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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Related Experiment Video

Updated: May 23, 2025

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Reverse abdominoplasty: easily solving complicated situations.

Daniele Brunelli1, Francesca Mazzarella1, Chiara Zanettin1

  • 1Clinic of Plastic, Reconstructive and Aesthetic Surgery, Department of Neuroscience, University Hospital of Padua, Padua, Italy.

Case Reports in Plastic Surgery & Hand Surgery
|March 11, 2025
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Summary

Reverse abdominoplasty offers a safe and effective solution for epigastric tissue excess, especially when combined with mammoplasty. This technique provides consistent outcomes for complex abdominal wall conditions.

Keywords:
Reverse abdominoplastyaesthetic surgerybody contouringpost-bariatric surgery

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Area of Science:

  • Plastic Surgery
  • Abdominal Wall Reconstruction

Background:

  • Epigastric tissue excess after abdominoplasty or liposuction presents a complex surgical challenge.
  • Concurrent mammoplasty or pre-existing submammary scars are key considerations for surgical approach.

Purpose of the Study:

  • To present personal experience with reverse abdominoplasty.
  • To compare reverse abdominoplasty outcomes with existing literature.

Main Methods:

  • Literature review using PubMed and Cochrane Library with search terms 'Reverse AND Abdominoplasty'.
  • Analysis of surgical indications, complications, outcomes, and techniques.
  • Presentation of graphical examples and personal case series (2020-2024).

Main Results:

  • Twelve patients underwent reverse abdominoplasty between 2020 and 2024.
  • All patients had either a pre-existing submammary scar or planned mammoplasty.
  • One major complication occurred at a mean follow-up of 25.1 weeks.

Conclusions:

  • Reverse abdominoplasty is a valuable, though under-documented, procedure for challenging abdominal wall cases.
  • Concomitant mammoplasty or existing inframammary scars are favorable indications.
  • Meticulous recreation of the inframammary sulcus is crucial to prevent complications.