MedWorm: Abdominoplasty (tummy tuck)

Is there a passport to cheaper healthcare?

The Irish Times - Health — Tue, 07 Feb 2012 00:35:23 +0100

FANCY A tummy tuck in Turkey? Or hip surgery, a facelift or extensive dental treatment in one of the increasing number of countries across Europe and beyond where you can combine a holiday with healthcare at low prices? (Source: The Irish Times - Health)

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Male Tummy Tucks Up 15% In UK

Health News from Medical News Today — Mon, 30 Jan 2012 14:00:00 +0100

Britons appear to be tightening their belts in more ways than one: 2011 audit figures from the British Association of Aesthetic Plastic Surgeons (BAAPS) revealed on Monday that the number of men undergoing tummy tucks (abdominoplasty) was 15% higher than in 2010. However, although the percentage rise is large, the numbers are relatively small compared to women: while male tummy tucks rose from 108 to 124, female ones rose from 3,039 in 2010 to 3,251 in 2011 (a rise of 7%)... (Source: Health News from Medical News Today)

UK plastic surgery statistics: breasts up, stomachs in

Guardian Unlimited Science — Mon, 30 Jan 2012 08:00:00 +0100

UK plastic surgery is on the increase, despite the recession. Find out which procedures are going up - and which are down• Get the dataPlastic surgery is big business in the UK - and despite the recession, it's a growing one.Breast augmentations are still by far the most popular cosmetic surgery procedure for women and have risen year on year - although these figures take no account of the breast implant scandal, which recently led plastic surgeons to call for a ban on advertising it.Plastic surgery statistics in the UK show a record number of male 'tummy tuck' operations as the rise in demand outstrips that for all other procedures - including women's breast enlargement.Figures published by the British Association of Aesthetic Plastic Surgeons (BAAPs) - that really is its acronym - show...

Rise in "tummy tuck" surgery for men

Telegraph Health — Mon, 30 Jan 2012 07:30:58 +0100

The number of men opting for "tummy tuck" surgery to get a slimmer figure has risen 15 per cent in a year, figures show. (Source: Telegraph Health)

Monsplasty for Women After Massive Weight Loss

Aesthetic Plastic Surgery — Thu, 19 Jan 2012 06:44:58 +0100

Conclusion The findings showed monsplasty to be a simple and reproducible technique with favorable outcomes and low morbidity rates. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at www.springer.com/00266. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00266-011-9859-9Authors Maíra Marques, Division of Plastic Surgery, University of Sao Paulo School of Medicine, Av. São Gabriel, 201, cj. 704/5, São Paulo, 01435-001 BrazilMiguel Modolin, Division of Plastic Surgery, University of Sao Paulo School of Medicine, Av. São Gabriel, 2...

An in vivo histopathological comparison of single and double pulsed modes of a fractionated CO2 laser

Lasers in Surgery and Medicine — Tue, 03 Jan 2012 05:00:00 +0100

This study looks at the effect of double pulse fractional CO2 laser compared to single pulse treatments to assess differences in tissue injury in the face and abdomen.MethodsTwelve healthy subjects randomized into two groups, had two 1 cm2 areas (infraumbilical and forehead) treated with the fractional CO2 laser (Deep Fx, Lumenis). Settings used were 15 mJ double pulse, and 30 mJ single pulse, 300 Hz, 10% density and compared to the historic control of 15 patients treated at 15 mJ single pulse [Bailey et al. (2011), Lasers Surg Med 43: 99–107]. Treated sites were biopsied and analyzed with H&E and TUNEL staining to measure width and depth of the microthermal zones (MTZ) of ablation.ResultsWhen comparing 15 mJ double pulse to single pulse there were significant differences...

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Randomized, Prospective Study of TissuGlu® Surgical Adhesive in the Management of Wound Drainage Following Abdominoplasty

Aesthetic Plastic Surgery — Thu, 29 Dec 2011 06:43:02 +0100

Conclusion The application of TissuGlu in abdominoplasty is safe and may decrease wound drainage and the length of time required for postsurgical drains in abdominoplasty patients. Content Type Journal ArticleCategory Original ArticlePages 1-6DOI 10.1007/s00266-011-9844-3Authors Klaus J. Walgenbach, Plastic and Aesthetic Surgery, University Hospital Bonn, Sigmund-Freud-Strasse 25, 53127 Bonn, GermanyHolger Bannasch, Erich-Lexer-Klinik, University Medical Center, Freiburg, GermanyStefan Kalthoff, Rosenpark Klinik, Darmstadt, GermanyJ. Peter Rubin, University of Pittsburgh, Pittsburgh, PA, USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

[Biometric and morphometric analyse of the umbilicus: About 70 cases.]

Annales de Chirurgie Plastique et Esthetique — Tue, 27 Dec 2011 05:00:00 +0100

CONCLUSION: This anatomical and morphometric study could allow a more precise determination of the position, dimensions and form of the umbilicus during abdominoplasty. PMID: 22206899 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

Effects of Abdominoplasty on Female Sexuality: A Pilot Study

The Journal of Sexual Medicine — Wed, 21 Dec 2011 05:00:00 +0100

Conclusion. Our results suggest that physical change and the new position of the clitoris may have a positive impact on sexuality. de Brito MJA, Nahas FX, Bussolaro RA, Shinmyo LM, Barbosa MVJ, and Ferreira LM. Effects of abdominoplasty on female sexuality: A pilot study. J Sex Med **;**:**–**. (Source: The Journal of Sexual Medicine)

Anatomical study of superficial fascia and localized fat deposits of abdomen

Indian Journal of Plastic Surgery — Thu, 15 Dec 2011 05:00:00 +0100

Conclusions: The LFD in the central region of the abdomen corresponds to the area of multilayered fascia with smaller fat lobules. The relatively thinner supporting fascia of the lower abdomen in females may be responsible for excessive bulges of the lower abdomen. The fat lobule anatomy at different sites under study was different. (Source: Indian Journal of Plastic Surgery)

One-Stage External Iliac Fixation Device and Bilateral Fascial and Groin Flaps Facilitate Abdominal Wall Closure after Posterior Sagittal Iliac Osteotomy in Cloacal Exstrophy

European Journal of Pediatric Surgery — Wed, 14 Dec 2011 05:00:00 +0100

Eur J Pediatr Surg 2011; 21: 377-380DOI: 10.1055/s-0031-1287852Repairing abdominal wall defects after cloacal exstrophy reconstruction always poses a challenge. Our proposal for repair consists of bilateral posterior iliac osteotomy and external iliac fixation with Schanz pins, together with abdominoplasty through bilateral groin flaps of skin and muscular aponeuroses, in a single staged procedure.7 patients (5 male and 2 female; mean age 3.1 years) with cloacal exstrophy underwent reconstructive surgery at our institution. Cloacal exstrophy reconstruction was performed in 3 stages, whenever possible. In Stage 1, the intestinal tract is separated from the hemi-bladders; the small colon is tubularized (colorrhaphy) with an opening on the left flank. The hemi-bladders are joined and the path...

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DIEP Breast Reconstruction

Sound Medicine — Sun, 11 Dec 2011 05:00:00 +0100

For many women who've had a mastectomy due to breast cancer, reconstructive surgery used to mean getting a silicone implant. Now, there's a technique that's becoming more common. It involves using a woman's own tissue, from the area just below the belly button, where there's often a little extra fat. In fact, you could think of this as a combined tummy tuck and breast reconstruction, all in .... (Source: Sound Medicine)

Surgical site infections after post-bariatric abdominoplasty and flank liposuction: a case–control study focusing on the quantity of tissue removed

Surgery Today — Fri, 02 Dec 2011 17:30:34 +0100

Abstract We evaluated whether the quantity of fat removed during abdominoplasty and liposuction correlated with the occurrence of surgical site infection (SSI). We selected patients of similar age, sex, smoking status, obesity, and post-bariatric weight loss, retrospectively, and classified them into groups according to the development of SSI. The total amount of fat removed and aspirated was compared. The size of the flap removed from the abdomen and the amount of fat aspirated with liposuction differed significantly between the SSI and no-SSI groups (1.6 ± 0.2 vs. 0.6 ± 0.3 kg and 2 ± 0.2 vs. 0.9 ± 0.3 l, respectively; p < 0.001). The four SSI patients with the most fat removed (1.4 ± 0.2 kg...

Austrian surgeon studies outcomes of abdominal contouring techniques

Modern Medicine — Thu, 01 Dec 2011 05:00:00 +0100

Abdominoplasty and/or liposuction offer effective techniques for abdominal contouring to meet the needs of a range of cosmetic surgery patients. While conventional abdominoplasty can provide excellent cosmetic results, it is also associated with a fairly high rate of serious wound complications, and there remains a sizeable subgroup of patients seeking body contouring for excess fat accompanied by mild skin laxity who may not benefit sufficiently from liposuction alone. (Source: Modern Medicine)

Mapping the body: ribs

Guardian Unlimited Science — Mon, 21 Nov 2011 20:30:02 +0100

Most people have 12 pairs of ribs, which form the thoracic cage. The structure is rigid enough to protect the organs inside it but can expand when you inhaleLearning anatomy can be dull, but I had a lecturer who kept things interesting by pointing out the clinical significance of what he was teaching us. For this reason, I can't think about the ribs without remembering the importance of the groove that runs beneath them.Most people have 12 pairs of ribs, which form the thoracic cage. This structure is rigid enough to protect the organs inside it, but can expand when a person inhales. The first seven sets are known as "true ribs" because, as well as attaching to the spine at the back, they are connected, by cartilage, to the sternum at the front. The next three are joined to the cartilage o...

I was left looking like a man by my horrific NHS tummy tuck

the Mail online | Health — Sat, 19 Nov 2011 22:10:12 +0100

After losing nine stone, Helena Grace (pictured) was offered an operation to remove loose skin from her belly. The result was devastating. (Source: the Mail online | Health)

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Determining the Safety of Office‐Based Surgery: What 10 Years of Florida Data and 6 Years of Alabama Data Reveal

Dermatologic Surgery — Wed, 19 Oct 2011 04:00:00 +0100

ConclusionsContinued analysis reveals that medically necessary office surgery does not represent an emergent hazard to patients. The data obtained from 10 and 6 years of adverse event reporting in Florida and Alabama, respectively, are comparable and consistent. Medically necessary surgical procedures performed in the office setting by dermatologists have an exceedingly low complication rate, and complications that arose were largely unexpected, isolated, and possibly unpreventable. Cosmetic procedures performed in offices by dermatologists under local and dilute local anesthesia yielded no reported complications. Complications from cosmetic procedures accounted for nearly half of all reported incidents in Florida and Alabama, and in both states, plastic surgeons were most represented in ...

Extended Abdominoplasty: Applications and a New Classification System for Abdominoplasty

Aesthetic Plastic Surgery — Thu, 13 Oct 2011 05:49:13 +0100

Conclusion Extended abdominoplasty is a safe procedure with highly satisfactory results that should become common practice in plastic surgery. There is a group of patients who are best served by this procedure and a new classification system of the abdominal contour deformities that includes these patients is needed and is proposed by the authors. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00266-011-9818-5Authors Jorge Alirio Mejia, Universidad de Antioquia, Calle 7 sur 42 – 70 OF 511 Ed Forum, Medellín, Antioquia, ColombiaYesid Alberto Cárdenas Castellanos, Universidad de Antioquia, Calle 3 sur # 43ª 52 OF 907 Ed Ultrabursatiles, Medellín, Antioquia, Colombia Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print IS...

Minimally invasive technique for repair of divarication of recti

International Journal of Surgery — Thu, 06 Oct 2011 22:52:31 +0100

Background: Plication of the rectus sheath is indicated in patients with musculofascial laxaity such as divarication of the recti. Vertical plication of the rectus sheath during abdminoplasty is commonly performed. Some patient do not require or want abdominoplasty but still wish to address the diastasis of the rectus. We propose a new minimally invasive technique of rectus plication and report the clinical outcomes. (Source: International Journal of Surgery)

The timing of drain removal—empiricism or science?

