Abdominoplasty Practice Patterns: An American Society of Plastic Surgeons (ASPS) Member Survey - How Much Has Changed Over 20 Years?

  • 0Department of Plastic Surgery, Cleveland Clinic, Cleveland, Ohio.

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Summary

This summary is machine-generated.

Abdominoplasty techniques have evolved, with power-assisted liposuction increasing and drain use decreasing. Surgeons now incorporate progressive tension sutures and tranexamic acid to enhance outcomes and reduce complications in abdominal contouring procedures.

Area Of Science

  • Plastic Surgery
  • Abdominal Contouring Surgery

Background

  • The American Society of Plastic Surgeons (ASPS) previously surveyed abdominoplasty practices in 2006.
  • This study revisits surgical techniques, ancillary procedures, practice patterns, and outcomes since the initial survey.

Purpose Of The Study

  • To identify and analyze changes in abdominoplasty practice patterns over time.
  • To compare current techniques and outcomes with historical data and literature recommendations.

Main Methods

  • A 38-question anonymous survey was distributed to 1,765 ASPS members.
  • The survey was based on a 2006 study, with modifications to assess new trends.
  • Results were compared to the 2006 survey and current plastic surgery literature.

Main Results

  • Full abdominoplasty with rectus plication and umbilical transposition remains the primary technique.
  • Power-assisted liposuction use significantly increased, while ultrasound-assisted liposuction decreased.
  • Use of progressive tension sutures, tranexamic acid, and barbed sutures for rectus plication has increased; drain use has decreased.

Conclusions

  • Abdominoplasty procedures have undergone significant, nuanced modifications.
  • New adjuncts are increasingly utilized to improve surgical results and minimize patient morbidity.