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Decision-Making Algorithm for Advanced Excisional Body Contouring: Dynamic Definition Solutions for Skin Laxity
Alfredo E Hoyos1, Mauricio E Perez1, Ivan R Mogollon1
1From the Total Definer Research Group; Dhara Clinic; private practice; and Universidad Simon Bolivar.
Plastic and Reconstructive Surgery
|September 16, 2022
Summary
A new algorithm aids surgeons in selecting the best excisional body contouring procedures for skin laxity, improving aesthetic outcomes and minimizing complications. This tool simplifies surgical planning for advanced body contouring.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
Background:
- Excisional body contour surgery is a primary treatment for skin laxity.
- Selecting the optimal procedure can be complex.
- Dynamic definition liposculpture and umbilical characteristics are key to natural results.
Purpose of the Study:
- To present a decision-making algorithm for advanced excisional body contouring.
- To simplify surgical planning for skin laxity procedures.
Main Methods:
- A database search identified patients classified by skin laxity and navel location.
- Six specific excisional procedures were analyzed based on the algorithm.
- Patient data from February 2014 to January 2020 was reviewed.
Main Results:
- The algorithm was applied to 563 women undergoing body contouring.
- Very good results and low complication rates were achieved.
- Minor complications occurred in 9.6% and major complications in 3.9% of cases.
Conclusions:
- The algorithm effectively guides the selection of excisional techniques based on patient anatomy and skin geometry.
- This approach enhances aesthetic outcomes in body contouring.
- Further studies are needed for algorithm validation.