European Journal of Plastic Surgery — Wed, 05 Oct 2011 05:49:51 +0100

Abstract Surgical drains are commonly used in plastic surgery. Drains are subsequently removed at arbitrary volumes depending on local protocols. The rational for when to remove a drain has not been scientifically determined. We compared removal of drains at ≤30 ml/24 h vs. ≤50 ml/24 h for 158 wounds, in 90 patients. Postoperative complications, length of hospital stay and resulting cost–benefit were considered. Prospective data were collected for two consecutive similar cohorts of patients undergoing abdominoplasty, bilateral breast reduction and breast augmentation. In the first cohort, drains were removed when drainage was ≤30 ml/24 h and the second cohort when ≤50 ml/24 h. Demographics, days of drainage, surgeon grade an...

[Laparoscopy coupled with classical abdominoplasty in 10 cases of large rectus diastasis.]

Annales de Chirurgie Plastique et Esthetique — Fri, 23 Sep 2011 04:00:00 +0100

CONCLUSION: Laparoscopic positioning of an intraperitoneal prosthesis, coupled with a classical plication of the rectus sheath, gives excellent results in difficult cases of rectus diastasis. PMID: 21945510 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

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Combined Abdominoplasty and Prolapse Surgery a Bad IdeaCombined Abdominoplasty and Prolapse Surgery a Bad Idea

Medscape Today Headlines — Thu, 22 Sep 2011 19:23:37 +0100

Morbidity is increased when abdominal sacrocolpopexy and abdominoplasty procedures are combined. Patients should be counseled to have these done separately. Medscape Medical News (Source: Medscape Today Headlines)

Pseudothrombosis of the Subclavian Vein

Journal of Diagnostic Medical Sonography — Mon, 05 Sep 2011 23:00:00 +0100

A woman in her late 20s presented one week after an abdominoplasty surgical procedure to the emergency room complaining of shortness of breath and chest pain. A chest computed tomography angiogram (CTA) pulmonary embolism protocol (PE) was ordered to rule out acute PE. The CTA study was negative for PE, but an incidental finding of complete obstruction of the right subclavian vein was noted. (Source: Journal of Diagnostic Medical Sonography)

[Lower body contouring procedures : ].

Der Chirurg — Thu, 01 Sep 2011 04:00:00 +0100

Authors: Richter DF, Stoff A Abstract Indications for most forms of abdominoplasty are slight weight fluctuations or pregnancy. The steadily increasing number of patients with greater weight loss as well as the growing number of bariatric operations subsequently leads to a significant increase in body contouring procedures and places new challenges on plastic surgeons. After major weight loss patients present with extremely variable deformities in the lower and upper trunk as well as the extremities, which have to be treated individually with an appropriate procedure. The restoration of the lower trunk presents the first stage of the entire reconstruction process. The various modifications of abdominoplasty procedures with their various incision patterns and scar courses and the ci...

Large series demonstrates safety, satisfaction with Avelar abdominoplasty

Modern Medicine — Wed, 31 Aug 2011 23:00:00 +0100

Analyses of data from 243 consecutive cases support the conclusion that modified Avelar abdominoplasty is a superior approach for removing excess abdominal skin and fat. It can be performed as an ambulatory procedure and results in high patient satisfaction — all while avoiding the serious complications associated with conventional abdominoplasty, according to Peter Lisborg, M.D. (Source: Modern Medicine)

DIEP Flap Donor Site Versus Elective Abdominoplasty Short-term Complication Rates: A Meta-analysis

Aesthetic Plastic Surgery — Sat, 20 Aug 2011 05:41:21 +0100

Conclusions This meta-analysis reveals that DIEP donor-site complication rates were comparable to those in elective abdominoplasty, and, the rate of seroma in DIEP is an even lower than that of one of the most performed procedures in plastic surgery. We argue that patients presenting for a DIEP flap should be informed about this interesting comparison. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s00266-011-9804-yAuthors Marzia Salgarello, Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, University Hospital A. Gemelli, Largo A. Gemelli 8, 00168 Rome, ItalyDamiano Tambasco, Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, University Hospital A. Gemelli, La...

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Suction Drains, Quilting Sutures, and Fibrin Sealant in the Prevention of Seroma Formation in Abdominoplasty: Which is the Best Strategy?

Aesthetic Plastic Surgery — Sat, 20 Aug 2011 05:41:18 +0100

Conclusion Seroma formation was significantly lower in the DN and QS groups compared with the FS group on postoperative day 15. Content Type Journal ArticleCategory Original ArticlePages 1-4DOI 10.1007/s00266-011-9807-8Authors Marcos Eduardo Bercial, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros 715, 4o. Andar, São Paulo, SP 04024-002, BrazilMiguel Sabino Neto, Division of Plastic Surgery, Department of Surgery, Universidade Federal de São Paulo (UNIFESP), Rua Napoleão de Barros 715, 4o. Andar, São Paulo, SP 04024-002, BrazilJosé Augusto Calil, Plastic Surgery Unit, Hospital do Servidor Público Municipal de São Paulo, São Paulo, BrazilLuis Antonio Rossetto, Division of Plastic Surgery, D...

Scarpa Fascia or Rectus Fascia in Abdominoplasty Flap Elevation: A Prospective Clinical Trial

Aesthetic Plastic Surgery — Fri, 19 Aug 2011 05:50:10 +0100

Conclusion Scarpa fascia preservation seems to reduce postoperative seroma formation. The mechanism of the decreased fluid collection is not clear and needs further investigation. Content Type Journal ArticleCategory Original ArticlePages 1-3DOI 10.1007/s00266-011-9795-8Authors Matthias Koller, Department of Plastic and Reconstructive Surgery, Sisters of Mercy Hospital Linz, Seilerstätte 4, 4020 Linz, AustriaThomas Hintringer, Department of Plastic and Reconstructive Surgery, Sisters of Mercy Hospital Linz, Seilerstätte 4, 4020 Linz, Austria Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Monitoring low dose recombinant factor VIIa therapy in patients with severe factor XI deficiency undergoing surgery.

Thrombosis and Haemostasis — Wed, 10 Aug 2011 23:00:00 +0100

In conclusion, low-dose rFVIIa therapy was successfully used in four patients with severe FXI deficiency undergoing surgery to prevent bleeding and can be monitored using thromboelastometry. PMID: 21833443 [PubMed - as supplied by publisher] (Source: Thrombosis and Haemostasis)

Successful abdominoplasty revision demands careful evaluation

Modern Medicine — Sun, 31 Jul 2011 23:00:00 +0100

Careful patient selection and use of a surgical technique that incorporates extensive liposuction of the upper and lower abdomen to allow skin advancement without wide undermining (lipoabdominoplasty) will enhance the likelihood of achieving safe and successful outcomes after abdominoplasty, explains cosmetic surgeon E. Antonio Mangubat, M.D. (Source: Modern Medicine)

[Massive pulmonary thromboembolism after abdominoplasty and liposuction.]

Turk Kardiyoloji Dernegi arsivi — Tue, 26 Jul 2011 00:30:03 +0100

Authors: Conkbayır C, Kenan S, Emiroğlu O Pulmonary embolism is a rare complication of abdominoplasty and liposuction that may result in a fatal consequence. A 65-year-old obese woman presented with complaints of shortness of breath, palpitation, and hypotension (90/60 mmHg) seven weeks after abdominoplasty and liposuction. The electrocardiogram showed sinus tachycardia, right axis deviation, and right bundle branch block. The chest X-ray showed atelectatic and focally infiltrated areas, and minimal bilateral pleural effusion. Laboratory findings were normal except for D-dimer level (3500 ng/ml). Echocardiography revealed dilated right heart chambers and a thrombus in the left ventricle. Ejection fraction was normal and pulmonary artery pressure was 50 mmHg. Doppler ultrasound showed...

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Seroma formation following abdominoplasty: a retrospective clinical review following three different techniques

European Journal of Plastic Surgery — Thu, 14 Jul 2011 06:04:36 +0100

Abstract This retrospective study was aimed to assess the clinical role of simultaneous liposuction, extent of skin undermining, and progressive tension suture on seroma formation following abdominoplasty. A chart review of 121 patients was done and divided in three groups. Group A included patients with abdominoplasty and liposuction of flanks. Group B included with abdominoplasty, liposuction of flanks, and progressive tension sutures. Group C had abdominoplasty, limited supraumbilical undermining, progressive tension sutures, liposuction of the abdominal wall and flanks. Seroma formation was based on the presence of fluctuant swelling in hypogastric area. Group A included 53 patients, had 1,096 g tissue excised (range 98–5,812) with an average liposuction of 854&...

The Scarpa Lift—A Novel Technique for Minimal Invasive Medial Thigh Lifts

Obesity Surgery — Sun, 10 Jul 2011 05:52:45 +0100

Abstract Abdominoplasty and lower body lift procedures are the most common and sufficient procedures to correct abdominal tissue redundancy. Frequently, patients who undergo these procedures have lost a relevant amount of weight and additionally present tissue redundancy in the area of the medial thighs. Patients with mild to moderate skin surplus in the medial thigh region often refuse an additional scar in this specific region. For these cases, the medial thigh region can be indirectly treated by the vertical scarpa lift, sparing the medial thigh approach and consequent complications such as scar descent or vulvar distortion. Additionally, the lymphatic vessels below the scarpa fascia can be preserved, reducing the postoperative abdominal seroma rate. Content Type Jo...

Evaluation of Aesthetic Abdominal Surgery Using a New Clinical Scale

Aesthetic Plastic Surgery — Thu, 30 Jun 2011 06:10:50 +0100

Conclusions The rating scale used for the aesthetic evaluation of the abdomen was effective in the analysis of two different procedures: conventional abdominoplasty and liposuction. Abdominoplasty provided the greater gain according to a comparison of the pre- and postoperative scores. Content Type Journal ArticlePages 1-5DOI 10.1007/s00266-011-9776-yAuthors Alessandra Grassi Salles, Division of Plastic Surgery, Faculty of Medicine, University of São Paulo, Av. Dr. Arnaldo, 455, sala 1360, São Paulo, SP 01246-903, BrazilMarcus Castro Ferreira, Division of Plastic Surgery, Faculty of Medicine, University of São Paulo, Av. Dr. Arnaldo, 455, sala 1360, São Paulo, SP 01246-903, BrazilAdelina Fatima do Nascimento Remigio, Division of Plastic Surgery, Faculty of Medic...

“Vest Over Pants” Abdominoplasty in Post-bariatric Patients

Aesthetic Plastic Surgery — Wed, 22 Jun 2011 06:09:07 +0100

In conclusion, the “vest over pants” abdominoplasty in post-bariatric patients has been demonstrated to be effective, fast to perform, comfortable for the surgeon, and safe. Content Type Journal ArticlePages 1-5DOI 10.1007/s00266-011-9767-zAuthors Roberto Bracaglia, Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, Largo A. Gemelli, 8, 00168 Rome, ItalyMarco D’Ettorre, Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, Largo A. Gemelli, 8, 00168 Rome, ItalyStefano Gentileschi, Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, Largo A. Gemelli, 8, 00168 Rome, ItalyDamiano Tambasco, Department of Plastic and Reconstructive Surgery, Catholic University of the...

A systematic review on the outcomes of correction of diastasis of the recti

Hernia — Mon, 20 Jun 2011 14:20:26 +0100

Conclusions Further studies are required to compare laparoscopic and open abdominoplasty techniques. Patients and physicians should be advised that correction is largely cosmetic, and although divarications may be unsightly they do not carry the same risks of actual herniation. Progressive techniques have resulted in risk reduction with no associated surgical mortality. However, the outcomes may be imperfect, with unsightly scarring, local sepsis and the possibility of recurrence. Content Type Journal ArticlePages 1-8DOI 10.1007/s10029-011-0839-4Authors F. Hickey, Department of Surgery, Northampton General Hospital NHS Trust, Cliftonville, Northampton, NN1 5BD UKJ. G. Finch, Department of Surgery, Northampton General Hospital NHS Trust, Cliftonville, Northampton, N...

