261 results match your criteria Body Contouring Abdominoplasty


What Is the Impact of Residual Obesity on the Risk for Postoperative Body-Contouring Surgery Complications in Postbariatric Patients?

Obes Surg 2020 May 25. Epub 2020 May 25.

Post-Graduation Course in Health Sciences, University of Brasília, Brasília, DF, Brazil.

Background: There are an increasing number of patients presenting for plastic surgery after massive weight loss, and many of these patients have residual obesity that may compromise outcomes. The impact of residual obesity on the development of postoperative complications in postbariatric patients undergoing plastic surgery procedures is unclear.

Methods: We report the outcomes of 207 patients who underwent plastic surgery following RYGB from January 2011 to December 2018. Read More

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http://dx.doi.org/10.1007/s11695-020-04711-0DOI Listing

Measuring Outcomes in Cosmetic Abdominoplasty: The BODY-Q.

Clin Plast Surg 2020 Jul 17;47(3):429-436. Epub 2020 Apr 17.

Department of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, USA.

The BODY-Q is a condition-specific patient-reported outcome measure that enables a comprehensive assessment of outcomes that are specific to patients undergoing body contouring procedures such as abdominoplasty. The BODY-Q scales were designed to be responsive to the effects of abdominoplasty on health-related quality of life and appearance outcomes. The BODY-Q covers a range of content domains, and the independently functioning scales enable surgeons to tailor the BODY-Q to their needs. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.003DOI Listing

High-Definition Excisional Body Contouring: Mini Lipoabdominoplasty (FIT Mommy) and Enhanced Viability Abdominoplasty.

Clin Plast Surg 2020 Jul;47(3):415-428

Dhara Clinic, Carrera 15 #83-33, Suite 304, Bogota, Colombia. Electronic address: https://twitter.com/Maoperezmd.

The abdominoplasty procedure poses a number of unique challenges. If the stigmata of the operation is to be avoided, careful planning and surgical execution are required. We describe our experience in full and mini abdominoplasties with a 360-degree approach, involving all muscular groups and body segments as described by high-definition liposculpture. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.008DOI Listing

Abdominoplasty After Massive Weight Loss.

Clin Plast Surg 2020 Jul 5;47(3):389-396. Epub 2020 May 5.

Department of Plastic Surgery, University of Pittsburgh Medical Center, Scaife Hall, Suite 6B, Room 690, 3550 Terrace Street, Pittsburgh, PA 15261, USA. Electronic address:

After massive weight loss (MWL), patients present with deformities that are more severe and often different than those observed in standard cosmetic abdominoplasty. The first step is careful consideration of the special factors involved in preoperative screening of patients with MWL presenting for body contouring surgery. Once these patient factors are optimized and surgery is considered, careful analysis of anatomic deformities should ensue. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.006DOI Listing

Noninvasive Abdominoplasty.

Clin Plast Surg 2020 Jul 27;47(3):379-388. Epub 2020 Apr 27.

Hurwitz Center for Plastic Surgery, 3109 Forbes Avenue, #500, Pittsburgh, PA 15213, USA.

Noninvasive and minimally invasive treatments are increasingly supplanting, or complimenting, abdominoplasty. For optimal delivery of patient care and to maintain a dominant share of the body-contouring market, plastic surgeons need to embrace these new technologies. High capital purchases, costly disposables, maintenance fees, lack of experience, conflicting anecdotal reports, energy-related complications, marketing hyperbole, and rapid obsolescence are formidable barriers to this adoption. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.005DOI Listing

Lipoabdominoplasty with Anatomic Definition: An Evolution on Saldanha's Technique.

Clin Plast Surg 2020 Jul 28;47(3):335-349. Epub 2020 Apr 28.

Serviço de Cirurgia Plástica Osvaldo Saldanha, Universidade Metropolitana de Santos, Av. Ana Costa, 146, Cjs 1201-04, Santos, Sao Paulo 11060-000, Brazil.

Lipoabdominoplasty is one of the most frequent abdominal body contouring procedures performed today. It guarantees a safe combination of abdominoplasty and liposuction while minimizing the risk of ischemic flap complications. This is because of the limited undermining performed and the liposuction adjunct, both of which minimize perforator injury. Read More

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http://dx.doi.org/10.1016/j.cps.2020.03.004DOI Listing

An Individualized Patient-centric Approach and Evolution towards Total Autologous Free Flap Breast Reconstruction in an Academic Setting.

Plast Reconstr Surg Glob Open 2020 Apr 7;8(4):e2681. Epub 2020 Apr 7.

Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, Tex.

Advances with newer perforator flaps and complex microsurgical techniques have enabled creative solutions in autologous breast reconstruction. For patients seeking total autologous breast reconstruction without the use of implants, body regions other than the abdomen have emerged to provide a substitute or additional donor tissue. In cases where abdominal perforator flaps are not possible (as with prior abdominoplasty), flaps taken from the lower back or thigh can be used. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002681DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7209872PMC

Clinical Study Demonstrates that Electromagnetic Muscle Stimulation Does Not Cause Injury to Fat Cells.

Lasers Surg Med 2020 May 8. Epub 2020 May 8.

ZELTIQ Aesthetics, an affiliate of Allergan, plc., Pleasanton, California, 94588.

Background And Objectives: A previous pre-clinical study on electromagnetic muscle stimulation (EMMS) suggested that fat cell apoptosis occurs following treatment in a porcine model. While EMMS can induce changes in muscle, the effect on fat tissue is not established. This clinical study sought to assess adipose tissue response to EMMS in comparison to cryolipolysis treatment. Read More

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http://dx.doi.org/10.1002/lsm.23259DOI Listing

Electrochemolipolysis of Human Adipose Tissue.

Facial Plast Surg Aesthet Med 2020 Mar/Apr;22(2):86-92. Epub 2020 Feb 20.

Beckman Laser Institute & Medical Clinic, University of California, Irvine, Irvine, California.

Body fat contouring procedures have increasingly grown in popularity over the years. As such, there is a need for inexpensive, minimally invasive, and simple fat reduction/contouring technique. To examine the acid-base and histological changes in ex vivo human adipose tissue after electrochemolipolysis (ECL). Read More

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http://dx.doi.org/10.1089/fpsam.2019.29011.hutDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079389PMC
February 2020

"Ultrasound Imaging of the Superficial Fascial System Can Predict the Subcutaneous Strength of Abdominal Tissue using Mean Gray Value Quantification."

Plast Reconstr Surg 2020 Feb 5. Epub 2020 Feb 5.

Background: The superficial fascial system (SFS) is critical in securing wound margins potentially decreasing complications in body contouring operations. With ultrasound visualization of SFS, structural and biomechanical analysis was conducted to better assess its potential role in plastic surgery.

Methods: Precisely-sized tissue specimens (59 samples) were collected from five abdominoplasty procedures. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006737DOI Listing
February 2020

Review of Insurance Coverage for Abdominal Contouring Procedures in the Postbariatric Population.

Plast Reconstr Surg 2020 Feb;145(2):545-554

Baltimore, Md. From the Division of Plastic Surgery, Department of Surgery, University of Maryland School of Medicine; and the Department of Plastic Surgery, Johns Hopkins Hospital/University of Maryland School of Medicine.

Background: Following bariatric surgery, patients develop problems related to lax abdominal skin that may be addressed by contouring procedures. Third-party insurers have subjective requirements for coverage of these procedures that can limit patient access. The authors sought to determine how well third-party payers cover abdominal contouring procedures in this population. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006513DOI Listing
February 2020

Local anesthetic pain catheters to reduce opioid use in massive weight loss patients undergoing abdominoplasty: A comparative study.

J Plast Reconstr Aesthet Surg 2020 Apr 28;73(4):770-776. Epub 2019 Nov 28.

Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland; University of Turku, Turku, Finland; Department of Orthopedics and Traumatology, Turku University Hospital, Turku, Finland.

Background: Abdominoplasty is a common procedure for anatomical restoration of the lower abdominal skin, with a continuously increasing annual number of procedures performed. The significance of postoperative pain management is of crucial importance from a patient's perspective and to ensure the achievement of the aimed clinical outcome. We evaluated the efficacy of local pain pump catheters (PPCs) on massive weight loss patients undergoing body-contouring abdominoplasty. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.11.003DOI Listing

Lower Body Lift After Bariatric Surgery: 323 Consecutive Cases Over 10-Year Experience.

Aesthetic Plast Surg 2020 04 20;44(2):421-432. Epub 2019 Nov 20.

Plastic Surgery Unit, Andaraì Federal Hospital, Rio de Janeiro, Brazil.

Background: Lower body lift is a widespread procedure for massive weight loss patients aimed to improve the contour of the lower trunk, gluteal region and proximal lower extremity. The data about complications are confusing, and there is a lack of uniform studies for massive weight loss patients. A simple formula to carry out a reliable procedure in a short time with a low complication rate should be advocated. Read More

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http://dx.doi.org/10.1007/s00266-019-01543-xDOI Listing

Quality Assessment of Online Information on Body Contouring Surgery in Postbariatric Patient.

