The Reverse Abdominoplasty A Report of Seven Cases and a Review of English - Language Literature

  • Halbesma G
  • Van Der Lei B
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Abstract

See, stats, and : https : / / www . researchgate . net / publication / 51424186 The Article DOI : 10 . 1097 / SAP . 0b013e31815f6fb9 : PubMed CITATIONS 12 READS 151 2 , including : Some : Organic Blepharoplasty Berend University , The 138 , 182 SEE All . The . All - text and , letting . Abstract : To date , the reverse abdominoplasty has been reported infrequently as a procedure to improve the upper abdominal wall contour . In this report , we report on our experience with the reverse abdominoplasty and on a review of the English - language literature by using PubMed to draw conclusions regarding optimal indication for this procedure , results , and complications . Over a 3 - year period , we have performed the reverse abdominoplasty in 7 patients that were all dissatisfied with their upper abdominal contour after pre - vious abdominal wall contouring procedures . Five patients had preexisting submammary scars . The mean follow - up was 20 months (range 9 – 29 months) . In all but one patient there was a significant improvement of the upper abdominal wall contour . The esthetic result as measured with the Strasser grading system was good in 4 cases , mediocre in 2 cases , and poor in 1 case.Themeanpatient'ssatisfactionwas6.3(range1–10)asmeasuredonaVisualAnalogScale.In3patientstherewerecomplications:in2patientsaminorcomplication(wounddehiscenceandasmallseroma)andin1patientamoreseverecomplication(wounddehiscencewithultimatelysaggingofscarsandsubmammarysulcus)withapoorestheticfinalresult.IntheEnglish-languageliteraturethereverseabdominoplastyprocedurehasbeenreportedinfrequentlybothforpurelyestheticreasonsandforreconstructivereasonswithgoodresultsandfewcomplications.BaseduponourresultsandthoseasreportedintheEnglish-languageliterature,weconcludethatthereisaclearthoughlimitedindicationforthereverseabdominoplastyprocedureinaselectedgroupofpatients:redundantupperabdom-inalwalltissueafterapreviousabdominoplastyorliposuction,preferablywithpreexistentsubmammaryscars.(AnnPlastSurg2008;61:133–137)Dissatisfactionoftheanteriortrunkcontourisaverycommonreasonforpatientstoconsultaplasticsurgeon.Mammaplasty,abdominoplasty,andliposuctionarethemostfrequentlyperformedestheticproceduresoftheanteriortrunk.Theseproceduresusuallyhaveapredictableandsat-isfactoryoutcomewithanacceptablecomplicationrate.Theresultingscarsareeitherhardlydiscernable(liposuction)orjustwellacceptedasacompensationforthefinalresult.However,softtissueredundancymayremainintheupperabdominalwallaftertheseprocedures.Eitherinsufficienttissueshrinkageafterliposuctionorremainingtissueredun-dancyaggravatedbyplicationofthemuscleaponeuroticwallduringabdominoplastymaycausethisproblem.Inthatin-stance,thepatientmaybeacandidateforanadjuvantreverseabdominoplastyprocedure.Thefirstdescriptionofthereverseabdominoplastyprocedurewaspublishedin1972byRebelloandFranco.

Author-supplied keywords

  • abdominoplasty
  • literature
  • reverse
  • review
  • submammaryscar

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Authors

  • Gerrit J Halbesma

  • Berend Van Der Lei

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