Abdominoplasty with two fusiform plications

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.