Aesthetic Plast Surg 2019 Nov 11. Epub 2019 Nov 11.

Department of Surgery "P.Valdoni", Unit of Plastic and Reconstructive Surgery, Policlinico Umberto I, Sapienza University of Rome, via Ettore Fieramosca 200, 00159, Rome, Italy.

Background: Nowadays, we have to face the fact that the Web represents one of the most important sources of information for patients. Postbariatric patients in particular are usually very motivated, and they are enthusiastic users of the Web as a source of information on the different types of surgery they could undergo after their weight loss in order to reshape and remodel their body thus regaining physical and functional wellness and dignity. The aim of the study was to assess information on the four most commonly performed postbariatric procedures worldwide, tummy tuck, breast, arm and thigh lift, with the same scale. Read More

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http://dx.doi.org/10.1007/s00266-019-01535-xDOI Listing
November 2019
1.189 Impact Factor

Inguinocrural dermolipectomy A retrospective study.

Ann Ital Chir 2019 ;90:350-356

Introduction And Aim: Inguinocrural dermolipectomy is a constantly increasing surgical procedure, especially for postbariatric patients with significant weight loss. The "crescent medial" and "vertical medial" thigh lifting techniques (CMTL/VMTL) are the most effective type of surgery to treat laxity and excess of skin and soft tissues in the medial region of the thighs Aim of this article is to suggest which patients may be eligible for a surgical thighplasty with an acceptable risk of postoperative complications.

Materials And Methods: We performed a retrospective study with 30 female patients who underwent a surgical thighplasty between 2018 and 2008. Read More

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Postoperative Venous Thromboembolism Prophylaxis Utilizing Enoxaparin Does Not Increase Bleeding Complications After Abdominal Body Contouring Surgery.

Aesthet Surg J 2019 Oct 23. Epub 2019 Oct 23.

Division of Plastic and Reconstructive Surgery, Department of Surgery, Stony Brook University Hospital, Stony Brook, NY.

Background: Venous thromboembolism (VTE) chemoprophylaxis warrants individualized, risk-stratified approach, and constitutes a relatively controversial topic in plastic surgery.

Objectives: To determine the safety of a seven-day postoperative enoxaparin regimen for VTE prophylaxis compared to a single preoperative dose of heparin in abdominal body contouring surgery.

Methods: This single-institution pre-post study compared the safety of a seven-day enoxaparin postoperative regimen to a single preoperative dose of heparin in abdominal body contouring procedures performed by a single surgeon from 2007 to 2018. Read More

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http://dx.doi.org/10.1093/asj/sjz274DOI Listing
October 2019
4 Reads

Abdominoplasty in the Overweight and Obese Population: Outcomes and Patient Satisfaction.

Plast Reconstr Surg 2019 10;144(4):847-853

Grand Rapids and Ann Arbor, Mich. From Partners in Plastic Surgery of West Michigan; Grand Rapids Medical Education Partners/Michigan State University; and the University of Michigan.

Background: Abdominoplasty is a safe, efficacious body contouring procedure commonly performed on patients after massive weight loss or pregnancy, or because of general aging. However, complication rates and patient satisfaction levels remain largely unexplored for the overweight and obese patient population. The purpose of this study was twofold: to determine the complication rate and to gauge the psychological impact of abdominoplasty in the overweight or obese patient. Read More

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http://dx.doi.org/10.1097/PRS.0000000000006018DOI Listing
October 2019
3 Reads

Comparative analysis on the effect of low-thermal plasma dissection device (PEAK PlasmaBlade) vs conventional electrosurgery in post-bariatric abdominoplasty: A retrospective randomised clinical study.

Int Wound J 2019 Dec 17;16(6):1494-1502. Epub 2019 Sep 17.

Department of Plastic and Aesthetic, Reconstructive and Hand Surgery, AGAPLESION Markus Hospital, Frankfurt am Main, Germany.

Post-bariatric patients undergoing abdominoplasty have a relatively high risk of complications due to residual obesity and major comorbidities. Also, conventional electrosurgery and the associated thermal tissue damage may compromise outcomes. This retrospective randomised clinical study evaluated the effect of low-thermal plasma dissection device (PEAK [pulsed electron avalanche knife] PlasmaBlade) in comparison with conventional electrosurgery. Read More

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http://dx.doi.org/10.1111/iwj.13221DOI Listing
December 2019
2 Reads

Abdominal Contouring and Male Gender: Analysis of Complications Using the National Quality Improvement Program Database.

