Safe abdominoplasty with extensive liposuctioning.

In a review of the recent literature, liposuction and tumescent fluid injection are accompanied by hazards of ischemia, flap necrosis, and wound dehiscence at the time of abdominoplasty. The problems that generate complaints from patients and dissatisfaction with tummy tuck surgery are: fullness of flanks and epigastric areas, lack of a posterior lumbar curve, hanging skin over the incision line, and visible scars over the flanks and beyond underwear or swimming suit coverage. The purpose of this article is to introduce modalities to perform liposuctioning of the whole abdomen without confronting the danger of ischemia or flap necrosis. Wide lipoaspiration at the time of abdominoplasty and removing the flanks and epigastric fullness result in a shorter incision line and more natural-looking abdomen. In this article, the authors explain their experience using a new method to omit the complications of classic abdominoplasty surgery in 56 cases performed over a 3-year period (2000-2003).