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Dr. Wilson Novaes no Programa do Jô Soares





3D Animation - ANCHOR LIPOABDOMINOPLASTY: a Three-layer technique




Indicated mainly to major-weight-loss patients. A more conservative approach that treats the abdomen in 3 dissection planes:

1. Superficial and deep fat plane: Abdominal flap dissection through liposuction, termed by us “Lipoundermining”. (1st Plane)
2. Scarpa's fascia plane: Aggressive superficial liposuction of the lower lateral abdomen under the Scarpa’s fascia. (2nd plane)
3. Aponeurotic plane: Medial xiphoid-pubic line for diastasis plication and excess skin resection. (3rd plane)

Muscular plication is followed by the Scarpa’s fascia closure over the plication in the lower abdomen. The navel is then fixated on the aponeurosis, transpositioned and omphaloplasty is performed.



Anchor lipoabdominoplasty: a Three-layer Technique (female)






Anchor lipoabdominoplasty: a Three-layer Technique (male)






LIPOABDOMINOPLASTY (TYPE IV)




After liposuction of deep and superficial abdominal fat and flanks, the umbilicus is isolated and the infra-umbilical excess skin is resected, preserving the Scarpa’s fascia, veins, arteries and lymphatics. Selective undermining is performed at the medial diastasis region, preserving abdominal perforant vessels. Scarpa’s fascia resection at infra-umbilical medial line exposes the aponeurosis for total muscular diastasis plication. The umbilicus is transpositioned and omphaloplasty is performed. The closure is performed in 3 planes: superficial fat, deep dermis and superficial skin.



LYMPHATIC VESSELS ANATOMY




The abdominal region is drained by two major lymphatic system trunks. The inguinal trunk located in the lower abdomen, and the axillary trunk, in the upper region.
In conventional abdominoplasty, with aponeurotic plane undermining, these vessels are damaged mainly in the lower region. It does not occur in any of the 9 different lipoabdominoplasty techniques because these major trunks are totally preserved.
That is why there is a high rate of seroma following conventional abdominoplasty, and a very low rate (practically 0%) after Lipoabdominoplasty.



CONVENTIONAL ABDOMINOPLASTY




This 3 D animation video shows the blood vessels (arteries in red and veins in blue) and lymphatic vessels (green) traumatized during the scalpel flap undermining in the aponeurotic plane. We believe this trauma results in the main causes for complications such as hematoma, seroma, as well as minor and major necrosis following conventional abdominoplasty.



LIPOABDOMINOPLASTY




Using liposuction cannulae, the abdominal flap can be undermined (lipoundermining) preserving the blood vessels (arteries in red and veins in blue) and lymphatic vessels (green) This preservation results in a better flap viability (maintenance of the abdominal main blood supply and lymphatic drainage).
Therefore, lipoabdominoplasty results in a lower complication rate, faster recovery period and less postoperative pain. Not to mention the better aesthetic results due to the liposuction combination.



INTERNAL CAMERA 3D




This video demonstrates the integrity of the blood vessels (arteries in red and veins in blue) after lipoabdominoplasty. This preservation can be observed during the surgery.



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