Optimizing the Incision Marking in Abdominoplasty: 2-year Series

The resultant horizontal scar in abdominoplasty is primarily the result of 3 main factors: (1) preoperative skin marking planning, (2) undermining area, and (3) dermal adipose flap traction symmetry. Although distinct preoperative marking routines have been described in the literature, there are few records of the systematic use of a standard template for that purpose. The authors created the template used in this study 12 years ago and now make an objective critical analysis of its results from the last 2 years.

Over a period of 30 months, 147 patients underwent abdominoplasty using the standard template to optimize the preoperative skin markings. All patients underwent an evaluation, through digital photograph, by 2 independent senior plastic surgeons, using an objective grading system for aesthetic outcomes proposed by Strasser, at least 6 months after the operation. All resultant scar shapes underwent a measurement analysis through Mirror Image software, version 6.0.

According to the Strasser objective grade system, 147 (95%) patients were considered to have good and excellent results. Five (4%) patients were considered moderate, and 3 (2%) had poor results. The analysis of the scar shape through the Mirror software has shown reproducibility with an angle variation of only 3 degrees. The overall complication rate was 6%.

The template described provides the reproducibility of its results, creating a symmetric and balanced abdominoplasty horizontal scar, saving operative time, and lowering cost.