Skip to main content

Challenges in Abdominoplasty

  • Chapter
  • First Online:

Abstract

Introduction: Complex abdominal deformities or surgical sequelae present hard to solve issues, sometimes challenging the surgeon’s technique and expertise. The difficulties in the handling of those patients are caused by the harsh conditions of the abdominal cutaneous tegument, where we can find multiple surgical scars, adherences, retractions, and cutaneous projections, coming from traumatic or iatrogenic fat tissue injuries. Case by case and methods: The authors show three complicated and challenging cases with defects of the abdominal wall to be worked on aiming not only to reconstruct the previous abdominal wall but also the entire outline of the body. Discussion: Beyond following tendencies, abdominal aesthetic surgery needs a more global focus in relation to the corporal outline. The combined approach of all the thoracic-abdominal areas and the right treatment of those modifications could allow a much better harmony of the body’s contour. Conclusion: The cases shown require that the surgeon modify the approach standards, using unusual conduct, therefore respecting the established principles to achieve more refined and aesthetically surprising results.

Plastic Surgery is a constant battle between blood supply and beauty.Sir Harold Guillies

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Aly AS (2006) Body contouring after massive weight loss. QMP, St Louis

    Google Scholar 

  2. Avelar JM (1978) Abdominoplasty – systematization of a technique without external umbilical scar. Aesthetic Plast Surg 2:141–151

    Article  CAS  PubMed  Google Scholar 

  3. Avelar JM (1986) Study of the anatomy of the subcutaneous adipose tissue applied for fat suction technique. Travail de l’Institute Scientifique Brésilien de Chirurgie Plastique, São Paulo

    Google Scholar 

  4. Avelar JM (1999) Uma nova técnica de abdominoplastia – Sistema vascular fechado de retalho subdérmico dobrado sobre si mesmo combinado com lipoaspiração. Rev Bras Cir 88/89(1/6):3–20

    Google Scholar 

  5. Avelar JM (2002) Abdominoplasty. Without panniculus undermining and resection. Editora Hipócrates, São Paulo

    Google Scholar 

  6. Avelar JM (2002) Abdominoplasty. Without panniculus undermining and resection. Analysis and 3-Years follow up of 97 consecutive cases. Aesthet Surg J 22(1):16–25

    Article  PubMed  Google Scholar 

  7. Baroudi R, Ferreira CA (1998) Seroma: how to avoid it and how to treat it. Aesthet Surg J 18(6):439–441

    Article  CAS  PubMed  Google Scholar 

  8. Caldeira AML, Barral S, Araújo I, Thomaz D (2008) Aesthetic abdominal and breast reconstruction with reverse lateral thoracodorsal flap. Plast Reconstr Surg 121(5):346e–347e

    Article  PubMed  Google Scholar 

  9. Caldeira AML, Lucas A (1998) Flacidez músculo-aponeurótica abdominal intensa. Su tratamento. Cir Plast Ibero Lat Am 24(1):9–15

    Google Scholar 

  10. Caldeira AML, Lucas A (2000) Pectoralis major muscle flap: a new support approach to mammaplasty, personal technique. Aesthetic Plast Surg 24:58–70

    Article  CAS  PubMed  Google Scholar 

  11. Caldeira AML, Lucas A, Cajano P (1999) Lembi di muscolo gran pettorale nella mastoplastica. Minerva Chir 54(10):729–738

    CAS  PubMed  Google Scholar 

  12. Caldeira AML, Lucas A, Grigalek G (1999) Mastoplasty: the triple-flap interposition technique. Aesthetic Plast Surg 23:51–60

    Article  CAS  PubMed  Google Scholar 

  13. Caldeira AML, Niéves A, Oliveira A (1990) Cirurgia do contorno corporal – Reflexões sobre um novo enfoque da cirurgia plásica do abdome. I – Classificações das derformidades abdominais e suas correlações cirúrgicas. Rev Bras Cir 80(2):95–104

    Google Scholar 

  14. Caldeira AML, Niéves A, Oliveira A (1990) Cirurgia do contorno corporal – 2ª Parte. Reflexões sobre um novo enfoque da cirurgia plásica do abdome. Rev Bras Cir 80(3):169–186

    Google Scholar 

  15. Caldeira AML, Roth GB (2009) Chapter 15. The triple flap interposition mammaplasty. In: Shiffman M (ed) Mastopexy and breast reduction. Springer, Berlin/Heidelberg, pp 103–113

