The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty
Identifieur interne : 000329 ( France/Analysis ); précédent : 000328; suivant : 000330The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty
Auteurs : Claude Le Louarn [France] ; Jean Francois Pascal [France]Source :
- Aesthetic Plastic Surgery [ 0364-216X ] ; 2010.
Abstract
Because abdominoplasty is associated with complications such as seroma and necrosis as well as epigastric bulging and a suprapubic scar located too high, the demand for this procedure is not as high as it otherwise might be. However, although these negative effects were common many years ago, their incidence has decreased dramatically with modern abdominoplastic techniques. One approach using a combination of abdominoplasty and liposuction or lipoabdominoplasty has resolved many of the problems faced with earlier techniques, offering aesthetically pleasing results and excellent reliability. The keys to successful lipoabdominoplasty, first developed as the high-superior-tension technique, are extensive liposuction, preservation of lymphatic trunks, preaponeurotic epigastric dissection, major muscle fascia plication, two high-tension paraumbilical sutures, hypogastric tension sutures, and closure of the dead spaces. The most recent updates to this technique are described in this article.
Url:
DOI: 10.1007/s00266-010-9551-5
PubMed: 20931193
PubMed Central: 2993889
Affiliations:
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PMC:2993889Le document en format XML
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<front><div type="abstract" xml:lang="en"><p>Because abdominoplasty is associated with complications such as seroma and necrosis as well as epigastric bulging and a suprapubic scar located too high, the demand for this procedure is not as high as it otherwise might be. However, although these negative effects were common many years ago, their incidence has decreased dramatically with modern abdominoplastic techniques. One approach using a combination of abdominoplasty and liposuction or lipoabdominoplasty has resolved many of the problems faced with earlier techniques, offering aesthetically pleasing results and excellent reliability. The keys to successful lipoabdominoplasty, first developed as the high-superior-tension technique, are extensive liposuction, preservation of lymphatic trunks, preaponeurotic epigastric dissection, major muscle fascia plication, two high-tension paraumbilical sutures, hypogastric tension sutures, and closure of the dead spaces. The most recent updates to this technique are described in this article.</p>
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