Ann Plast Surg 2019 10;83(4):481-487

From the Division of Plastic and Reconstructive Surgery, School of Medicine, University of Utah, Salt Lake City, UT.

Background: Males represent a significant portion of patients undergoing abdominal contouring. Despite this, there are few studies examining the implication of gender on complications.

Objective: The aim of this study was to examine the association between gender and early postoperative outcomes in patients undergoing abdominal contouring procedures. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001785DOI Listing
October 2019
3 Reads

Is Plastic Surgery Combined with Obstetrical Procedures Safe?

Aesthetic Plast Surg 2019 10 24;43(5):1396-1399. Epub 2019 Jul 24.

Asociación Mexicana de Cirugía Plástica, Estética y Reconstructiva, Safety Committee, Flamencos N° 74 esquina con Félix Parra Col. San José Insurgentes Delegación, 03900, Benito Juárez, DF, Mexico.

In the existing reports on combined procedures of abdominoplasty with Cesarean section or natural delivery, a high incidence of complications and poor aesthetic results are reported. We conducted a survey with the participation of 61 plastic surgeons who performed this procedure in 808 patients, with an average of 13.24 procedures per surgeon. Read More

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http://dx.doi.org/10.1007/s00266-019-01448-9DOI Listing
October 2019
4 Reads

Clinical outcome of patients undergoing abdominoplasty after massive weight loss.

Surg Obes Relat Dis 2019 Aug 12;15(8):1362-1366. Epub 2019 Jun 12.

Department of Plastic, Reconstructive and Aesthetic Surgery, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. Electronic address:

Background: Abdominoplasty is one of the most commonly performed surgical procedures to reshape the body contour in patients who have undergone massive weight loss.

Objectives: This study was undertaken to assess the clinical outcome, complication rates, and risk factors for complications of patients undergoing abdominoplasty after massive weight loss.

Setting: University Medical Centre Hamburg-Eppendorf, Hamburg, Germany. Read More

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http://dx.doi.org/10.1016/j.soard.2019.06.001DOI Listing
August 2019
3 Reads

Impact of Lipo-Body Lift Compared to Classical Lower Body Lift on Postoperative Outcome and Patient's Satisfaction: A Retrospective Study.

Aesthetic Plast Surg 2020 04 1;44(2):464-472. Epub 2019 Jul 1.

Department of Plastic, Reconstructive and Aesthetic Surgery, Hospital Sud, University of Rennes 1, 16 Boulevard de Bulgarie, 35200, Rennes, France.

Introduction: Lately, the growing number of bariatric procedures performed each year led to an increasing demand for lower trunk reconstruction. Our team previously described the lipo-body lift (LBL) technique into lower duration of drainage and therefore seromas and other complications. In this study, we compared the classical body lift (CBL) technique to the LBL procedure. Read More

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http://dx.doi.org/10.1007/s00266-019-01435-0DOI Listing
April 2020
6 Reads

Fondaparinux Significantly Reduces Postoperative Venous Thromboembolism After Body Contouring Procedures Without an Increase in Bleeding Complications.

Aesthet Surg J 2019 10;39(11):1214-1221

Division of Plastic and Reconstructive Surgery, Saint Louis University, Saint Louis, MO.

Background: It is well established that abdominoplasty confers a uniquely high risk of venous thromboembolism (VTE) complications. However, chemoprophylaxis is not routinely utilized due to the risk of bleeding complications. Fondaparinux, a factor Xa inhibitor FDA approved in 2001 for postoperative VTE prophylaxis, has emerged as a safe option for preventing VTE complications after high-risk surgeries. Read More

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http://dx.doi.org/10.1093/asj/sjz184DOI Listing
October 2019
5 Reads

Lipoplasty Combined with Percutaneous Radiofrequency Dermaplasty: A New Strategy for Body Contouring.

Aesthetic Plast Surg 2020 04 25;44(2):455-463. Epub 2019 Jun 25.

Jalisco Institute for Reconstructive Plastic Surgery, Federalismo Norte 2022, 44220, Guadalajara, Jalisco, Mexico.

Background: A new technique in plastic surgery termed percutaneous radiofrequency dermaplasty (PRD) is described. Customized radiofrequency energy is applied via the percutaneous route to produce skin tightening and fascia contraction at body temperature, avoiding thermal injury. We combine PRD with lipoplasty and call this combined procedure dermaplasty-assisted lipoplasty (DAL). Read More

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http://link.springer.com/10.1007/s00266-019-01419-0
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http://dx.doi.org/10.1007/s00266-019-01419-0DOI Listing
April 2020
35 Reads

Lymphostasis and Hemostasis in Body-Contouring Surgery Using a Polysaccharide Based Hemostat (4DryField PH).

