Journal of Clinical & Experimental Dermatology Research
Open Access
ISSN: 2155-9554
+44 1478 350008
ISSN: 2155-9554
+44 1478 350008
Afschin Ghofrani
Posters-Accepted Abstracts: J Clin Exp Dermatol Res
Introduction: There are multiple described techniques for the performing of an Abdominoplasty (tummy tuck). However the optimum result cannot be achieved by merely focusing on the skin. At least equal attention has to be paid to the muscular abdominal wall especially the rectus muscle and the extern oblique muscles, further on the groins and mons pubis. Methods: A series of modifications of the known techniques of Abdominoplasty has been implemented at our clinic. Special attention is given to the positioning of the patient on the operating table because this can influence the outcome of skin tightening significantly. We start with an incision above the umbilicus and not as usual above the pubis, to guarantee the avoidance of a T-shaped scar at the end of the operation. According to the intraoperative laxity of the abdominal muscles, we perform a maximum plication of the rectus muscle sheath vertically and if necessary horizontally. In case of weakness of the groin area, we also plicate the muscle fascia horizontally in this region. Routinely, not only the abdominal skin is tightened caudally, but also the mons pubis and groin skin cranially. Redeeming the fundamental rules of preserving the main abdominal perforators, we are able to tighten the abdominal skin up to a degree at the end of the operation, that a flat positioning of the patient is not advisable for the first three days. Results/ Discussion: Over 300 patients have been treated with this modified Abdominoplasty approach in the recent 10 years. In spite of a remarkable tension on skin and muscle layers, the procedure proved to be safe with a complication rate of less than 3%, mainly of minor nature. The functional and aesthetic results appear to be superior to the standard techniques, especially with regard to the long term results.