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Islanded pedicled superior epigastric artery perforator flaps for bilateral breast augmentation with mastopexy after massive weight loss

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 13 Jun 2011 04:00:00 +0100

Conclusions: The islanded pedicled superior epigastric artery perforator flap is a useful technique for utilising the upper epigastric abdominal excess to augment the breasts following previous massive weight loss, obviating the need for implants and therefore eliminating potential implant-related complications. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Intraoperative Assessment of the Umbilicopubic Distance: A Reliable Anatomic Landmark for Transposition of the Umbilicus

Aesthetic Plastic Surgery — Fri, 03 Jun 2011 06:01:56 +0100

Conclusion Translocation of the umbilicus to 15 cm from the pubic symphysis in patients with a stature of 145–178 cm is another clinically useful, safe, and expeditious method for relocation of the umbilicus during an abdominoplasty. Content Type Journal ArticlePages 1-10DOI 10.1007/s00266-011-9748-2Authors J. R. Rodriguez-Feliz, Division of Plastic Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USASumeet Makhijani, Division of Plastic Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USAAdrian Przybyla, Division of Plastic Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY 12208, USADavid Hill, Albany Medical College, Albany, NY, USAJerome Chao, Division of Plastic Surgery, Albany Medical...

Umbilical Epithelial Cyst in Secondary Abdominoplasty: Case Report

Aesthetic Plastic Surgery — Thu, 26 May 2011 05:45:45 +0100

Discussion As a typical epidermoid cyst, REIC consists of squamosed stratified epithelial cells that continue to the granular layer. In most cases, the cyst is filled with a keratin-like material. When this tumor is solid, a histologic evaluation may be necessary. When the cyst has been excised, the umbilicus gets reconstructed after the abdominoplasty. A history of poor healing in the umbilicus area may arouse suspicion of an epidermoid cyst. Epidermoid cysts in the region of the umbilicus could easily be overlooked in preparation of the umbilicus. Content Type Journal ArticlePages 1-5DOI 10.1007/s00266-011-9749-1Authors Colette C. Camenisch, Department of Plastic, Reconstructive, and Aesthetic Surgery, Akademikliniken, Storängsvägen 10, 115 42 Stockholm, Swede...

Analysis of the Strength of the Abdominal Fascia in Different Sutures Used in Abdominoplasties

Aesthetic Plastic Surgery — Tue, 10 May 2011 06:00:33 +0100

Conclusion The vertical suture of the rectus abdominis sheaths was stronger than the horizontal suture because of the more transversal arrangement of its aponeurotic fibers. Thus, routine use of the vertical suture in plications of the aponeurosis of the rectus abdominis muscles is suggested. Content Type Journal ArticlePages 1-4DOI 10.1007/s00266-010-9578-7Authors Luis Henrique Ishida, Hospital das Clinicas, University of São Paulo School of Medicine, São Paulo, BrazilRolf Gemperli, Plastic Surgery Department, University of São Paulo School of Medicine, Rua Pedroso Alvarenga, 1046, 2º. Andar, 04531-004 São Paulo, BrazilMarco Vinicius Losso Longo, Hospital das Clinicas, University of São Paulo School of Medicine, São Paulo, BrazilHelio Ricardo Nogueira Alves,...

Does Mom Want a Major Makeover?

WebMD Health — Fri, 06 May 2011 22:14:50 +0100

Does mom want a major makeover for Mother’s Day? A new survey suggests most moms would entertain the thought of a tummy tuck or breast lift to get their pre-baby body back. (Source: WebMD Health)

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Flowers, Candy...Tummy Tuck? Mom's Unconventional Mother's Day Wish List

Health News from Medical News Today — Mon, 02 May 2011 15:00:00 +0100

What would mom get herself for Mother's Day if she had the chance? A new survey shows that it might be a tummy tuck or breast lift. A survey released today from the American Society of Plastic Surgeons (ASPS) shows that if cost were not an issue, 62 percent of mothers said that they would consider a "mommy makeover" that includes procedures such as a tummy tuck, breast augmentation and/or breast lift.* According to ASPS statistics, the number of women getting "mommy makeover" procedures is on the rise... (Source: Health News from Medical News Today)

Barbecue-induced burn: an unexpected complication of abdominoplasty. - Sarifakioglu E, Sarifakioglu N.

SafetyLit: All (Unduplicated) — Sat, 23 Apr 2011 23:23:27 +0100

[Abstract unavailable] Language: Eng... (Source: SafetyLit: All (Unduplicated))

Liposuction May Reduce Pain in Dercum's Disease (Adiposis Dolorosa)

Pain Medicine — Sun, 10 Apr 2011 23:00:00 +0100

Conclusion. The results suggest that liposuction might alleviate pain in patients with Dercum's disease. However, it is difficult to determine whether the effect is due to the actual surgery or to other factors. (Source: Pain Medicine)

Macroscopic Anatomic Changes of Subcutaneous Fat Tissue in Massive-Weight-Loss Patients

Aesthetic Plastic Surgery — Sat, 02 Apr 2011 05:52:05 +0100

Conclusion Knowledge concerning the anatomy of the subcutaneous fat in post-MWL patients allows a better choice of contouring procedure from an anatomic point of view, performance of a more rational and effective procedure, and differentiation of the technique depending on the area of the body, avoiding major complications. Content Type Journal ArticlePages 1-6DOI 10.1007/s00266-011-9701-4Authors Sergio Levy, Rua Itapiru, 1383 Rio de Janeiro, BrazilFlavio Rezende Gomes, Hospital Municipal Barata Ribeiro, Rua Visconde de Niterói, 1450 Rio de Janeiro, BrazilAris Sterodimas, Carlos Chagas Post-Graduate Medical Institute, Av. Mem Sá, 254, Rio de Janeiro, Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic...

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C-Reactive Protein Decrease After Postbariatric Abdominoplasty

Inflammation — Thu, 31 Mar 2011 17:37:05 +0100

Abstract In a prospective study, indices of glucose homeostasis, lipid profile, and systemic inflammation were monitored after an aesthetic abdominoplasty, aiming to scrutinize the possible metabolic benefits for abdominal fat removal. Premenopausal females with substantial weight loss (N = 40) undergoing circumferential abdominoplasty (index group, n = 20) or augmentation mammoplasty with mastopexy (controls, n = 20) were recruited. All of them originally underwent Roux-en-Y gastric bypass. Variables included BMI, white blood cell count, C-reactive protein, hemoglobin, total cholesterol and fractions, triglycerides, glucose, and HbA1c. Follow-up reached 20.3 ± 13.6 months for index cases and 29.5 ± 17.4 months for controls. The metabolic and ...

Abdominoplasty in Patient with Penile Implant

Aesthetic Plastic Surgery — Fri, 25 Mar 2011 06:00:30 +0100

Conclusion Our case reminded us that we should always suspect the presence of penile prostheses in bariatric patients in order to avoid intraoperative damage and subsequent medicolegal problems. Their precise detection is crucial and ultrasound is a safe, inexpensive, and useful method for accurate pre-, intra-, and postoperative localization of genital prostheses. Content Type Journal ArticlePages 1-3DOI 10.1007/s00266-011-9703-2Authors Roberto Bracaglia, Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, Largo A. Gemelli 8, 00168 Rome, ItalyDamiano Tambasco, Department of Plastic and Reconstructive Surgery, Catholic University of the Sacred Heart, Largo A. Gemelli 8, 00168 Rome, ItalyStefano Gentileschi, Department of Plasti...

Metabolic Surgery: Q&A with Detlev Erdmann, MD, PhD, MHSc

DukeHealth.org: Duke Health Features — Wed, 23 Mar 2011 20:50:26 +0100

In this Q&A session, Detlev Erdmann, MD, PhD, MHSc, of Duke Plastic Surgery, discusses recent trends and procedures in metabolic surgery.Detlev Erdmann, MD, PhD, MHSc What do you offer in the way of metabolic surgery? With the growing popularity of gastric bypass surgery and similar procedures to treat morbid obesity, plastic surgeons nationwide noticed an increase of patients seeking plastic surgery procedures to contour their body after massive weight loss. Plastic surgeons expect the trend to continue in the future. Body contouring includes a variety of procedures, such as panniculectomy, abdominoplasty, lower body lift, arm lift (brachioplasty), thigh lift, and others. Procedures are usually staged, meaning several trips to the operating room (OR) over a time period of one to two...

Neurotrophic activity of human adipose stem cells isolated from deep and superficial layers of abdominal fat

Cell and Tissue Research — Sat, 12 Mar 2011 16:53:24 +0100

Abstract New approaches to the clinical treatment of traumatic nerve injuries may one day utilize stem cells to enhance nerve regeneration. Adipose-derived stem cells (ASC) are found in abundant quantities and can be harvested by minimally invasive procedures that should facilitate their use in such regenerative applications. We have analyzed the properties of human ASC isolated from the deep and superficial layers of abdominal fat tissue obtained during abdominoplasty procedures. Cells from the superficial layer proliferate significantly faster than those from the deep layer. In both the deep and superficial layers, ASC express the pluripotent stem cell markers oct4 and nanog and also the stro-1 cell surface antigen. Superficial layer ASC induce the significantly enhanced...

The Omni-Tract surgical retractor in abdominoplasty – taking the weight from the surgeon

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 07 Mar 2011 00:00:00 +0100

Abdominoplasty remains one of the more labour-intensive procedures in plastic surgery. Frequently the plastic surgeon is operating without assistance and would benefit from support in retracting the often bulky upper abdominal flap, particularly if dissection right up to the costal margins and xiphisternum is required. Further if plication of the rectus sheath is necessary, a protracted period of retraction is needed. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

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France tummy tuck: Scissors of Lyon surgeon left inside patient

the Mail online | Health — Wed, 16 Feb 2011 17:00:10 +0100

A woman spent five months with a pair of surgical scissors in her stomach after a botched tummy tuck operation in Lyon, France. (Source: the Mail online | Health)

Histologic analysis of a 2,940 nm fractional device

Lasers in Surgery and Medicine — Tue, 01 Feb 2011 00:00:00 +0100

ConclusionsTreatment with the 2,940 nm Er:YAG device led to significant changes of the dermis at light microscopy levels. The adjustable laser depth and coagulation settings did not produce predictable depths of ablation or denaturation, possibly as a result of the variation of tissue hydration properties among individuals. Increased collagen remodeling was seen in the dermis in all subjects at 1 and 2 weeks post‐treatment. Lasers Surg. Med. 42:79–91, 2011 © 2011 Wiley‐Liss, Inc. (Source: Lasers in Surgery and Medicine)

UK plastic surgery statistics: breasts up, ears down

Guardian Unlimited Science — Mon, 31 Jan 2011 01:00:00 +0100

UK plastic surgery is on the increase, despite the recession. Find out which procedures are going up - and which are down• Get the dataPlastic surgery statistics in the UK show a record number of "man boob" reduction operations as the rise in demand outstrips that for all other procedures - including women's breast enlargement.Figures published by the British Association of Aesthetic Plastic Surgeons (BAAPs) - that really is its acronym - showed operations to correct gynecomastia in men grew by 27.5%, while overall male cosmetic surgery grew by 6.6%.The association's audit reveals 581 male breast reduction operations were performed by members in 2009, up from 323 in 2008. Five years ago, just 22 gynecomastia operations were performed on men. The association represents one in three plasti...

The Efficacy of a Lidocaine-infused Pain Pump for Postoperative Analgesia Following Elective Augmentation Mammaplasty or Abdominoplasty

Aesthetic Plastic Surgery — Tue, 07 Dec 2010 06:54:03 +0100

Conclusion The utilization of a continuous-infusion pain pump following augmentation mammaplasty or abdominoplasty is an efficacious method to significantly reduce both the amount of pain patients experience and the quantity of narcotics used postoperatively. Content Type Journal ArticlePages 1-7DOI 10.1007/s00266-010-9633-4Authors Victor Chavez-Abraham, The Zwiebel Center for Plastic Surgery and Skincare, 206 West County Line Road, Suite 210, Littleton, CO 80129, USAJason S. Barr, The Zwiebel Center for Plastic Surgery and Skincare, 206 West County Line Road, Suite 210, Littleton, CO 80129, USAPaul C. Zwiebel, The Zwiebel Center for Plastic Surgery and Skincare, 206 West County Line Road, Suite 210, Littleton, CO 80129, USA Journal Aesthetic Plastic SurgeryOn...