Plast Reconstr Surg Glob Open 2019 Mar 25;7(3):e2128. Epub 2019 Mar 25.

Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Burn Center, Hannover Medical School, Hannover, Germany.

Background: Following liposuction, abdominoplasty is the most frequent body-contouring intervention in the world. The transection of small blood vessels in large areas and subsequent bleeding is a viable risk during this procedure. The resulting microvascular bleedings should be stopped thoroughly to reduce the probability of related complications. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002128DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467625PMC
March 2019
8 Reads

Response to the comment on "Abdominoplasty in massive weight loss patient: Modifying the technique to improve the safety".

J Plast Reconstr Aesthet Surg 2019 06 3;72(6):1030-1048. Epub 2019 Apr 3.

Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

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http://dx.doi.org/10.1016/j.bjps.2019.03.018DOI Listing
June 2019
2 Reads

Focus on the Importance of Lipomid-Abdominoplasty in the Body Contouring Surgery.

Aesthetic Plast Surg 2019 06 2;43(3):718-725. Epub 2019 Apr 2.

University Santa Ursula, Rio de Janeiro, Brazil.

Background: During the last few years, the surgical principles of abdominoplasty remained unchanged. Therefore, many observed results have misaligned, high and straight abdominal transverse scars, leading to the final positioning of the umbilical scar to be very close to the transverse scar, which gives the impression of a short abdomen. We propose that the abdominoplasty should change the basic conception of its marking, because we believe that it is important to place the transverse scar lower in the medial and pubic region, and higher in the lateral extremities, thus allowing a rotation of the flap of the anterior flanks back lumbar in the median inferior direction. Read More

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http://dx.doi.org/10.1007/s00266-019-01367-9DOI Listing
June 2019
8 Reads

Validation of the Finnish version of the BODY-Q patient-reported outcome instrument among patients who underwent abdominoplasty.

J Plast Reconstr Aesthet Surg 2019 Jun 1;72(6):933-940. Epub 2019 Mar 1.

Eira Hospital, Helsinki, Finland.

Background: Massive weight loss can notably affect patients' health-related quality of life (HRQoL) and body image. Yet, no body contouring specific instruments to assess HRQoL and body image after massive weight loss have been validated in Finnish. The BODY-Q includes 26 independently functioning scales and a single checklist that measure appearance, HRQoL, and experience of care. Read More

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http://dx.doi.org/10.1016/j.bjps.2019.02.017DOI Listing
June 2019
5 Reads

Concepts and Techniques in Postbariatric Body Contouring: A Primer for the Internist.

Am J Med 2019 09 21;132(9):1017-1026. Epub 2019 Mar 21.

Department of Surgery, Division of Plastic and Reconstructive Surgery, Harlem Hospital, Columbia University, New York. Electronic address:

Following weight loss after bariatric surgery, many people seek body contouring to help with troublesome excess skin. The care of these patients frequently involves a primary practitioner. Understanding the basic concepts of body contouring can help patients with these disorders. Read More

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http://dx.doi.org/10.1016/j.amjmed.2019.02.048DOI Listing
September 2019
3 Reads

Abdominoplasty in massive weight loss patient: Modifying the technique to improve the safety.

J Plast Reconstr Aesthet Surg 2019 06 2;72(6):1030-1048. Epub 2019 Mar 2.

BAC Center for Aesthetic Surgery, Casa di Cura Villa Stuart, Roma, Italy.

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https://linkinghub.elsevier.com/retrieve/pii/S17486815193006
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http://dx.doi.org/10.1016/j.bjps.2019.02.002DOI Listing
June 2019
2 Reads

Body Contouring Following Massive Weight Loss: the Evolving Role of Plastic Surgeons and Risk Stratification Tools.

Obes Surg 2019 05;29(5):1661-1662

Hansjörg Wyss Department of Plastic Surgery, NYU Langone Health, 305 E 33rd St., New York, NY, 10016, USA.

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http://dx.doi.org/10.1007/s11695-019-03810-xDOI Listing
May 2019
1 Read

Hip Asymmetry: Implications in Body Contouring Surgery.

