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ISAPS 2010 Award

Anchor LIPOABDOMINOPLASTY : A Three-layer Technique

Abstract

Background:
Conventional abdominoplasty generates trauma in anatomical structures that results in complications mainly in post-bariatric weight loss patients. From 2000 to the present, we have used a different approach to treat the abdominal region, systemizing liposuction to enable flap undermining in a safe way.

Objective:
To present a safer technique that preserves the vascular and lymphatic systems, and maintains the vascular supply.

Methods:
We studied 89 patients from 2000 to 2008, who had lost a significant amount of weight and were submitted to three-layer anchor lipoabdominoplasty. Patients ranged in age from 23 to 69 years, and 81% were female. Ninety percent of the patients had undergone bariatric surgery. In 81% of the cases, we performed an additional combined surgery.

Results:
We observed positive aesthetic results, decreased abdominal circumference and better abdominal contouring due to liposuction. In addition to a very low rate of complications, such as seroma (1.2%), hematoma (0%), major necrosis (0%), and minor necrosis (1.2%) compared with previous studies.

Conclusions:
This technique is more conservative because the anatomy is preserved through the three-layer approach. We have observed a faster post-operative recovery period and better results compared to our previous experience, enabling the performance of combined surgeries.

Technique presented at:
The American-Brazilian Aesthetic Meeting Park City – Utah ASAPS 2009 Annual ASAPS Congress – San Diego, EUA – 2008. Annual ASAPS Congress – New Orleans, USA – 2005 Annual ESPRAS Congress - Vienna, Austria – 2005. XLI Brazilian Congress of Plastic Surgery  – International Advanced Course – Professor of the Course: Lipoabdominoplasty, Salvador, BA, 2002, Fortaleza, BA, 2003.

Theme:
Lipoabdominoplasty. I Work Shop – Pérola Byington Hospital October, 2002 – SP

Technique published in:
Author: “Classification for Indications of Lipoabdominoplasty and its Variations” - Aesthetic Surg J2006;26:417-431

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