Rectus Diastasis Corrected with Absorbable Suture: A Long-Term Evaluation

Aesthetic Plastic Surgery — Thu, 25 Nov 2010 06:48:36 +0100

Conclusion Plication of the anterior rectus sheath with PDS suture to correct RD seems to be a long-lasting procedure. Content Type Journal ArticleDOI 10.1007/s00266-010-9554-2Authors Fabio Xerfan Nahas, Disciplina de Cirurgia Plástica, Federal University of São Paulo/EPM, Rua Napoleão de Barros, 715 – 4º. Andar, 04024-002 São Paulo, SP BrazilLydia Masako Ferreira, Disciplina de Cirurgia Plástica, Federal University of São Paulo/EPM, Rua Napoleão de Barros, 715 – 4º. Andar, 04024-002 São Paulo, SP BrazilPedro Bins Ely, Disciplina de Cirurgia Plástica, Federal University of São Paulo/EPM, Rua Napoleão de Barros, 715 – 4º. Andar, 04024-002 São Paulo, SP BrazilCharles Ghelfond, Hospital Jaragua, São Paulo, SP Brazil Journal Aesthetic Plastic Su...

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Long-Term Results of a Versatile Technique for Umbilicoplasty in Abdominoplasty

Aesthetic Plastic Surgery — Wed, 24 Nov 2010 18:50:30 +0100

Conclusions The reported technique is easy to learn, simple to perform, and stable over time. It gives a natural depth appearance, ensures optimal position, pulls scars deeply, and allows achievement of different shapes according to the patient’s habitus. Content Type Journal ArticleDOI 10.1007/s00266-010-9627-2Authors Marco Mazzocchi, Department of Plastic and Reconstructive Surgery, University of Perugia, Via S. Andrea delle Fratte, 06100 Perugia, ItalyEmilio Trignano, Department of Plastic and Reconstructive Surgery, “Sapienza” University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyAndrea F. Armenti, Department of Plastic and Reconstructive Surgery, “Sapienza” University of Rome, Viale del Policlinico 155, 00161 Rome, ItalyAndrea Figus, Departme...

Tummy-Tuck Stem Cells for Regenerative Medicine

About.com Biotech Biomedical — Thu, 18 Nov 2010 00:00:00 +0100

Headline news, on my talk radio station on Friday morning, was that scientists had manged to use stem cells from adipose (belly fat) tissue obtained from people during tummy-tucks, for some sort of biomedical/regenerative medicine purpose. I'm not sure just why this was newsworthy. I admit I missed the main "just" of the story, as I was driving, but a very quick search online revealed a plethera of research reports dating back to at least 2002, covering the subject. In 2002, Zuk et al. reported that adipose tissue contains a type of multipotent cells called processed lipoaspirate (PLA) cells. (Multipotent is not to be confused with pluripotent - multipotent cells can differentiate into a limited number of different types of cell line)....Read Full Post (Source: About.com Biotech Biomedi...

Preexisting Abdominal Scars as a Risk Factor for Wound Healing in Abdominoplasty

Medscape Today Headlines — Tue, 12 Oct 2010 14:06:39 +0100

Scarring was not the most significant risk factor for surgical complications. Was it age, gender, BMI, smoking history, or medical history? Medscape Plastic Surgery & Aesthetic Medicine (Source: Medscape Today Headlines)

The High-Superior-Tension Technique: Evolution of Lipoabdominoplasty

Aesthetic Plastic Surgery — Fri, 08 Oct 2010 05:48:00 +0100

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 e...

Free Transverse Rectus Abdominis Myocutaneous Flap for Breast Reconstruction in Patients with Prior Abdominal Contouring Procedures

Journal of Reconstructive Microsurgery — Sun, 03 Oct 2010 23:00:00 +0100

This study demonstrates the feasibility and viability of free TRAM flaps after previous abdominoplasty and DIEP flaps following prior abdominal liposuction. This is an important advance in the potential uses of the free TRAM flap.[...]© Thieme Medical PublishersArticle in Thieme eJournals:Table of contents | Abstract | Full text (Source: Journal of Reconstructive Microsurgery)

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Abdominoplasty Combined with Cesarean Delivery: Evaluation of the Practice

Aesthetic Plastic Surgery — Thu, 02 Sep 2010 06:20:43 +0100

This study was designed to evaluate the aesthetic outcome of combined abdominoplasty with Cesarean delivery. The study included 50 pregnant women from February 2008 to December 2009 with an average follow up period of 6 months. Nine patients (18%) developed wound infection; three of them (9%) developed wound dehiscence. Six patients (12%) developed lower abdominal skin necrosis; three of them (6%) were treated conservatively and healed by secondary intention, while surgical debridement and secondary sutures were needed in the other three patients (6%). Residual abdominal skin redundancy in 9 patients (18%), outward bulging of the abdomen and lack of waist definition in 16 patients (32%), and outward bulging of the umbilicus in 12 patients (24%) were the reported unaesthetic resu...

Excaliard Announces Positive Data From Phase 2 Clinical Trial Of Its Anti-Scarring Drug, EXC 001

Health News from Medical News Today — Wed, 04 Aug 2010 10:00:00 +0100

Excaliard Pharmaceuticals, Inc., announced positive results from its Phase 2 clinical trial of EXC 001, a new chemical entity for reducing fibrosis. Results showed that EXC 001 treatment significantly reduced scar severity in subjects undergoing an elective abdominoplasty compared to placebo. In the randomized, double-blind multicenter study conducted in the U.S., EXC 001 or placebo was administered intradermally adjacent to the surgical incision in patients who were undergoing elective abdominoplasty surgery... (Source: Health News from Medical News Today)

Mons Pubis Ptosis: Classification and Strategy for Treatment

Aesthetic Plastic Surgery — Tue, 27 Jul 2010 09:07:04 +0100

Conclusion The clinical classification and treatment guidelines reported are designed to provide simple procedures with minimal complications that have tremendously rejuvenated the mons. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-010-9552-4Authors Hamdy A. El-Khatib, Weill Cornell School of Medicine Doha State of Qatar Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

“Growing Up” and Outgrowing a Needy Friend

Psychology Today Relationships Center — Fri, 16 Jul 2010 12:14:59 +0100

QUESTIONDear Irene:My best friend and I have been teachers at the same school for over twelve years. I am 37 and she is 58, which makes her older than my mother. Through many of her life's challenges, I was there for her. I brought food when she was hungry, accompanied her to see her daughter in jail (I had never been to jail to see anyone), spent many days away from my own family with her and her granddaughter in the hospital, helped her study for graduate school (she would not have graduated without my help), decorated her classroom and completed school paperwork and report cards each year that she was ill, and so many other major favors, none of which were ever reciprocated.Despite the fact that the school is just two minutes away from her home and an hour away from mine, for years, I w...

Wound Healing Process in Post-bariatric Patients: an Experimental Evaluation

Obesity Surgery — Wed, 14 Jul 2010 23:28:44 +0100

Abstract Bariatric surgery is the most effective treatment for morbid obesity. Despite this, side effects are recorded. One of them is redundant skin hanging from the patients’ body causing both aesthetical and functional deformities. They can only be corrected with body contouring surgery, whose wound complication rate is very high in previously obese population. Despite several hypotheses, an adequate explanation is still awaited. The aim of our study was to evaluate the wound healing process in post-bariatric patients. Seven patients, six women and one man, were enrolled. They all were nonsmokers and nondiabetic. They all underwent biliopancreatic diversion (BPD). After 36 months, abdominoplasty was performed. Biochemical parameters before and after bariatric sur...

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Pregnancy in the early stages following DIEP flap breast reconstruction–a review and case report

Journal of Plastic, Reconstructive and Aesthetic Surgery — Sun, 04 Jul 2010 23:00:00 +0100

We report a case of a 30-year-old lady who became pregnant 3 months after undergoing a DIEP breast reconstruction. There are reports of pregnancy following TRAM, DIEP flap breast reconstruction and abdominoplasty performed after breast reconstruction, however this is the only case in the literature of a pregnancy within 3 months of DIEP breast reconstruction. The literature on breast reconstruction and pregnancy is reviewed. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Preface

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

Abdominoplasty to the uninitiated may seem to be fairly simple: “Draw an ellipse, cut it out, tighten up the abdominal wall, and close the defect.” In truth, abdominoplasty is very complex, requiring knowledge, artistry, judgment, and technical skill to accomplish well. Part of the complexity is that it is an “anterior-only” procedure performed on a “cone-shaped” circumferential lower trunk. The plastic surgeon has to create balance in removing vertical excess, reducing scar width, creating proper mons pubis contour, eliminating the umbilical defect, and positioning the umbilicus. The surgeon has to make adjustments and compromises because many of these goals run counter to each other. (Source: Clinics in Plastic Surgery)

Anatomic Considerations in Abdominoplasty

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

Knowledge of abdominal anatomy is key to achieving optimal results in abdominoplasty. With adequate knowledge of the anatomy, the surgeon can tailor his or her techniques to fit the needs of the patient while still maximizing the blood supply to the abdominal flaps and minimizing complications. (Source: Clinics in Plastic Surgery)

Traditional Abdominoplasty

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

This article describes a full (Type IV) abdominoplasty with or without liposuction is performed. When extensive abdominal liposuction is performed in conjunction with a full abdominoplasty, it is also known as lipoabdominoplasty. The article also describes 10 “special situations” in the abdominoplasty population. (Source: Clinics in Plastic Surgery)

Editorial Comment on “High Tension Abdominoplasty 2.0”

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

As the readers will see throughout this issue of Clinics in Plastic Surgery on abdominoplasty, some of the basic tenets of Dr Rosenfield's technique (as with all the other techniques presented) are based on principles that are in complete opposition to principles of other techniques. For example, although the high lateral tension abdominoplasty technique that Dr Rosenfield describes and the lipoabdominoplasty technique described by Dr Saldanha in “Lipoabdominoplasty: The Saldanha technique” (elsewhere in this issue) espouse a limited supraumbilical dissection, they diametrically oppose each other when it comes to liposuctioning the supraumbilical flap. Dr Rosenfield feels strongly that liposuctioning the minimally undermined flap is dangerous and should be avoided at all times, with th...

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SAFE Circumferential Liposuction with Abdominoplasty

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

The SAFELipo technique allows for safe, consistent liposuction that does not damage flap blood supply and is easily taught to, and reproducible by, other surgeons. The fat separation used in the SAFELipo technique is performed without suction, which prevents suction avulsion injury to blood vessels by the cannula. Blood vessels then remain intact while free, separated fat is aspirated with small diameter cannulas. (Source: Clinics in Plastic Surgery)

Editorial Comment on “SAFE Circumferential Liposuction with Abdominoplasty”

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

The technique described by Dr Simeon Wall, Jr, in “SAFE Circumferential Liposuction with Abdominoplasty” in this issue of Clinics in Plastic Surgery, has some interesting details that are worth discussing. First, Dr Wall attributes a majority of his attained contour improvement to circumferential liposuction and its accompanying skin retraction rather than to the abdominoplasty component. Although I am not aware of any studies that confirm or deny the effectiveness of Dr Wall's SAFE liposuction technique, the results Dr Wall shares are impressive and should be considered by all who perform liposuction. It is my hope that the publication of Dr Wall's article in this issue, along with his presentations at national meetings, will lead others to confirm the technique's benefits. If that do...

Editorial Comment on “No-Drain Abdominoplasty with Progressive Tension Sutures”

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

In their article in “No-Drain Abdominoplasty with Progressive Tension Sutures” for this issue of Clinics in Plastic Surgery, Drs Todd Alan Pollock and Harlan Pollock write about a technique that they have employed for a very long time with excellent success. It is interesting to note that despite their success there is little increase in the adaptation of their technique in the United States. I have taken several informal surveys in multiple plastic surgery meetings and discovered that US plastic surgeons feel that it takes too long to place the progressive tension sutures (PTS), and despite the Pollocks' findings, most feel that the sutures are ineffective in reducing seromas. On the other hand, almost always after I conduct these informal surveys, many surgeons convey that they have ...

Concepts on Correction of the Musculoaponeurotic Layer in Abdominoplasty

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

The musculoaponeurotic layer of the abdominal wall should be corrected during abdominoplasty according to the specific deformity that the patient presents with. In this article, the anatomic basis of deformities and defects of the abdominal wall is described. Different degrees of deformities secondary to pregnancy are described as well as congenital muscle malposition. These conditions should be treated in specific ways so that the most efficient correction can be achieved and no recurrence will occur. In cases of associated incisional hernias, the ‘‘components separation'’ technique can be considered for abdominal wall reconstruction and 2 alternative techniques of dissection of myoaponeurotic components are described for the correction of specific defects. (Source: Clinics in Plast...