Plast Reconstr Surg 2019 03;143(3):513e-517e

Boston, Mass.; and New York, N.Y. From the Division of Plastic and Reconstructive Surgery, Harvard Medical School-Beth Israel Deaconess Medical Center; Plastic and Reconstructive Surgery, Hofstra-Northwell School of Medicine; and Plastic Surgery, Manhattan Eye, Ear and Throat Hospital.

Background: Asymmetry of the hips and its implication in body contouring procedures has not yet been reported. Hip asymmetry is common in the general population and may account for uneven abdominoplasty scar and the apparent discrepancies in volume following liposuction of the hips and flanks. The goal of this study was to determine the presence of hip asymmetry in women presenting for abdominal contouring surgery. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005317DOI Listing
March 2019
8 Reads
2.993 Impact Factor

Reshaping the Oversized Waist through Oblique Flankplasty with Lipoabdominoplasty.

Plast Reconstr Surg 2019 05;143(5):960e-972e

Pittsburgh, Pa.; and Akron, Ohio From the University of Pittsburgh Medical Center; and the Cleveland Clinic-South Pointe Hospital.

Background: Designed in response to the failure of circumferential lower body lifts to deepen waists, oblique flankplasty with lipoabdominoplasty aesthetically reshapes not only the waist, but also the hips, buttocks, and upper lateral thighs with minimal morbidity.

Methods: The oblique flankplasty with lipoabdominoplasty technique was standardized, with 5 of 56 cases presented. Operative records on the lower torso from March of 2000 to January of 2018 yielded 30 initial oblique flankplasty with lipoabdominoplasty cases and hundreds of lower body lifts. Read More

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http://Insights.ovid.com/crossref?an=00006534-201905000-0001
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http://dx.doi.org/10.1097/PRS.0000000000005574DOI Listing
May 2019
5 Reads

Outcome of Body-Contouring Procedures After Massive Weight Loss.

Obes Surg 2019 06;29(6):1832-1840

Department of Hand, Plastic and Reconstructive Surgery, BG Trauma Center, Eberhard-Karls University of Tübingen, Schnarrenbergstr. 95, 72076, Tübingen, Germany.

Background: With the increased popularity of bariatric surgery, the demand for body-contouring procedures is growing. Associated with these procedures are a number of complications due to different risk factors and patients' characteristics. The aim of this study was to assess the outcome of body-contouring procedures and correlate it to possible risk factors. Read More

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http://dx.doi.org/10.1007/s11695-019-03773-zDOI Listing
June 2019
8 Reads

Ligasure impact might reduce blood loss, complications, and re-operation occurrence after abdominoplasty in massive-weight-loss patients: A Comparative Study.

Scand J Surg 2020 Jun 14;109(2):151-158. Epub 2019 Feb 14.

Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.

Background And Aims: The most effective dissection technique for raising the flap in abdominoplasty is still controversial, particularly in high-risk massive-weight-loss patients. LigaSure Impact vessel-sealing system (Medtronic, Dublin, Ireland) is an energy device commonly used among different surgical specialties to reduce morbidity and implement outcomes. The aim of this study was to investigate the effectiveness of LigaSure Impact in abdominoplasty compared with the conventional techniques, diathermia. Read More

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http://journals.sagepub.com/doi/10.1177/1457496919828237
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http://dx.doi.org/10.1177/1457496919828237DOI Listing
June 2020
12 Reads

Quality of life and predictive factors for complications in patients undergoing abdominoplasty after gastric bypass: A retrospective cohort.

Surg Obes Relat Dis 2019 Mar 9;15(3):447-455. Epub 2019 Jan 9.

University of Brasília, Brasília, DF, Brazil.

Background: Obesity is a major health risk factor associated with medical complications, such as cardiovascular disease, that may compromise outcomes. Furthermore, obesity may lead to difficulties in daily life, altering the quality of life and generating psychological disorders such as devalued self-image and depression.

Objectives: This study evaluated the quality of life and predictive factors of postoperative complications in patients who underwent abdominoplasty after Roux-en-Y gastric bypass. Read More

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http://dx.doi.org/10.1016/j.soard.2018.12.034DOI Listing
March 2019
11 Reads

Changes of perfusion patterns of surgical wounds under application of closed incision negative pressure wound therapy in postbariatric patients1.

Clin Hemorheol Microcirc 2019 ;72(2):139-150

Department of Plastic and Hand Surgery University Hospital of Erlangen, Friedrich-Alexander-University of Erlangen-Nürnberg (FAU), Erlangen, Germany.

