procedure length, or aesthetic outcomes.
- Concomitant hernia repair was performed in 29.9% of patients.
Conclusions:
- The SLAS can be effectively dissected and utilized for tightening during abdominoplasty.
- Biplanar lipoabdominoplasty with SLAS tightening demonstrates comparable safety and efficacy to standard procedures.
- This technique may particularly benefit patients with abdominal wall weakness and flank fullness.