Editorial Comment on “Concepts on Correction of the Musculoaponeurotic Layer in Abdominoplasty”

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

“Concepts on Correction of the Musculoaponeurotic Layer in Abdominoplasty” by Dr Fabio Nahas in this issue of Clinics in Plastic Surgery is the most extensive compilation I have had the pleasure of reading on the subject of abdominal wall plication. It is a tour de force. Although some of us may not use all of the techniques he describes, understanding the range of deformities, the range of techniques to treat those deformities, and the thought process behind all of it is what differentiates us, plastic surgeons, from other specialists who might attempt to perform body-contouring surgery without a well-grounded basis. Dr Nahas' article is essential reading for all who perform abdominoplasty surgery. (Source: Clinics in Plastic Surgery)

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Revision Abdominoplasty and Proper Umbilical Positioning

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

In the last decade, body contour surgery has advanced substantially. Abdominoplasty is the most frequent procedure in body contour aesthetic surgery. The surgeon who performs body rejuvenation procedures needs knowledge of anatomic, technical, and artistic concepts to assess and resolve the full spectrum of trunk deformities. The anatomical variations in abdomen types and the diversity of deformities make necessary a clear understanding so the surgeon can arrive at an accurate diagnosis and apply advanced techniques. (Source: Clinics in Plastic Surgery)

Editorial Comment on “Revision Abdominoplasty and Proper Umbilical Positioning”

Clinics in Plastic Surgery — Wed, 30 Jun 2010 23:00:00 +0100

One of Dr Ralph Millard's basic principles of plastic surgery is to “know the beautiful normal.” Dr Pedro Cormenzana helps us understand the normal anatomy of the abdomen, specifically the relationships of the umbilicus, suprapubic scar, and pubis. Aesthetic plastic surgery results are hard to judge because much too often they are subjectively judged. Determining the norm, with its variations, gives surgeons an opportunity to judge their work against an objective measure. Through his keen observation and attention to detail, Dr Cormenzana has determined a set of measurements that can help surgeons plan their surgical procedures and judge the deformities that may present after primary abdominoplasty. As is the case for all the articles in this issue of Clinics in Plastic Surgery, “Rev...

Short Scar Abdominoplasty Update

Clinics in Plastic Surgery — Wed, 09 Jun 2010 23:00:00 +0100

Techniques for abdominal contouring have proliferated and evolved over the past 2 decades. Now more than ever, aesthetic operations are tailored to fit the anatomic features and aesthetic goals of each individual patient, stressing the absolute importance of patient selection. This short scar procedure relies on a combination of liposuction and modified skin resection and muscle tightening in the lower abdomen. It has been the author's experience that this results in a more rapid recovery in most patients. It is almost always performed in conjunction with liposuction of the posterior trunk to achieve a harmonious recontouring of the aesthetic unit of the trunk. The techniques employed are familiar to all plastic surgeons performing body contouring procedures. Patient selection is the abso...

Editorial Comment on “Traditional Abdominoplasty”

Clinics in Plastic Surgery — Sun, 06 Jun 2010 23:00:00 +0100

Dr Alan Matarasso is obviously a very experienced master plastic surgeon whose article on “Traditional Abdominoplasty” in this issue of Clinics in Plastic Surgery covers a wide range of presenting problems as well as his philosophy and approach to abdominoplasty. The interaction of blood supply of the abdomen with the technical details of the procedure, especially liposuction, is so elegantly covered it is a must read, not only by the novice abdominoplasty surgeon but by the experienced one. (Source: Clinics in Plastic Surgery)

High Tension Abdominoplasty 2.0

Clinics in Plastic Surgery — Sun, 06 Jun 2010 23:00:00 +0100

This article outlines the techniques and tools to accomplish these superior results safely and consistently. (Source: Clinics in Plastic Surgery)

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A Comparative Study of the Transversus Abdominis Plane (TAP) Block Efficacy on Post-bariatric vs Aesthetic Abdominoplasty with Flank Liposuction

Obesity Surgery — Wed, 02 Jun 2010 14:10:00 +0100

Abstract The transversus abdominis plane (TAP) block acts on the nerves localised in the anterior abdominal wall muscles. We evaluated the efficacy on post-bariatric (PB) patients undergoing body-contouring abdominoplasty. We retrospectively evaluated PB patients undergoing abdominoplasty with flank liposuction and compared results to a matched group of TAP aesthetic patients. Outcomes evaluated were the analgesic requirements during the early postoperative days. Fifty-one patients (PB n = 27, aesthetic n = 24) were assessed. No complications were observed. All PB patients required analgesia until the second postoperative day contrarily to most aesthetic ones. Patients with greater flap resected and higher pre-abdominoplasty BMI had greater morphine consumptions. In...

No-Drain Abdominoplasty with Progressive Tension Sutures

Clinics in Plastic Surgery — Tue, 25 May 2010 23:00:00 +0100

Seroma formation is one of the major postoperative complications of abdominoplasty. Progressive tension sutures have been proposed as an adjunct procedure to combat this problem. Apart from being a simple addition to abdominoplasty, the sutures also eliminate other complications, such as postoperative drains, and increase the patient's mobility. (Source: Clinics in Plastic Surgery)

Subcutaneous angiogenesis in patients undergoing plastic surgery procedures after weight-reducing gastroplasty: a reason for increased bleeding during intra- and postoperative periods?

European Journal of Plastic Surgery — Fri, 21 May 2010 21:00:06 +0100

Abstract Plastic surgery procedures performed in patients who previously underwent weight-reducing gastroplasty present a high risk for medical complications, one of the most severe being bleeding during the perioperative period. Although the cause of this bleeding is currently unknown, it is postulated that these patients may present an increase in microvascular density and/or in the diameter of subcutaneous vessels. The aim of this study was to evaluate and compare the number and the caliber of subcutaneous vessels in two groups of patients undergoing abdominoplasty, one of them with a history of previous weight-reducing gastroplasty (group I) and the other without this feature (group II). Each group was composed of ten female subjects. During the surgeries, samples of s...

Breast Reconstruction Surgery: After the op, a new kind of support

Telegraph Health — Fri, 21 May 2010 17:01:33 +0100

A group of women who have all had mastectomies have formed a pioneering help group, the BRA. (Source: Telegraph Health)

Top-Line Human Clinical Study Results Demonstrate Safety and Preliminary Effectiveness of Cohera Medical's TissuGlu(R)

HSMN NewsFeed — Wed, 05 May 2010 15:50:45 +0100

Positive Results for Surgical Adhesive in Abdominoplasty (Tummy Tuck) Procedures Move Product Toward CE Mark Application in Europe and Clinical Study in U.S. This Year PITTSBURGH, May 5 (HSMN NewsFeed) -- Cohera Medical, Inc.® today announced that... Devices, SurgeryCohera Medical, TissuGlu, surgical adhesive (Source: HSMN NewsFeed)

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Lipoabdominoplasty: The Saldanha Technique

Clinics in Plastic Surgery — Thu, 29 Apr 2010 23:00:00 +0100

Traditional abdominal plastic surgery results in a high rate of morbidity because of the necessity for a large undermining of the flap. In 2001, Saldanha using the term “lipoabdominoplasty” for the first time, standardized a selective undermining, corresponding to 30% of the traditional undermining, between the medial borders of the rectus abdominal muscles. This procedure combines 2 traditional techniques, abdominoplasty and liposuction. (Source: Clinics in Plastic Surgery)

Biomechanical Properties of Skin in Massive Weight Loss Patients

Obesity Surgery — Sun, 18 Apr 2010 16:43:05 +0100

Conclusions The skin of MWL patients demonstrated stronger mechanical parameters than that of cosmetic patients in the medial part of the abdomen; however, the decrease in elastic fibers associated with a decrease in newly formed collagen seemingly provides a contradiction. Skin changes with MWL merits further study to understand it more completely. Content Type Journal ArticleCategory Basic Science ResearchDOI 10.1007/s11695-010-0147-6Authors Shelly Choo, Division of Plastic Surgery The Johns Hopkins Medical Institutions 4940 Eastern Ave Baltimore MD 21224 USAGuy Marti, Department of Surgery Baltimore MD USAManuel Nastai, Department of Surgery Baltimore MD USAJessie Mallalieu, Division of Plastic Surgery The Johns Hopkins Medical Institutions 4940 Eastern Ave Balti...

Do Preexisting Abdominal Scars Threaten Wound Healing in Abdominoplasty?

Medscape Today Headlines — Mon, 05 Apr 2010 11:04:27 +0100

This article investigates whether patients with right subcostal or upper midline scars experience increased wound healing complications after abdominoplasty. ePlasty, Open Access Journal of Plastic Surgery (Source: Medscape Today Headlines)

Neoumbilicus in abdominoplasty: points of finesse

European Journal of Plastic Surgery — Wed, 03 Mar 2010 08:49:42 +0100

Abstract Most of the scar and resulting ‘dog ears’, as a result of abdominoplasty, are inconspicuous and can be well hidden in the clothing. Neoumbilicus is often at display and an aesthetically pleasing umbilicus heightens the patient satisfaction from such a procedure. This paper discusses our technique of restoration of the umbilicus. The neoumbilical site is marked 1 cm inferior to the projected stalk. A small ellipse is excised and a core of adipose tissue is excised in a conical fashion underneath it. The umbilicus is anchored to the rectus sheath at 3, 9 and 6 o’clock points in the described manner. We then discuss the importance of the vector of pull on the umbilical stalk and relate this to production of an aesthetically pleasing superior hood. The tech...

Scar Prevention Using Laser-Assisted Skin Healing (LASH) in Plastic Surgery

Aesthetic Plastic Surgery — Thu, 28 Jan 2010 06:59:55 +0100

Conclusion This prospective comparative trial demonstrates that an 810-nm diode laser treatment, performed immediately after surgery, can improve the appearance of a surgical scar. The dose plays a great role in scar improvement and must be well controlled. There is interest in LASH for hypertrophic scar revision. LASH can be used to prevent and reduce scars in plastic surgery. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9469-yAuthors Alexandre Capon, CHRU Service de Chirurgie Plastique et Réparatrice Lille FranceGwen Iarmarcovai, APHM Service de Chirurgie Plastique et Réparatrice Marseille FranceDavid Gonnelli, APHM Service de Chirurgie Plastique et Réparatrice Marseille FranceNathalie Degardin, APHM Service de Chirurgie Plastique e...

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Adipogenic Potential of Four Distinct Cell Populations in the Stromal Vascular Fraction of Human Adipose Tissue and Implications for Soft Tissue Engineering

Journal of Surgical Research — Mon, 25 Jan 2010 16:41:11 +0100

Conclusions: We have isolated four distinct stromal populations from human adult adipose tissue. Of these four populations, the CD31-/CD34+ group is the most prevalent and has the greatest potential for adipogenic differentiation. This cell type appears to hold the most promise for engineering of adipose tissue for reconstructive applications. (Source: Journal of Surgical Research)

Subcutaneous Talc and Fibrin Glue Decrease Post-Operative Wound Complications after Massive Open Ventral Hernia Repair with Panniculectomy

Journal of Surgical Research — Mon, 25 Jan 2010 16:40:26 +0100

This study evaluates a novel technique of applying talc and fibrin glue in the large subcutaneous flaps to prevent seroma formation. Methods: A prospectively collected surgical outcomes database was accessed to identify all patients undergoing OVHR/AWR at a single institution from 1999-2009. Patients were divided into two groups based on subcutaneous application of talc and fibrin glue: those that did not receive talc and fibrin glue therapy (PRE) and those that did receive talc and fibrin glue therapy (POST). Demographics, peri-operative data, and outcomes were analyzed using standard statistical methods. Results: We identified 106 patients in the PRE group and 25 patients in the POST group. In the PRE group, mean age was 53.7 years (range 24-76), mean BMI was 36.93 (range 22-62), mean AS...

