Abdominoplasty Practice Patterns: An American Society of Plastic Surgeons (ASPS) Member Survey - How Much Has Changed Over 20 Years?
- Morgan L Fish 1, Marjorie C Kragel 1, Elad T Fraiman 2, Pierce L Janssen 1, Osama Darras 1, Alan Matarasso 3, James E Zins 1
- 1Department of Plastic Surgery, Cleveland Clinic, Cleveland, Ohio.
- 2Case Western Reserve University School of Medicine, Cleveland, Ohio.
- 3Hofstra University/Northwell School of Medicine, New York, New York.
- 0Department of Plastic Surgery, Cleveland Clinic, Cleveland, Ohio.
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View abstract on PubMed
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.
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