Background: Negative pressure wound therapy applied over closed incisions (ciNPT) has been shown to influence wound healing. Therefore, the aim of this study was to examine the short-term effects of ciNPT on skin perfusion patterns in postbariatric wounds.

Methods: 17 patients were included. Read More

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https://www.medra.org/servlet/aliasResolver?alias=iospress&a
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http://dx.doi.org/10.3233/CH-180450DOI Listing
November 2019
13 Reads

Evidence-Based Abdominoplasty Review With Body Contouring Algorithm.

Aesthet Surg J 2019 05;39(6):643-661

Stanford University, Stanford, CA.

Abdominal contour deformities are an aesthetic challenge to the plastic surgeon. Patients present with diverse clinical histories, multiple comorbidities, and unique aesthetic demands. Weight loss, previous pregnancy, and aging are 3 principal indications for abdominoplasty. Read More

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https://academic.oup.com/asj/advance-article/doi/10.1093/asj
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http://dx.doi.org/10.1093/asj/sjz013DOI Listing
May 2019
9 Reads

Aspects of excess skin in obesity, after weight loss, after body contouring surgery and in a reference population.

Surg Obes Relat Dis 2019 02 5;15(2):305-311. Epub 2018 Nov 5.

Department of Surgery, Gothenburg, Sweden; Department of Physical Therapy Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.

Background: Excess skin is well known after massive weight loss but, there is missing knowledge from various groups.

Objectives: To describe and compare excess skin in a reference population during obesity, after obesity surgery, and after reconstructive abdominoplasty.

Setting: University hospital, Sweden. Read More

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http://dx.doi.org/10.1016/j.soard.2018.10.032DOI Listing
February 2019
7 Reads

Operating on the Edge? Body Contouring Procedures in Patients with Body Mass Index Greater 35.

Obes Surg 2019 05;29(5):1563-1570

Department of Plastic and Hand Surgery, University Hospital of Erlangen, Friedrich-Alexander-University of Erlangen-Nürnberg (FAU), Krankenhausstr. 12, 91054, Erlangen, Germany.

Background: Body contouring surgery after massive weight loss was shown to ameliorate the patient's quality of life and to enhance physical and psychological well-being. However, numerous patients are still obese when presenting for body contouring surgery, not able to lose additional weight for various reasons. Data regarding general feasibility, outcome, and postoperative complications in obese patients is rare. Read More

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http://link.springer.com/10.1007/s11695-018-03697-0
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http://dx.doi.org/10.1007/s11695-018-03697-0DOI Listing
May 2019
25 Reads

Complications after lower body contouring surgery due to massive weight loss unaffected by weight loss method.

J Plast Reconstr Aesthet Surg 2019 Apr 15;72(4):649-655. Epub 2018 Dec 15.

Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Body contouring surgery following massive weight loss positively affects a patient's quality of life. However, the procedure is prone to complications. Herein, we stratified complications timewise. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815183047
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http://dx.doi.org/10.1016/j.bjps.2018.12.030DOI Listing
April 2019
16 Reads

Persistent Opioid Use and High-Risk Prescribing in Body Contouring Patients.

Plast Reconstr Surg 2019 01;143(1):87-96

Ann Arbor, Mich.; and Toledo, Ohio From the Section of Plastic Surgery, Departments of Surgery and Orthopedic Surgery, the Section of General Surgery, Department of Surgery, the Department of Anesthesiology, University of Michigan; and the University of Toledo School College of Medicine and Life Sciences.

Background: Opioid misuse occurs commonly among obese patients and after bariatric surgery. However, the risk of new persistent use following postbariatric body contouring procedures remains unknown.

Methods: The authors examined insurance claims from Clinformatics Data Mart (OptumInsight, Eden Prairie, Minn. Read More

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http://dx.doi.org/10.1097/PRS.0000000000005084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311715PMC
January 2019
20 Reads

Abdominoplasty - aesthetic and curative procedure.

Authors:
Luboš Dražan

Cas Lek Cesk Fall 2018;157(6):298-301

Excess of skin and fat in lower abdomen can be aesthetic and, in some patients, also medical problem. This article gives basic information about different types of abdominoplasty, the way how it is performed, about recovery time, risks and complications. Several patients pictures demonstrate pre and postoperative results. Read More

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April 2019
6 Reads

Safety of Lipoabdominoplasty Versus Abdominoplasty: A Systematic Review and Meta-analysis.

Aesthetic Plast Surg 2019 02 3;43(1):167-174. Epub 2018 Dec 3.

Department of Plastic and Reconstructive Surgery, The Second Affiliated Hospital, Anhui Medical University, 678, FuRong Road, Hefei, 230601, Anhui Province, China.