    Chapter  Google Scholar 

  16. Carreirão S, Pitanguy I, Correa WE, Caldeira AML (1983) Abdominoplastia Vertical – Uma técnica a ser relembrada. Rev Bras Cir 73(3):184–194

    Google Scholar 

  17. Elbaz JS, Flageul G (1989) Liposuccion et Chirurgie Plastique de L’Abdomen. Masson, Paris

    Google Scholar 

  18. Fournier PF (1987) Body sculpturing through syringe liposuction and autologous fat re-injection. Samuel Rolf International

    Google Scholar 

  19. Franco T, Rebello C (1977) Cirurgia Estética. Livraria Atheneu, Rio de Janeiro

    Google Scholar 

  20. Gillies H, Millard R (1957) The principles and art of plastic surgery. Little Brown and Co., Boston, pp 291–420

    Google Scholar 

  21. Guerrero Santos I, Spaillat L, Morales F, Dicksheet S (1980) Some problems and solutions in abdominoplasty. Aesthetic Plast Surg 4:227–237

    Article  CAS  Google Scholar 

  22. Hakme F (1979) Lipectomia peri e supra-umbilical nas abdominoplastias. Rev Bras Cir 69:271

    Google Scholar 

  23. Kesselring UK, Meyer R (1978) A suction curette for removal excessive local deposits of subcutaneous fat. Plast Reconstr Surg 62:305

    Article  CAS  PubMed  Google Scholar 

  24. Lázaro da Silva A (1971) Plástica com o saco herniário na correção das hérnias incisionais. O Hospital 79:123–124

    Google Scholar 

  25. Lázaro da Silva A (1974) Plástica com o saco herniario na correção das hérnias incisionais, longitudinais, medianas ou para-retais e nas diástases dos retos abdominais. Rev Col Bras Cir 1:113

    Google Scholar 

  26. Millard DR Jr (1986) Principlization of plastic surgery, 1st edn. Little Brown and Company, Boston

    Google Scholar 

  27. Pitanguy I (1967) Abdominal lipectomy: an approach to it through an analysis of 300 consecutive cases. Plast Reconstr Surg 40(4):384–391

    Article  Google Scholar 

  28. Pitanguy I (1977) Dermolipectomy of the abdominal wall, thighs, buttocks and upper extremity. In: Reconstructive plastic surgery. W.B. Saunders Co., Philadelphia

    Google Scholar 

  29. Pitanguy I (1981) Aesthetic plastic surgery of head and body. Springer, Berlin/Heidelberg

    Book  Google Scholar 

  30. Pitanguy I, Caldeira AML, Almeida CC, Alexandrino A (1982) Abdominoplastia –Algumas considerações históricas, filosóficas e psicossociais. Rev Bras Cir 72(6):390–402

    Google Scholar 

  31. Psillakis JM (1978) Abdominoplasty: some ideas to improve results. Aesthetic Plast Surg 2:205–215

    Article  CAS  PubMed  Google Scholar 

  32. Psillakis JM (1984) Plastic surgery of the abdômen with improvement in the body contour. Physiopathology and treatment of the aponeurotic musculature. Clin Plast Surg 11(3):465–477

    CAS  PubMed  Google Scholar 

  33. Saldanha OR (2001) Lipoabdominoplasty without undermining. Aesthet Surg J 21:518–526

    Article  CAS  PubMed  Google Scholar 

  34. Sinder R (1975) Plastic surgery of the abdomen – personal technique. In: Abstracts of the 6th international Congress of plastic and reconstructive surgery. Masson, Paris, p 58

    Google Scholar 

  35. Willkinson TS, Swartz BE (1986) Individual modifications in body contour surgery: the “limited” abdominoplasty. Plast Reconstr Surg 77:779–784

    Article  Google Scholar 

  36. Yoshimura K, Eto H, Kato H, Sugra H, Aoi N, Doi K, Kuno S (2012) The fate of adipocytes after nonvascularized fat grafting: evidence of early death and replacement of adipocytes. Plastic Reconstr Surg 129(5):1081–1092

    Article  Google Scholar 

Download references

Financial Disclosures

None of the authors have a financial interest in any of the products, devices, or drugs mentioned in this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Alberto M. Lott Caldeira MD, MSc, FICS .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Caldeira, A.M.L., Robles, M.B.M. (2016). Challenges in Abdominoplasty. In: Avelar, J. (eds) New Concepts on Abdominoplasty and Further Applications. Springer, Cham. https://doi.org/10.1007/978-3-319-27851-3_30

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27851-3_30

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27849-0

  • Online ISBN: 978-3-319-27851-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics