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Abdominoplasty with two fusiform plications
A Marques1, E Brenda, M D Pereira
1São Paulo, Brazil.
Aesthetic Plastic Surgery
|May 1, 1996
Summary
This study recommends two-fusiform plications for abdominoplasty to create a slimmer waistline. This technique maintained results long-term, preserving natural abdominal muscle contours.
Area of Science:
- Plastic Surgery
- Abdominoplasty Techniques
- Body Contouring
Background:
- Classical median xiphoid-pubic fusiform plication in abdominoplasty may not always yield optimal waistline contouring.
- Maintaining natural abdominal muscle contours is crucial to prevent aesthetic concerns like a 'flat abdomen' post-surgery.
Purpose of the Study:
- To evaluate the efficacy of a novel two-fusiform plication technique for abdominal contouring in abdominoplasty.
- To assess the long-term maintenance of a slimmer waistline and natural muscle contours using this modified approach.
Main Methods:
- A modified abdominoplasty procedure involving two-fusiform plications was performed on 11 patients.
- Dermoadipose flaps were undermined, and two fusiform shapes were marked at the transition zones of rectus abdominis muscle sheaths and external obliques.
Main Results:
- The two-fusiform plication technique successfully produced a slimmer waistline intraoperatively.
- This improved contour was maintained throughout the late postoperative period (mean follow-up of 20 months).
- The procedure preserved the natural contour between the rectus abdominis muscles without loss.
Conclusions:
- Two-fusiform plications represent a recommended alternative to classical methods for achieving superior abdominal contouring in abdominoplasty.
- This technique effectively creates and sustains a slimmer waistline while preserving natural abdominal muscle aesthetics, addressing a key patient concern.