Abdominoplasty
Mohamed Ahmed Sayed Mohamed El Assal;
Abstract
We all know that the anterior abdominal wall is one of the body areas most affected by aging, body weight variations, non disciplined life style, adipose tissue anomalous accumulations, celiotomies and pregnancies. For decades, these dysmorphisms have led many men and women to pursue exercise, physiotherapy, sports, dietary regimens and all sorts of non invasive treatments to solve their physical problems, of which the anterior abdominal wall is one of the most important. And in face of the very limited and unsatisfactory results achieved, the best solution turned out to be cosmetic abdominoplasty.
Surgical correction of abdominal wall laxity, tissue redundancy, and increased lipodystrophy through an open abdominoplasty procedure has been an accepted practice since the mid-twentieth century. The procedure has been revised and updated countless times, whereas the principal belief of reduction of the redundant panniculus and correction of rectus fascia diastasis has remained.
Abdominoplasty, one of the most commonly performed aesthetic procedures, has undergone a significant evolution over the past several decades. It is targeted at addressing abdominal deformities characterized by excess skin and subcutaneous tissue and laxity of the abdominal wall musculature.
Abdominoplasty has been performed for more than 110 years. During this time, many significant advancements of this procedure have been developed. This operation is no longer simply an excision and closure removing unwanted redundant lower abdominal skin. It is now a family of procedures that addresses each individual patient’s body habitus, personal desires and health status to provide for maximal benefit in shape and contour.
When performing abdominal contouring procedures, it is necessary to understand the anatomy of the abdominal region and how it relates to the specific surgical operation being performed. The anatomy of the abdominal wall is both straightforward and elegant. A thorough knowledge of the vascular source, the innervation, the lymphatics, as well as the deep and superficial structures of the abdominal wall is important for performing abdominoplasty and abdominal contouring procedures. Most importantly, knowledge of the vascular supply to the abdominal soft tissue as well as the superficial soft-tissue structures, specifically Scarpa’s fascia, is critical to safely achieve an optimum aesthetic result.
Understanding the superficial fascia (SFS) or Scarpa’s fascia is important in achieving safe and aesthetically pleasing results in abdominoplasty procedures. The vascularity of the abdominal soft tissue is particularly important, considering the large area that is often undermined during abdominoplasty, the common use of concurrent liposuction, and the fact that the tissue is often closed under tension. A clear understanding of the blood supply and soft tissue layers is critical when planning incisions, determining the amount of tissue to be resected, and deciding whether concomitant liposuction or lipectomy is indicated. It is also important when managing the umbilicus and calculating the degree of flap elevation, especially in patients who have had prior abdominal procedures.
Surgical correction of abdominal wall laxity, tissue redundancy, and increased lipodystrophy through an open abdominoplasty procedure has been an accepted practice since the mid-twentieth century. The procedure has been revised and updated countless times, whereas the principal belief of reduction of the redundant panniculus and correction of rectus fascia diastasis has remained.
Abdominoplasty, one of the most commonly performed aesthetic procedures, has undergone a significant evolution over the past several decades. It is targeted at addressing abdominal deformities characterized by excess skin and subcutaneous tissue and laxity of the abdominal wall musculature.
Abdominoplasty has been performed for more than 110 years. During this time, many significant advancements of this procedure have been developed. This operation is no longer simply an excision and closure removing unwanted redundant lower abdominal skin. It is now a family of procedures that addresses each individual patient’s body habitus, personal desires and health status to provide for maximal benefit in shape and contour.
When performing abdominal contouring procedures, it is necessary to understand the anatomy of the abdominal region and how it relates to the specific surgical operation being performed. The anatomy of the abdominal wall is both straightforward and elegant. A thorough knowledge of the vascular source, the innervation, the lymphatics, as well as the deep and superficial structures of the abdominal wall is important for performing abdominoplasty and abdominal contouring procedures. Most importantly, knowledge of the vascular supply to the abdominal soft tissue as well as the superficial soft-tissue structures, specifically Scarpa’s fascia, is critical to safely achieve an optimum aesthetic result.
Understanding the superficial fascia (SFS) or Scarpa’s fascia is important in achieving safe and aesthetically pleasing results in abdominoplasty procedures. The vascularity of the abdominal soft tissue is particularly important, considering the large area that is often undermined during abdominoplasty, the common use of concurrent liposuction, and the fact that the tissue is often closed under tension. A clear understanding of the blood supply and soft tissue layers is critical when planning incisions, determining the amount of tissue to be resected, and deciding whether concomitant liposuction or lipectomy is indicated. It is also important when managing the umbilicus and calculating the degree of flap elevation, especially in patients who have had prior abdominal procedures.
Other data
| Title | Abdominoplasty | Other Titles | جراحات شد البطن | Authors | Mohamed Ahmed Sayed Mohamed El Assal | Issue Date | 2014 |
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