Aesthetic

Extremity and Trunk

Abdominoplasty with Direct Resection of Deep Fat

Brink RR, Beck JB, Anderson CM, et al (The San Mateo Surgery Ctr, CA) Plast Reconstr Surg 123:1597-1603, 2009^§

Abstract

Background

Suction-assisted lipectomy is an integral component of abdominoplasty for many surgeons. Its potential to affect the vascularity of the abdominal flap is usually offset by limiting the extent of undermining and not suctioning the central flap. The authors address whether these guidelines apply to direct excision of subscarpal fat and whether direct excision provides aesthetically superior abdominoplasty results with fewer complications.

Methods

A 10-year review of consecutive abdominoplasty patients (n

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