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Complications and Risks Associated With the Different Types of Abdominoplasties: An Analysis of 55,956 Patients
Insights
Fleur-de-lis abdominoplasty has the highest complication rate among different types. Combining abdominoplasty with other cosmetic procedures does not increase major complication risks.
Area of Science:
- Plastic Surgery
- Surgical Outcomes
- Patient Safety
Background:
- Various abdominoplasty techniques exist, tailored to patient needs.
- No prior analysis has detailed complication rates and risk factors for different abdominoplasty types.
Purpose of the Study:
- To assess complication rates and identify risk factors for each abdominoplasty type.
- To compare complication risks between abdominoplasty alone and abdominoplasty with concurrent procedures.
Main Methods:
- Analysis of 55,596 abdominoplasty cases from the CosmetAssure database (2015-2022).
- Statistical analysis including chi-square, ANOVA, and logistic regression to identify risk factors.
- Evaluation of concurrent procedures alongside abdominoplasty.
Main Results:
- Overall complication rate was 2.1%, with significant variations among the 7 abdominoplasty types.
- Fleur-de-lis abdominoplasty demonstrated the highest complication rate.
- Patient factors like underweight/obesity, diabetes, and male sex increased complication risk. Concurrent procedures showed no added risk.
Conclusions:
- Fleur-de-lis abdominoplasty is associated with the highest complication rate.
- Combining abdominoplasty with other cosmetic surgeries does not elevate the risk of major complications.
Background:
Different types of abdominoplasties have been developed to address individual patient characteristics. However, an analysis of complication rates and risk factors for different types of abdominoplasties has yet to be reported.
Objectives:
The aim of this study was to evaluate the complication rates and risks associated with each type of abdominoplasty.
Methods:
Utilizing the CosmetAssure database, patients undergoing an abdominoplasty from 2015 to 2022 were identified. Demographic factors and major complications were recorded and analyzed with a chi-square test or analysis of variance. A logistic regression was performed to identify the risk for developing complications associated with each type of abdominoplasty.
Results:
A total of 55,596 patients underwent an abdominoplasty procedure by any method. The overall complication rate was 2.1%. There was a significant difference in the overall complication rates of all 7 types of abdominoplasties (P < .05), with fleur-de-lis abdominoplasty having the highest complication rate. The year of surgery, being underweight or morbidly obese, having diabetes, and being male placed patients at a significantly higher risk for developing a postoperative complication. Over 15,000 patients (27.2%) had concurrent procedures related to breast surgery, other body contouring, liposuction, or facial surgery. When accounting for various risk factors in a regression model, there was no significant added risk for major complications after a combination procedure with an abdominoplasty compared to abdominoplasty alone.
Conclusions:
Among the different types of abdominoplasties, a fleur-de-lis abdominoplasty has the highest complication rate. Concurrent cosmetic procedures with an abdominoplasty showed no added risk for major complications when compared to abdominoplasty alone.
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