Use of the PlasmaJet® System in Patients Undergoing Abdominal Lipectomy Following Massive Weight Loss: A Randomized Controlled Trial

Obesity Surgery — Fri, 22 Jan 2010 09:55:54 +0100

We present the results of a randomized controlled trial comparing the PlasmaJet® System (PJS) and conventional monopolar electrocautery for the treatment of the dissection surfaces in patients undergoing corrective abdominoplasty following massive weight loss. Sixty consecutive patients were randomized to undergo abdominoplasty either with conventional monopolar electrosurgery or PJS. The two groups were comparable regarding demographics, associated conditions, smoking habits, type and number of previous bariatric procedures, amount of lost weight, as well as previous abdominal scars. The primary end point was the rate of procedure-related postoperative complications and secondary end points were the time of wound drainage, total accumulated fluid drainage volume, the duration of ho...

Excaliard Initiates Phase 2 Trials In U.S. For Its Skin Scarring Drug, EXC 001

Health News from Medical News Today — Wed, 06 Jan 2010 10:00:00 +0100

Excaliard Pharmaceuticals, Inc. announced the initiation of three proof of concept Phase 2 trials of EXC 001, an antisense medicine that reduces fibrosis, for the amelioration of skin scarring and other fibrotic disorders. The U.S. multicenter trials will test the efficacy, safety, and tolerability of EXC 001 in two different models to evaluate the improvement of the appearance of scars in subjects undergoing elective abdominoplasty surgery and revision of scars associated with prior breast surgery... (Source: Health News from Medical News Today)

The Use of Quilting Suture in Abdominoplasty Does Not Require Aspiratory Drainage for Prevention of Seroma

Aesthetic Plastic Surgery — Thu, 31 Dec 2009 07:29:06 +0100

Conclusion The use of adhesion sutures is an effective measure for preventing seromas with no need for additional surgical measures. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9453-6Authors Henrique Lopes Arantes, Santa Cruz Institute of Plastic Surgery Rua Santa Cruz, Number 398, Vila Mariana São Paulo SP CEP 04122000 BrazilRodrigo Gouvêa Rosique, Santa Cruz Institute of Plastic Surgery Rua Santa Cruz, Number 398, Vila Mariana São Paulo SP CEP 04122000 BrazilMarina Junqueira Ferreira Rosique, Santa Cruz Institute of Plastic Surgery Rua Santa Cruz, Number 398, Vila Mariana São Paulo SP CEP 04122000 BrazilJose Marcos Mélega, Santa Cruz Institute of Plastic Surgery Rua Santa Cruz, Number 398, Vila Mariana São Paulo SP CEP 04122000 Br...

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Specific Volume of Female Subcutaneous Abdominal Tissue as a Reference in Autologous Breast Reconstruction

Journal of Reconstructive Microsurgery — Sat, 19 Dec 2009 15:18:06 +0100

J reconstr MicrosurgDOI: 10.1055/s-0029-1243301ABSTRACTUse of the deep inferior epigastric perforator (DIEP) flap is gaining popularity as the method of choice for breast reconstruction and replacement of prosthetic breast implants. Ideally, the volume of the prosthesis is replaced by the same volume of autologous tissue to restore shape and symmetry. Still, intraoperative tissue volumetry is not practical under sterile circumstances. The first step toward a clinical intraoperative measure for volume matching would be to acquire knowledge of the specific density of female subcutaneous abdominal fat tissue. The weight and volume of abdominoplasty specimens from 32 women were measured. From these data, the specific volume of DIEP flap tissue was calculated. The mean specific density was 1.12...

First Patient Treated In Clinical Study Of Cohera Medical's TissuGlu(R) Surgical Adhesive

Health News from Medical News Today — Thu, 17 Dec 2009 08:00:00 +0100

Cohera Medical Inc announced the treatment of the first patient in a study of its lead surgical adhesive product, TissuGlu®. Initiation of the study marks a major milestone in the company's progression of the lead product toward clinical practice. The clinical investigation is a prospective, open-label, randomized study to investigate the safety of TissuGlu and its effect on wound drainage and associated complications in abdominoplasty, or "tummy tuck," surgeries... (Source: Health News from Medical News Today)

First Patient Treated in Clinical Study of Cohera Medical's TissuGlu(R) Surgical Adhesive

HSMN NewsFeed — Wed, 16 Dec 2009 15:23:17 +0100

Study to Investigate Safety of TissuGlu and its Effect on Wound Drainage and Associated Complications in Abdominoplasty (Tummy Tuck) Surgeries PITTSBURGH, Dec. 16 (HSMN NewsFeed) -- Cohera Medical Inc. today announced the treatment of the first patien... Devices, SurgeryCohera Medical, TissuGlu, surgical adhesive (Source: HSMN NewsFeed)

Demand management in plastic surgery for low priority procedures: The Welsh experience

Journal of Plastic, Reconstructive and Aesthetic Surgery — Tue, 08 Dec 2009 00:00:00 +0100

Conclusion: The Welsh model is an efficient, effective and equitable system for demand management, which amounts to thousands of requests per year. After 2006, tighter guidelines have resulted in a higher proportion of patients not meeting the criteria for funding, particularly for body contouring / abdominoplasty procedures. Difficulties remain however in determining reproducible and clinically appropriate criteria for patients seeking plastic surgery following massive weight-loss. Whilst this process streamlines the provision of NHS plastic surgery for the people of Wales, there is a potential impact on specialist training. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Collagen and Elastic Content of Abdominal Skin After Surgical Weight Loss

Obesity Surgery — Tue, 24 Nov 2009 07:15:20 +0100

Conclusions (1) Patients displayed lax, soft skin lacking sufficient collagen fiber network. (2) Elastic fiber content was not damaged, and was even moderately increased in epigastrium; (3) Preoperative obesity negatively correlated with hypogastric collagen concentration; (4) Future studies should pinpoint the roles of obesity, and especially of massive weight loss, on dermal architecture and response to surgery. Content Type Journal ArticleCategory Clinical ResearchDOI 10.1007/s11695-009-0019-0Authors Simone C. Orpheu, Sao Paulo University Faculty of Medicine Division of Plastic Surgery, Hospital das Clinicas Sao Paulo BrazilPedro S. Coltro, Sao Paulo University Faculty of Medicine Division of Plastic Surgery, Hospital das Clinicas Sao Paulo BrazilG. P. Scopel, Sao...

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Management of Upper Abdominal Laxity After Massive Weight Loss: Reverse Abdominoplasty and Inframammary Fold Reconstruction

Aesthetic Plastic Surgery — Sat, 21 Nov 2009 09:49:34 +0100

Conclusion In selected patients, effective treatment of the abdominal region demands correction of both the upper and lower abdominal laxity and contour. This can be performed safely, effectively, and reliably by a reverse abdominoplasty with IMF reconstruction independently or simultaneously with circumferential abdominoplasty. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9432-yAuthors Siamak Agha-Mohammadi, 400 Newport Center Drive, Suite 100 Newport Beach CA 92660 USADennis J. Hurwitz, Hurwitz Center for Plastic Surgery Suite 500, 3109 Forbes Avenue Pittsburgh PA 15213 USA Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Plastic Surgeons Offer Microsurgery Technique For Breast Reconstruction, Tummy Tuck After Mastectomy

ScienceDaily Headlines — Sun, 08 Nov 2009 15:44:54 +0100

A new microsurgery by plastic surgeons called the Deep Inferior Epigastric Perforator (DIEP) flap procedure can offer women seeking breast reconstruction after a mastectomy some of the advantages of a more natural breast with the effects of a tummy tuck. Although it is more complex surgery, it preserves muscles for quicker recovery and less postoperative pain, researchers say. (Source: ScienceDaily Headlines)

Plastic surgeons offer microsurgery technique for breast reconstruction, tummy tuck after mastectomy

EurekAlert! - Medicine and Health — Thu, 05 Nov 2009 05:00:00 +0100

(UT Southwestern Medical Center) Since her teens, Jennifer Jablon had watched family members deal with breast cancer during their 40s, 50s, and 60s. She wondered whether it would be her fate too. (Source: EurekAlert! - Medicine and Health)

Commentary

Aesthetic Surgery Journal — Sun, 01 Nov 2009 00:00:00 +0100

Shermak et al describe their anterior proximal extended (APEX) thighlift technique, a variant of the Lockwood horizontal thighlift, which in its excision spans anteriorly from the abdominoplasty scar to the infrabuttocks crease posteriorly. They conclude that APEX thighlift is the most appropriate thighlift for massive weight loss (MWL) patients with redundancy extending no further than the midportion of the medial thigh. While I am in agreement with the authors that the infrabuttocks area should be addressed more frequently in the MWL patient, I disagree that APEX should be the preferred methodology for patients with proximal thigh excess. (Source: Aesthetic Surgery Journal)

Retained VAC™ therapy sponge as a complication of abdominoplasty

Journal of Plastic, Reconstructive and Aesthetic Surgery — Wed, 21 Oct 2009 23:00:00 +0100

Since its introduction by Morykwas and Argenta in 1997, topical negative pressure (TNP) therapy has become an increasingly employed technique for the management of problematic wounds. Appropriate training in these techniques and management of potential complications are obviously paramount in ensuring that new therapies are employed effectively and safely. The case is reported of a patient who had a dressing sponge left in situ after a course of TNP therapy; this resulted in significant morbidity which necessitated further surgery. We recommend that when employing TNP therapy, a formal peri-operative ‘sponge count’ is undertaken. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

The plastic surgery postcode lottery in England

International Journal of Surgery — Thu, 15 Oct 2009 00:00:00 +0100

This study is the first comprehensive review of funding policies for cosmetic surgery in England.Materials and methods: All PCTs in England were asked for their funding policies for cosmetic procedures including breast reduction & augmentation, removal of implants, mastopexy, abdominoplasty, facelift, blepharoplasty, rhinoplasty, pinnaplasty, body lifting, surgery for gynaecomastia and tattoo removal.Results: Details of policies were received from 124/149 PCTs (83%). Guidelines varied widely; some refuse all procedures, whilst others allow a full range. Different and sometimes contradictory rules governing symptoms, body mass indices, breast sizes, weights, heights, and other criteria are used to assess patients for funding. Nationally produced guidelines were only followed by nine PCTs.Di...

Differential diagnosis of pneumoperitoneum caused by liposuction abdominoplasty

Emergency Medicine Australasia — Mon, 12 Oct 2009 23:00:00 +0100

(Source: Emergency Medicine Australasia)

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Classic abdominoplasty: a new approach to the correction of the abdominal wall deformity in patients with bladder exstrophy - a case report

Clinics — Fri, 25 Sep 2009 16:42:40 +0100

OBJECTIVES: Memantine is an N-methyl-d-aspartate (NMDA) glutamate receptor antagonist used to treat Alzheimer's disease. Previous studies have suggested that receptor blockers act as neuroprotective agents; however, no study has specifically investigated the impact that these drugs have on the heart. We sought to evaluate the effects of memantine on nuclear size reduction in cardiac cells exposed to cold stress. METHOD: We used male EPM-Wistar rats (n=40) divided into 4 groups: 1) Matched control (CON); 2) Memantine-treated rats (MEM); 3) Rats undergoing induced hypothermia (IH) and 4) Rats undergoing induced hypothermia that were also treated with memantine (IHM). Animals in the MEM and IHM groups were treated by oral gavage administration of 20 mg/kg/day memantine over an eight-day perio...

Abdominoplasty: Same Classification and a New Treatment Concept 20 Years Later

Aesthetic Plastic Surgery — Sat, 19 Sep 2009 05:51:02 +0100

Abstract Twenty years after my first paper on abdominoplasty, I find that the classification of abdominoplasty remains the same, but new operative techniques allow for accentuated improvement of the results through more liposuction, less undermining in tunnels, and reduction of skin traction. I use the same classification of diagnoses proposed in 1988, dividing the aesthetic alterations into five groups, and describe my experience during a 6-year period with 502 patients. I used vibroliposuction and performed plicature of the muscular aponeurosis through tunnels (where there are no important muscular perforator vessels), without damaging the vascularization. I propose an appropriate ratio of 1/1.5 between infra- and supraumbilical segments for uses in diagnosis and treatme...

Abdominoplasty: Same Classification and a New Treatment Concept 20 Years Later

Aesthetic Plastic Surgery — Sat, 19 Sep 2009 05:51:02 +0100

Vacuum drainage in the management of complicated abdominal wound dehiscence in children

Journal of Pediatric Surgery — Mon, 31 Aug 2009 23:00:00 +0100

Abstract: Purpose: The aim of the study was to report the outcomes of the vacuum dressing method (vacuum-assisted closure [VAC]) in the management of “complicated” abdominal wounds in a selected group of children including neonates.Methods: All children with vacuum (VAC) dressing-assisted closure of a complex abdominal wound (defined as complete/partial wound dehiscence combined with at least one of stoma, anastomosis, tube enterostomy, or infected patch abdominoplasty) were included in a 2-year study that took place in a single tertiary referral hospital. Retrospective case note analysis was used to determine premorbid diagnosis, management, illness severity markers, morbidity, and outcome.Results: Nine children (neonate to 16 years) required 11 continuous episodes of VAC therapy. Abd...

Sciatic neuropathy after body contouring surgery in massive weight loss patients

Journal of Plastic, Reconstructive and Aesthetic Surgery — Mon, 24 Aug 2009 23:00:00 +0100

We present two female patients (23 and 39 years of age) who, in spite of standard positioning and precautions, developed sciatic neuropathy after combined body contouring procedures, including abdominoplasty and inner thigh lift. Complete functional loss of the sciatic nerve was found by clinical and electroneurographic examination on the left side in patient one and bilaterally in patient two. Full nerve conductance recovery was obtained after 6 months in both patients.Although the occurrence of spontaneous neuropathies after heavy weight loss is well documented, this is the first report describing the appearance of such a phenomenon following body contouring surgery. One theoretical explanation may be the compression of the nerve during the semirecumbent positioning combined with hip fle...

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Cost effective plastic surgery skills training – reply

Journal of Plastic, Reconstructive & Aesthetic Surgery — Wed, 19 Aug 2009 00:00:00 +0100

We congratulate Dr. W.Y. Chan for his innovative works on developing cost effective skills in Plastic Surgery. We fully agree with the facts mentioned in the article about the use of animal tissues and left over suture materials for practising. But in our opinion, the abdominoplasty specimen fulfils all the functions mentioned in the article except for practising the tendon procedures which can be practised on pig trotters though amputated limbs are good substitutes but available rarely. In this era of cosmetic surgery, the abdominoplasty specimens are available in plenty and provides actual human tissue for practise. The specimen can be stored in the operating room refrigerator and the practise can be done in a side room or in a minor operating room giving a real time experience to the yo...

The Impact of Reconstructive Procedures Following Bariatric Surgery on Patient Well-being and Quality of Life

Obesity Surgery — Tue, 18 Aug 2009 09:20:54 +0100

Conclusions This study shows that reconstructive surgery following weight loss after bariatric surgery results in a significant improvement in overall quality of life. Reconstructive surgery should be incorporated in the multidisciplinary care programme following weight loss surgery in the morbidly obese patient. Content Type Journal ArticleCategory Clinical ResearchDOI 10.1007/s11695-009-9909-4Authors Eva S. J. van der Beek, St. Antonius Hospital Department of Surgery Koekoekslaan 1 3435 CM Nieuwegein The NetherlandsWouter te Riele, St. Antonius Hospital Department of Surgery Koekoekslaan 1 3435 CM Nieuwegein The NetherlandsTom F. Specken, St. Antonius Hospital Department of Plastic and Reconstructive surgery Nieuwegein The NetherlandsDjamila Boerma, St. Antonius Hos...

Abdominal wall gossypiboma

Journal of Plastic, Reconstructive and Aesthetic Surgery — Sun, 16 Aug 2009 23:00:00 +0100

Summary: A 71-year-old woman, one year following a fleur-de-lis abdominoplasty and incisional hernia repair, presented with two chronic, draining peri-umbilical sinuses. Her immediate postoperative course was complicated by a superficial surgical site infection with central skin breakdown that was treated with vacuum assisted closure (VAC). After the wound had closed completely, two midline sinus tracts developed. A CT scan demonstrated an 8×3×1.6cm thick-walled collection along the anterior abdominal wall containing numerous air bubbles. Surgical debridement revealed a cavity containing an 8×3×1.6cm block of well incorporated VAC foam. With the increasing clinical use of VAC wound therapy, this image serves as an important reminder to include gossypiboma in the differential diagnosis ...

New superbug is even harder to treat than MRSA

Guardian Unlimited Science — Wed, 12 Aug 2009 19:49:54 +0100

Hospitals have been put on alert about a group of new superbugs brought into the UK by patients returning home after surgery abroad, including cosmetic treatments and organ transplants.The virulent new strains of drug resistant bacteria, which are much harder for doctors to tackle than MRSA or Clostridium difficile, have killed two people and left 18 others seriously ill in 12 months.At least 17 hospitals in England and Scotland have seen cases, prompting the Health Protection Agency to issue a warning about what it calls "a notable public health risk". The bacteria can cause wound infections, septicaemia, pneumonia and gastroenteritis and are posing real problems for the NHS because they are proving resistant to all the usual antibiotics.This year hospitals have reported seeing the infect...

New superbug harder to treat than MRSA

Guardian Unlimited Science — Wed, 12 Aug 2009 19:49:54 +0100

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DIEP and SIEA Microsurgery Flaps -- The Gold Standards in Breast Reconstruction: and Why Insurance Must Cover Them

Medical News (via PRIMEZONE) — Tue, 04 Aug 2009 17:40:00 +0100

LOS ANGELES, Aug. 4, 2009 (GLOBE NEWSWIRE) -- Breast cancer operations have evolved tremendously over the last several years. What was once a procedure that left many women badly disfigured has now become an operation with results that can look and feel like a breast lift and a tummy tuck. (Source: Medical News (via PRIMEZONE))

DIEP And SIEA Microsurgery Flaps -- The Gold Standards In Breast Reconstruction: And Why Insurance Must Cover Them

Cancercompass News: Breast Cancer — Tue, 04 Aug 2009 05:00:00 +0100

LOS ANGELES -- Breast cancer operations have evolved tremendously over the last several years. What was once a procedure that left many women badly disfigured has now become an operation with results that can look and feel like a breast lift and a tummy tuck. Advanced procedures can be performed by plastic surgeons with special training in microsurgery and perforator flap surgery. The gold standard has become the DIEP (Deep Inferior Epigastric Perforator) flap and the related SIEA (Superficial Inferior Epigastric Artery) flap. These procedures allow plastic surgeons trained in the techniques to take only the skin and fat from the abdomen, without sacrificing the underlying muscle, and transform it into a new breast.... (Source: Cancercompass News: Breast Cancer)

An abdominoplasty incision according to fashion trends

Journal of Plastic, Reconstructive & Aesthetic Surgery — Thu, 16 Jul 2009 00:00:00 +0100

The abdominoplasty technique has evolved from the early classic resections that were a combination of vertical midline and transverse resections to various modifications in incision placement and design. Modern incisions should be dictated by the prevailing lingerie and swimsuit fashions, which currently are low-cut anteriorly and laterally high for Latin American women. Nevertheless, in patients who wear low-cut trousers or skirts, the lateral ends of the incision may be exposed. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

Financial Analysis of Factors Impacting Reimbursement for Abdominoplasty

Obesity Surgery — Wed, 15 Jul 2009 17:24:17 +0100

Conclusions Higher BMI and coincident hernia repair impaired reimbursement for abdominoplasty, while massive weight loss after gbs improved compensation. While having patients pay for their surgery guarantees the best reimbursement, strategies such as assuring authorization prior to surgery, which Medicare will not do, will secure better reimbursement. Content Type Journal ArticleCategory Clinical ResearchDOI 10.1007/s11695-009-9911-xAuthors Michele A. Shermak, The Johns Hopkins Medical Institutions Division of Plastic Surgery and Department of Surgery Baltimore MD USAShelly Choo, The Johns Hopkins Medical Institutions Division of Plastic Surgery and Department of Surgery Baltimore MD USAJessie Mallalieu, The Johns Hopkins Medical Institutions Division of Plastic Surg...

Umbilical Hernia Repair in Conjunction With Abdominoplasty: A Surgical Technique to Maintain Umbilical Blood Supply

Aesthetic Surgery Journal — Tue, 30 Jun 2009 23:00:00 +0100

Abdominal wall hernias are often diagnosed on clinical examination or encountered intraoperatively during an abdominoplasty. Traditional surgical techniques for abdominoplasty and umbilical hernia repair, when performed simultaneously, can potentially compromise the vascular supply to the umbilicus. The authors describe a simplified surgical technique for the correction of umbilical hernias in conjunction with abdominoplasty. This procedure avoids any fascial incisions immediately adjacent to the umbilicus, thereby maintaining a maximal blood supply to the umbilical stalk. Over a six-year period, 17 patients underwent the described procedure. None have had a recurrence of their hernia or umbilical necrosis, and the aesthetics of the umbilicus have been improved. (Source: Aesthetic Surgery ...

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Hematoma Risk Should Not Preclude the Use of Venous Thromboembolism Prophylaxis

Aesthetic Surgery Journal — Tue, 30 Jun 2009 23:00:00 +0100

I am appreciative of the pertinent comments made by Drs. Pannucci and Wilkins regarding the role of prophylactic anticoagulant therapy in aesthetic surgery. This provides me an opportunity to clarify my recommendations regarding the use of Lovenox (Sanofi Aventis, Bridgewater, NJ) in major combination body contouring cases. To be sure, I concur with the statement that if “a patient is truly within the highest-risk categories, we urge the surgeon to accept the minimal hematoma risk associated with providing potentially life-saving pharmacologic venous thromboembolic event [VTE] prophylaxis.” With a VTE event, the potential for death or even adverse long-term sequelae makes preventing this complication a higher priority than a hematoma. Nevertheless, the development of a major hematoma o...

Abdominoplasty After Major Weight Loss: Improvement of Quality of Life and Psychological Status

Obesity Surgery — Thu, 11 Jun 2009 13:52:37 +0100

We report a retrospective study of 41 abdominoplasties performed after an average weight loss of 40.2 kg. Data were obtained through review of patient medical files, double-blind surgical and psychological examinations, and two specifically designated questionnaires used to assess pre-abdominoplasty body perception and QOL, post-body contouring perception of improvement, and psychological status. To date, 14 patients have regained >10 kg; 84.6% have improved QOL; 86.5% have improved psychological status; 74% have better sexual relations; 53.9% admit liking their body; 76.9% are satisfied with the results of abdominoplasty; and 96.1% would be willing to undergo abdominoplasty again. Anterior dermolipectomy improves both QOL and psychological status. Provision of patient ...

Esophageal Stricture and Metaplasia Following Abdominoplasty

Aesthetic Plastic Surgery — Thu, 11 Jun 2009 13:47:35 +0100

In this report, the case of a 48-year-old woman who developed an esophageal stricture, and subsequently Barrett’s esophagus, secondary to increased intra-abdominal pressure following abdominoplasty is presented. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s00266-009-9380-6Authors Sabrina Cugno, Centre Hospitalier de l’Université de Montréal (CHUM) Service of Plastic and Reconstructive Surgery, Hôpital Notre-Dame 1560 Sherbrooke Street East Montréal QC H2L 4M1 CanadaDemetrios Rizis, Centre Hospitalier de l’Université de Montréal (CHUM) Service of Plastic and Reconstructive Surgery, Hôpital Notre-Dame 1560 Sherbrooke Street East Montréal QC H2L 4M1 CanadaAndreas Nikolis, Centre Hospitalier de l’Université de Montréal (CHUM) Service of Plastic and Reco...