Background: Lipoabdominoplasty is a powerful operation to maintain a youthful physique for aging people, improve body contouring, and remove excess skin caused by massive weight loss. Nonetheless, it is controversial to combine abdominoplasty and liposuction because of the potential for vascular damage of the abdominal flap and increased complications. The purpose of this article was to determine the complication rates of lipoabdominoplasty compared with traditional abdominoplasty. Read More

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http://dx.doi.org/10.1007/s00266-018-1270-3DOI Listing
February 2019
29 Reads

Vertical Medial Thigh Contouring.

Authors:
Joseph Michaels

Clin Plast Surg 2019 Jan 22;46(1):91-103. Epub 2018 Oct 22.

Private Practice, Michaels Aesthetic & Reconstructive Plastic Surgery, 11404 Old Georgetown Road, Suite 206, North Bethesda, MD 20852, USA; Department of Plastic and Reconstructive Surgery, Johns Hopkins Medicine, 601 North Caroline Street, Baltimore, MD 21287, USA. Electronic address:

Excess thigh laxity is a problem for many patients following significant weight loss. Thigh laxity has both vertical and horizontal components that require correction to optimize the aesthetic appearance of the thigh. The vertical vector is best corrected first with a lower body lift or extended abdominoplasty. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.014DOI Listing
January 2019
24 Reads

Fleur-de-lis Abdominoplasty and Neo-umbilicus.

Clin Plast Surg 2019 Jan;46(1):49-60

Plastic Surgery Division, Botucatu Medical School, Paulista State University, Rua Tomaz Antonio Gonzaga, 160 Lins, São Paulo 16400-465, Brazil.

Body contouring for patients with massive weight loss may demand not only lifting but also some extent of central body tightening to achieve complete tissue readjustment. Although the fleur-de-lis procedure usually achieves nice contouring results, poor visible scars, including umbilical complications, have restricted the indications for the anterior vertical approach. The purpose of this article is to present the authors' experience with the inner scar umbilical reconstruction, enhancing overall results for vertical abdominoplasties. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183006
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http://dx.doi.org/10.1016/j.cps.2018.08.007DOI Listing
January 2019
44 Reads

Abdominal Contouring and Combining Procedures.

Clin Plast Surg 2019 Jan 24;46(1):41-48. Epub 2018 Oct 24.

Department of Epidemiology and Preventive Medicine, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel; Department of Plastic Surgery, Lenox Hill Hospital, New York, NY, USA.

The abdomen is the most common area of concern among patients with massive weight loss (MWL). Abdominal contouring techniques in the MWL population include panniculectomy, standard abdominoplasty, fleur-de-lis abdominoplasty, reverse abdominoplasty and various combinations of these techniques as part of circumferential procedures such as, circumferential abdominoplasty, and lower body lift. The authors believe that the optimal surgical approach to the abdomen is an integration of the patient aesthetic preferences and the surgeon assessment and experience. Read More

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http://dx.doi.org/10.1016/j.cps.2018.08.006DOI Listing
January 2019
9 Reads

Pain Management and Body Contouring.

Clin Plast Surg 2019 Jan;46(1):33-39

Section of Plastic and Reconstructive Surgery, Department of Surgery, Yale School of Medicine, PO Box 208062, New Haven, CT 06520-8062, USA. Electronic address:

Body contouring procedure is a catchall that includes mastopexy, abdominoplasty, liposuction, and lower body lift. It is well known that optimal postoperative pain control decreases hospitalization length of stay and promotes early ambulation, which in turn decreases the incidence of complications. There have been many innovations in pain control beyond opiate medications, including prolonged administration of local anesthesia, regional blocks, and the use of a multimodal regimen which utilizes nonopiates. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183006
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http://dx.doi.org/10.1016/j.cps.2018.08.005DOI Listing
January 2019
35 Reads

Safety in Body Contouring to Avoid Complications.

Clin Plast Surg 2019 Jan 22;46(1):25-32. Epub 2018 Oct 22.

Department of Plastic and Reconstructive Surgery, Johns Hopkins University, 601 North Caroline street, Baltimore, MD 21287, USA. Electronic address:

Body contouring after weight loss is becoming more prevalent. An appropriate systematic approach that starts from the first consultation needs to focus on residual comorbidities and weight of the patient. A thorough discussion about potential outcomes manages expectations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00941298183006
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http://dx.doi.org/10.1016/j.cps.2018.08.004DOI Listing
January 2019
30 Reads