Micro-island damage with a nonablative 1540-nm Er:Glass fractional laser device in human skin

Journal of Cosmetic Dermatology — Mon, 01 Jun 2009 04:00:00 +0100

Conclusion Micro-islands of thermal damage were observed at variable energy parameters. Pathological changes within the skin were clearly dependent on amount of energy and number of passes of the laser treatment. Significantly more superficial damage, accompanied by disruption of the DEJ was observed with multiple passes when compared with single pass at similar fluences. However, with multiple passes, depth of thermal injury did not increase with increasing energies but did disrupt the micro-island array observed with single-pass fractional treatments. (Source: Journal of Cosmetic Dermatology)

Policy related to abdominoplasty in publicly funded elective surgery programs: a systematic review

International Journal of Evidence-Based Healthcare — Mon, 18 May 2009 04:00:00 +0100

Conclusion There are clinical indicators, mainly in relation to physical symptoms/dysfunction, to support exemption of some cases of abdominoplasty. For abdominoplasty to be conducted clinical need must be assessed and formally documented. Where clinical need is primarily based on psychological distress/dysfunction a formal psychiatric assessment should be used to justify surgery. (Source: International Journal of Evidence-Based Healthcare)

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Effect of quilting sutures on seroma formation post-abdominoplasty

European Journal of Plastic Surgery — Fri, 15 May 2009 06:08:46 +0100

Abstract Quilting sutures have been shown to be effective in reducing seroma in latissimus dorsi donor wounds. This technique has been adapted to the closure of abdominoplasty flaps. Seventy-four female patients aged 25 to 76 who underwent abdominoplasty over eight years were reviewed retrospectively. In the first 40 consecutive patients, no quilting sutures were used, in the subsequent 34 patients, abdominal closure was performed with quilting sutures. Primary outcome measures were the incidence of seroma, number of times aspirated and total volume aspirated. Secondary outcome measures were haematoma formation, return to theatre, necrosis, dehiscence, infection and late revision. Six of 34 (17.6%) patients who had quilting sutures placed developed clinically obvious serom...

Composite Body Contouring

Aesthetic Plastic Surgery — Tue, 12 May 2009 05:59:21 +0100

Conclusion Composite body contouring combines circumferential liposuction, fat grafting of the buttocks and lower limbs, and modified transverse abdominoplasty to accomplish very good aesthetic results in a single surgical procedure with a low rate of complications and high patient satisfaction. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9348-6Authors Luiz Haroldo Pereira, LH Clinic Department of Plastic Surgery Rua Xavier da Silveira 45/206 Rio de Janeiro 22061-010 BrazilAris Sterodimas, LH Clinic Department of Plastic Surgery Rua Xavier da Silveira 45/206 Rio de Janeiro 22061-010 Brazil Journal Aesthetic Plastic SurgeryOnline ISSN 1432-5241Print ISSN 0364-216X (Source: Aesthetic Plastic Surgery)

Abdominoplasty With Progressive Tension Closure Using A Barbed Suture Technique

Aesthetic Surgery Journal — Thu, 30 Apr 2009 23:00:00 +0100

Conclusions: Using barbed sutures to perform progressive tension suture closure in abdominoplasty is a safe and effective way to considerably reduce operative time and retain all of the benefits of the original progressive tension suture technique. (Source: Aesthetic Surgery Journal)

Pr17*abdominoplasty and urinary incontinence

ANZ Journal of Surgery — Mon, 27 Apr 2009 04:00:00 +0100

Conclusion: Improvement in UI following abdominoplasty was clearly demonstrated. We suggest that this may be attributable to a better bladder neck and urethral angle position, as well as increased pelvic floor tone secondary to reflex contraction of the pelvic floor muscles. Patients reporting UI should be carefully assessed preoperatively. Aim for the future is to predict who simply requires an abdominoplasty to solve the problem and who requires a combined procedure with a urologist. (Source: ANZ Journal of Surgery)

The ‘hour-glass’ abdominoplasty in massive weight loss surgery: a preliminary case series

Journal of Plastic, Reconstructive & Aesthetic Surgery — Fri, 24 Apr 2009 09:23:44 +0100

With the current proportions of obesity, bariatic surgery is being increasingly offered to obese patients to achieve some semblance of body image normality. In these patients given the abnormal abdominal fat distribution after bariatic surgery, conventional abdominoplasties may not necessarily work. In this article, we describe a new surgical procedure which addresses the abdominal pannus in three vectors namely, (i) vertical, (ii) lower horizontal and (iii) upper horizontal excesses. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

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A simple method for fishing out the umbilicus in abdominoplasty surgery

Journal of Plastic, Reconstructive & Aesthetic Surgery — Fri, 24 Apr 2009 09:22:22 +0100

Retrieving the umbilicus after abdominoplasty is, sometimes, not an easy task and may be embarrassing to the surgeon. We found that tying the umbilicus to a suture and bring the suture through the abdominal wall can exactly position it at the centre of the neoumbilicus before closing the abdominoplasty wound (a). Subsequently, the umbilicus can be easily brought out by excising a small piece of skin around the stitch (b) to be finally sutured into its new location. This will save time otherwise spent in fishing out the buried umbilicus which can prove difficult to the extent that it may inevitably lead to the undoing of the procedure so as to retrieve the umbilicus. (Source: Journal of Plastic, Reconstructive & Aesthetic Surgery)

Abdominoplasty in obese and in morbidly obese patients

Journal of Plastic, Reconstructive and Aesthetic Surgery — Wed, 01 Apr 2009 23:00:00 +0100

This study aims to determine if morbid obesity increases morbidity in abdominoplasty. Upon examining 200 patients, 100 morbidly obese and 100 overweight and obese, it was found that there is no difference in the complication rate between the two categories. It was also found that, when compared to global rates of complication, there is no difference in the rate of complication of dermolipectomy as a whole in non-obese patients. However, co-morbid diseases are more correlated to complication. This article concludes with a remark that although morbid obesity should not preclude abdominoplasty, patients benefit from the operation even when it is performed as a functional operation and not as a cosmetic procedure. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Circumferential body contouring in bariatric and non-bariatric patient

Journal of Plastic, Reconstructive and Aesthetic Surgery — Tue, 31 Mar 2009 23:00:00 +0100

Conclusions: Circumferential abdominoplasty is a body-contouring procedure initially developed for post-bariatric patients. This procedure can be ethically proposed to patients with body-contour deformities in a non-bariatric context (and even to non-obese patients with a skin laxity problem), giving excellent results with minor morbidity. (Source: Journal of Plastic, Reconstructive and Aesthetic Surgery)

Lipoabdominoplasty: Revisiting the Superior Pull-Down Abdominal Flap and New Approaches

Aesthetic Plastic Surgery — Fri, 20 Mar 2009 10:46:48 +0100

Abstract Abdominoplasty is a very common procedure, especially for patients with abdominal laxness, striaes, and muscle rectus diastases. With the advent of liposuction 28 years ago, we can improve body contouring by treating lipodystrophies in the epigastric, flank, trochanteric, and buttocks areas. The procedure combining abdominoplasty and liposuction is called lipoabdominoplasty. Many new techniques have been proposed since these procedures were introduced; we now revisit the superior pull-down abdominal flap technique with several new modifications and improvements. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00266-009-9318-zAuthors Carlos Oscar Uebel, Pontificia Universidade Catolica, Rio Grande Sul – PUCRS Division of Plastic Surgery ...

Health News of the Day

Clinical Cases and Images — Tue, 17 Mar 2009 11:55:01 +0100

is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.Mental powers start to decline at 27 after peaking at 22, marking the start of old age. Decline in brain speed & reasoning starts at 27 but memory stayed intact until the age of 37 http://is.gd/nwBjBritain has 10th highest alcohol consumption in the world, equivalent of 12 L of pure alcohol consumed by each citizen http://is.gd/nxNZWorkers cutting diamonds for jewel trade in China risk silicosis, die in their 40s http://is.gd/nxPiPreterm birth can have persistent effect resulting in lower IQs and more developmental problems. Preterm birth can have persistent effect: at age 12, the preter...

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The Rodial Tummy Tuck, Does It Help?

Huliq Health News — Thu, 05 Mar 2009 21:42:16 +0100

I have been reading about the Rodial Tummy Tuck, principally on this page and found it interesting. I have not tried the Rodial Tummy Tuck and I do not know anyone who has. My comments are based on what I have read on its website and the claims that are made there. (Source: Huliq Health News)

Safe and Consistent Outcomes of Successfully Combining Breast Surgery and Abdominoplasty: An Update

Aesthetic Surgery Journal — Sun, 01 Mar 2009 05:00:00 +0100

Conclusions: Combined abdominoplasty and cosmetic breast surgery was safe and effective in this large series of cases performed at a single plastic surgery practice. The complication and revision rates of the combined surgery were similar to those reported for individually staged procedures. (Aesthetic Surg J 2009;29:129–134.) (Source: Aesthetic Surgery Journal)

The Contribution of Breast and Abdominal Pannus Weight to Body Mass Index: Implications for Rationing of Reduction Mammaplasty and Abdominoplasty.

Annals of Plastic Surgery — Thu, 26 Feb 2009 15:30:14 +0100

Page: 244DOI: 10.1097/SAP.0b013e31817fe502Authors: Dafydd, Hywel MA, MSc, MBBChir, MRCS *; Juma, Ali FRCS (Plast) +; Meyers, Paul MRCS +; Shokrollahi, Kayvan BSc, MB, ChB, MSc, LLM, MRCS (Eng) * (Source: Annals of Plastic Surgery)

[Sensibility of the abdomen after high superior tension abdominoplasty.]

Annales de Chirurgie Plastique et Esthetique — Thu, 12 Feb 2009 05:00:00 +0100

CONCLUSION: The high tension abdominoplasty only needs a limited undermining and largely preserves the innervation of the abdominal flap. Only the hypogastric area, largely undermined, presents a sensitivity loss. These results are better than those previously reported in the literature. PMID: 19217705 [PubMed - as supplied by publisher] (Source: Annales de Chirurgie Plastique et Esthetique)

Is Tubal Ligation Reversal Right For Me?

Tubal Ligation Reversal News — Thu, 12 Feb 2009 00:00:00 +0100

Chapel Hill Tubal Reversal Center message board member, 'Ivy', asks if tubal ligation reversal is right for her. She gives a little background on herself by stating, "I am 30 years old and had a tubal ligation in January 2005. I also had a cryoablation in 2007. I still get my period every month for about 3 days. (I am mentioning that because I was told I would not get my period anymore after the endometrial ablation). My husband really wants more children. I looked into IVF but it is too expensive and I only got approved for financing at 20% interest. Would I be a good candidate for a tubal reversal?? OH I forgot to mention I had abdominal surgey tummy tuck and liposuction, so I do have scar tissue. I thought at the time I was making the right decision, but I I realize what a big mistake I...

MedWorm Sponsor Message: Please support the Doctors In Chains campaign for the medics tortured and sentenced for up to 15 years in Bahrain. #FreeDoctors

"Oriental anthropometry" in plastic surgery

Indian Journal of Plastic Surgery — Sun, 11 Jan 2009 03:55:43 +0100

Conclusion</b> : The data suggested that the use of aesthetic-loci may be a useful tool for PS as an anatomical reference for surgical marking. However, further investigation is required to assess the efficacy of the OA by providing the patients more reliable balance and harmony in facial and body contours surgeries. (Source: Indian Journal of Plastic Surgery)

Is it safe to combine abdominoplasty and posterior vaginal repair in one surgical session?

Indian Journal of Plastic Surgery — Sun, 11 Jan 2009 03:55:43 +0100

This study included 47 patients who had these complaints. Some of these patients were working outside the homes and all were mothers of 2-5 children. Due of their home and job responsibilities, they did not have enough time or money for multiple surgeries in more than one session. <b> Material and Methods:</b> The age of these patients was 26-54 years and all patients had poor skin elasticity, pendulous excess subcutaneous fat and skin below the level of the anterior vulvar commissure, and a lax musculoaponeurotic anterior abdominal wall. Also, all patients had a relaxed vaginal outlet and 32 patients had rectocele. Careful perioperative assessment and management was done for each patient to ensure fitness for the long operation and to avoid complica...

Correlation Between Complication Rate and Patient Satisfaction in Abdominoplasty.

Annals of Plastic Surgery — Fri, 09 Jan 2009 07:40:42 +0100

Page: 5DOI: 10.1097/SAP.0b013e318174f973Authors: Momeni, Arash MD; Heier, Mathias MS; Torio-Padron, Nestor MD; Penna, Vincenzo MD; Bannasch, Holger MD; Stark, Bjorn G. MD (Source: Annals of Plastic Surgery)

Is it safe to combine abdominoplasty and posterior vaginal repair in one surgical session?

Indian Journal of Plastic Surgery — Tue, 06 Jan 2009 04:11:57 +0100